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[HIV pre-exposure prophylaxis: physicians are not prepared].

Manon Badoux1, José Damas2, Isabel Cobos Manuel3

  • 1Faculté de biologie et de médecine, Université de Lausanne, 1005 Lausanne.

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Primary care physicians know about HIV pre-exposure prophylaxis (PrEP) but lack training, hindering its prescription. Most physicians desire training to effectively offer this key HIV prevention method.

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Area of Science:

  • Public Health
  • Infectious Disease Prevention
  • Clinical Pharmacy

Context:

  • HIV pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention strategy.
  • Primary care physicians (PCPs) are crucial for widespread PrEP adoption but face knowledge gaps.
  • A survey assessed PCP awareness, knowledge, and barriers to prescribing PrEP.

Purpose:

  • To evaluate PCPs' understanding of PrEP indications, dosage, cost, and side effects.
  • To identify the primary barriers preventing PCPs from prescribing PrEP.
  • To gauge PCP interest in receiving further education on PrEP.

Summary:

  • 97% of surveyed physicians have heard of PrEP, yet knowledge regarding its specifics is often incomplete or inaccurate.
  • Lack of training was cited as the main obstacle by 69% of physicians.
  • 70% of physicians expressed a strong interest in receiving training to confidently prescribe PrEP.

Impact:

  • Highlights a significant need for targeted educational interventions for PCPs regarding PrEP.
  • Addresses the gap between PrEP's effectiveness and its underutilization in primary care.
  • Provides a foundation for developing training programs, such as those from the SwissPrEPared program, to improve PrEP access.