偏好社区药房的暴露前预防 (PrEP) 交付计划:一个离散选择实验
Journal of the American Pharmacists Association : JAPhA
|April 11, 2024
概括
社区药房可以改善获得暴露前预防 (PrEP) 的机会. 与男性发生性关系的男性 (MSM) 喜欢在同一天的艾滋病毒检测结果和在线查,而不是药房 PrEP 计划.
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:
- 社区药房处于有利地位,可以改善接触前预防药物 (PrEP) 的获取.
- 基于药房的PrEP配送计划提供了一个有前途的途径,以改善吸收和坚持.
- 了解患者的偏好对于设计有效和可访问的PrEP服务至关重要.
研究的目的:
- 确定一个假设的社区药房 PrEP 计划的关键属性的偏好.
- 确定美国与男性发生性关系的男性 (MSM) 中这些偏好的预测因素.
- 通过药房提供的以患者为中心的PrEP服务的发展.
主要方法:
- 对390名符合条件的美国MSM进行了横截面匿名调查.
- 一个离散选择实验评估了对七个基于药房的PrEP程序属性的偏好.
- 隐性类分析确定了偏好异质性,后勤回归分析了类成员的预测因素.
主要成果:
- 最关键的属性是接收人类免疫缺陷病毒 (HIV) 测试结果的时间,当天的结果是最优先的.
- 首次PrEP资格查的在线问卷是第二个最喜欢的属性.
- 出现了四个不同的偏好类别,最大的群体倾向于当天的结果和在线监控 (63.1%).
结论:
- 在MSM中,对药店PrEP计划的偏好各不相同.
- 纳入同日HIV检测结果交付和在线查对于计划设计至关重要.
- 根据已识别的偏好群体定制PrEP服务可以优化参与度和有效性.
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