让艾滋病毒暴露前预防 (PrEP) 进入私人药房:全球交付模式和研究方向
Stephanie D Roche1, Daniel Were2, Natalie D Crawford3
1Public Health Sciences Division, Fred Hutchinson Cancer Center, 1100 Fairview Ave N, Seattle, WA, 98109, USA. sroche@fredhutch.org.
Current HIV/AIDS reports
|March 22, 2024
概括
在全球范围内,私人药房正在扩大对艾滋病毒暴露前预防 (PrEP) 的准入. 这些以药房为基础的模型是有需求的,安全的,并达到服务不足的人群,增加整体PrEP覆盖率.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践中
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 全球艾滋病毒预防战略越来越多地纳入暴露前预防 (PrEP).
- 私营部门的药房是医疗保健提供的一个未充分利用的道.
- 扩大PrEP获取对于控制艾滋病毒流行病至关重要.
研究的目的:
- 通过私人药房审查当前全球HIV PrEP交付的情况.
- 在不同环境中分析影响药房PrEP模型的上下文因素.
- 确定未来的研究重点,以优化药房主导的PrEP服务.
主要方法:
- 对基于药房的PrEP的全球文献进行系统审查.
- 在三个不同的环境中对PrEP交付模式的案例研究分析.
- 综合关于客户和提供者的可接受性,安全性和有效性的证据.
主要成果:
- 在各种高收入和低收入国家,正在实施基于药房的PrEP服务.
- 这些服务证明了客户和提供者的可接受性以及安全启动/管理PrEP.
- 药房有效地接触到传统诊所服务不足的人群,改善了PrEP启动和延续率.
- 成功实施取决于特定环境的因素,如治理,融资和监管.
结论:
- 私人药房是扩大全球艾滋病毒prEP接入的可行和有前途的道.
- 针对监管和财务需求的量身定制的实施策略至关重要.
- 进一步的研究和国际合作可以优化基于药房的PrEP交付模式.
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