国家关于药剂师发起的PREP和PREP使用的政策
1Pharmacy Fellow, Frederick Health Memorial Hospital.
概括
没有时间限制的药剂师处方暴露前预防 (PrEP) 显著增加了其使用. 药剂师的临时处方并没有促进PrEP的使用,这突显了无限访问HIV预防的影响.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 美国有几个州现在允许药剂师开处方暴露前预防 (PrEP),以增加艾滋病毒预防的机会.
- 政策各不相同,有些人允许限时处方,有些人允许药剂师无限期处方.
研究的目的:
- 评估国家政策使药剂师能够提供PrEP对整体PrEP使用的影响.
- 为了确定药剂师处方权的持续时间 (有限或无限) 是否会影响PrEP使用率.
主要方法:
- 在所有50个美国州和华盛顿特区进行了时间序列,横截面回归分析.
- 每10万居民的PrEP使用量是依赖变量,分析了特定药剂师PrEP政策的影响.
- 对国家一级固定效应和国家特定/国家时间趋势进行控制的模型.
主要成果:
- 那些政策允许药剂师在没有时间限制的情况下处方PrEP的国家,每10万人口中使用者增加了25人.
- 这意味着与2023年平均水平相比,PrEP使用量增加了14%.
- 授权药剂师临时提供PrEP的政策与PrEP使用量增加无关.
结论:
- 允许药剂师在没有时间限制的情况下启动PrEP是促进PrEP利用的有效策略.
- 这种政策方法对推动预防艾滋病毒的公共卫生目标有希望.
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