在退伍军人卫生管理局内,药剂师领导的HIV PrEP管理
Madison A Cameron1, Jenna Kawamoto1, Troy A Shahoumian2
1Veterans Affairs Greater Los Angeles Healthcare System, California.
概括
药剂师可以通过专门的诊所改善获得艾滋病毒暴露前预防 (PrEP) 的机会. 这种模式利用远程医疗来提供灵活的患者护理,提高PrEP吸收率并减少艾滋病毒感染.
科学领域:
- 药房实践 在药房实践.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 获得艾滋病毒暴露前预防 (PrEP) 对于减少新的艾滋病毒感染至关重要.
- 药剂师是美国非常容易接触的医疗保健专业人员,他们有很好的位置来解决PrEP接入需求.
研究的目的:
- 描述一个新的药房主导的PrEP诊所模型.
- 评估临床药剂师从业人员在 PrEP 交付中的整合.
- 评估远程医疗在提高PrEP可访问性和患者接受度方面的实用性.
主要方法:
- 在退伍军人事务大洛杉矶医疗保健系统的传染病诊所内建立一个药房主导的PrEP诊所.
- 赋予退伍军人卫生管理局临床药剂师的权力,其实践范围包括订购/解释实验室和处方PrEP.
- 利用远程医疗来灵活安排预约,以改善患者的访问和接受度.
主要成果:
- 一个功能性的药房主导的PrEP诊所模型被成功开发和实施.
- 临床药剂师在管理PrEP护理方面表现出能力,包括诊断和处方.
- 有效地使用了远程医疗模式,以提高患者的访问和预约灵活性.
结论:
- 描述的模型为实施跨学科,药剂师管理的PrEP诊所提供了一个可扩展的解决方案.
- 扩大远程医疗模式可以显著改善PrEP的门诊服务提供.
- 联邦和社区医疗保健组织可以采用这种方法,以扩大PrEP获取和打击艾滋病毒传播.
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