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Cathie Faussat, Alicia Bonnin, Daniel Hilt

Sante Publique (Vandoeuvre-Les-Nancy, France)

|December 28, 2022

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Teleconsultations are well-accepted by men who have sex with men (MSM) using Pre-Exposure Prophylaxis (PrEP), improving access to care, especially in rural areas. This approach enhances confidentiality and specialist access for PrEP users.

Area of Science:

Public Health
Telemedicine
HIV Prevention

Context:

France faces 6,000 new HIV infections annually, with Pre-Exposure Prophylaxis (PrEP) underutilized by key populations.
Access to PrEP services is challenging, particularly in rural areas of Center-Val de Loire, despite reimbursement since 2016.
Community tele-support and teleconsultations were implemented to improve PrEP accessibility.

Purpose:

To evaluate the effectiveness and user experience of teleconsultations for PrEP users.
To identify the benefits and limitations of remote healthcare services for HIV prevention.

Summary:

Qualitative study using semi-structured interviews with eight men who have sex with men (MSM) on PrEP who utilized teleconsultations.
Findings indicate high acceptability and integration of teleconsultations into existing care pathways.

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Teleconsultations facilitated discussions about sexuality and offered enhanced confidentiality, preferred over general practitioner follow-ups due to fears of judgment.

Impact:

Teleconsultations can significantly improve access to PrEP, particularly for underserved populations in rural settings.
The study supports the expansion of teleconsultation services for PrEP, with attention to the overall healthcare pathway.
Enhanced confidentiality and direct access to specialists are key advantages of teleconsultation for PrEP users.