弥合PrEP获取差距:绘制美国各地的地理空间可访问性,并利用社区药房扩张
Journal of the American Pharmacists Association : JAPhA
|October 26, 2024
概括
社区药房可以显著改善对艾滋病毒预防的暴露前预防 (PrEP) 的获取,特别是在服务不足的地区. 在全国范围内扩大药剂师领导的PrEP服务可以弥合关键的护理差距.
科学领域:
- 公共卫生 公共卫生
- 地理空间分析的研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 暴露前预防 (PrEP) 对于结束美国艾滋病毒流行病至关重要,但吸收是有限的.
- 允许社区药剂师启动PrEP的联邦立法可能会在全国范围内提高获得这些服务的机会.
研究的目的:
- 评估美国人口普查区对PrEP设施和社区药房的地理空间访问.
- 确定社区药房可以解决PrEP获取差异的地区和人群.
主要方法:
- 定义了"PrEP沙漠",使用30分钟的驾驶时间和低收入/低访问标准.
- 在PrEP沙漠地区确定了"药房绿洲",以评估扩展服务的潜力.
- 与PrEP沙漠状态相关的健康特征社会决定因素.
主要成果:
- 大多数人口普查片都是PrEP和药房的"绿洲".
- 13.3%的区域是PrEP沙漠 (30分钟定义),其中94.3%是药房绿洲.
- 17.0%的地区是PrEP沙漠 (低收入/低获取定义),其中78.2%是药房绿洲.
- PrEP沙漠集中在中西部和南部,与贫困和社会脆弱性有关.
结论:
- 在整个美国,在获得PrEP设施方面存在重大不平等.
- 在全国范围内赋予药剂师启动PrEP的权力,可以大大减少服务不足人群的获取差距.
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