远程医疗预暴露预防从美国大型在线公司处方
Aaron J Siegler1, Shi Hao Ernest Koh1, Tristan Schukraft2
1Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
JAMA network open
|December 1, 2025
概括
远程医疗提供艾滋病毒暴露前预防 (PrEP) 正在迅速扩大,到2024年,一家公司将为近20%的国家PrEP用户提供服务. 这种方法有效地接触到新的和没有保险的个人,突出其在预防艾滋病毒中的关键作用.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 是一种非常有效的艾滋病毒预防方法.
- 远程医疗为提供PrEP护理提供了一个有前途的方法,可能会增加获取机会.
研究的目的:
- 评估美国最大的telePrEP提供商对telePrEP的交付和使用情况.
- 评估患者特征,国家PrEP使用趋势和在TelePrEP模型中保持护理.
主要方法:
- 一个回顾性,单臂队列研究分析了从2018年11月到2025年3月接受telePrEP的患者的健康记录.
- 收集了患者人口统计,保险状况和PrEP使用数据.
- 通过使用AIDSVu数据评估了全国PrEP的使用情况.
- 在2020年,2021年和2022年开始telePrEP的队列中分析了在护理中的保留时间.
主要成果:
- 超过162,000名独特的患者接受了telePrEP处方.
- 大多数telePrEP用户是年轻人,男性,是PrEP的新手;36%的人没有保险.
- 到2024年,TelePrEP的使用量从2020年的6,443名患者激增至2024年的110,068,占到2024年全国PrEP使用量的19%.
- 启动后一年的保留率从67%到73%不等,在随后的几年下降.
结论:
- 电话PrEP已经成为国家艾滋病毒预防战略的重要组成部分,为相当一部分PrEP使用者提供服务.
- 该模型有效地覆盖了各种人群,包括那些新加入PrEP的人和没有保险的人.
- 支持性政策,如"负担得起的医疗法案"和340B药品定价计划,对于telePrEP的成功和持续增长至关重要.
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