在路易斯安那州新奥尔良的性健康中心开发快速PrEP计划的客户观点
Aish Lovett1, Rose Luder2, Rebecca A Lillis1
1Section of Infectious Diseases, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA.
概括
快速PrEP倡议 (RPI) 可以改善美国南部获得暴露前预防 (PrEP) 的机会. 新奥尔良的客户和提供者支持调整RPI,强调对支持服务和综合护理的需求.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 医疗保健服务研究 医疗服务研究
背景情况:
- 暴露前预防 (PrEP) 摄入量不足以达到最佳水平,特别是在美国南部.
- 在性健康中心 (SHCs) 的同一天或快速PrEP倡议 (RPIs) 提供了一个潜在的解决方案,以增加PrEP获取并克服现有的障碍.
研究的目的:
- 为了研究从科罗拉多州丹佛的RPI适应到路易斯安那州新奥尔良的SHC.
- 收集来自当地健康健康中心工作人员,PrEP提供者和客户的反,以了解初步RPI模型的可接受性,可行性和实用性.
主要方法:
- 专注小组讨论 (FGDs) 与当地SHC工作人员和PrEP提供商进行,以开发初步的RPI模型.
- 为了收集适应建议和反,与SHC客户进行了五次FGD,这些客户被推或目前正在服用PrEP.
主要成果:
- 提供商和客户均一致表示支持RPI模型.
- 客户倾向于在同一天启动PrEP,并要求提供导航支持,财务咨询以及将PrEP护理与其他临床服务整合起来.
- 客户建议SHC提供者与所有患者讨论PrEP和艾滋病毒,无论他们认为风险如何.
结论:
- 一个适应的RPI模型显示了增加新奥尔良PrEP吸收的前景.
- 客户和提供者的反对于改进RPI至关重要,以满足各种患者需求,并改善SHC内部的整合.
- 未来的步骤包括小规模实施和评估调整后的RPI模型.
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