艾滋病毒检测和暴露前预防在费城社区药房的实施决定因素,PA
Cedric H Bien-Gund1,2,3, Anna Sweeney4, Brandon Ptak5
1Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
AIDS patient care and STDs
|August 8, 2025
概括
社区药房可以改善艾滋病毒检测和暴露前预防 (PrEP) 的准入. 然而,法律障碍和工作流集成的挑战阻碍了成功实施,需要有针对性的可持续性战略.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 药房实践 在药房实践.
背景情况:
- 社区药房对于扩大获得艾滋病毒检测和暴露前预防 (PrEP) 的机会至关重要.
- 很少有美国药房成功地整合了这些艾滋病毒预防服务.
- 费城是结束艾滋病毒流行病的优先管辖区,由于限制性州法律而面临挑战.
研究的目的:
- 调查基于药房的艾滋病毒检测和PrEP启动的实施障碍和促进者.
- 确定克服在一个具有限制性药房实践法律的州挑战的策略.
主要方法:
- 顺序性,探索性的混合方法研究设计.
- 与药剂师和合作伙伴进行了15次深入采访.
- 在线调查59名药剂师,学生和技术人员.
- 使用实施研究综合框架进行分析.
主要成果:
- 在三个地点启动了艾滋病毒检测,但没有一个地点实施了PrEP.
- 艾滋病毒检测的障碍包括工作量和复杂的协议.
- 法律限制和退款问题是PrEP实施的主要障碍.
- 潜在的解决方案包括合作协议,常务订单,telePrEP集成和冠军.
结论:
- 基于药房的艾滋病毒检测和PrEP启动面临着重大实施障碍.
- 解决法律限制,报销和工作流集成对于成功至关重要.
- 需要量身定制的实施策略,以优化可持续性,并通过药房扩大艾滋病毒服务.
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