San Diego State University, School of Public Health, San Diego, California.
RAND Corporation, Santa Monica, California.
AIDS Educ Prev. 2021 Aug;33(4):325-344. doi: 10.1521/aeap.2021.33.4.325.
Increasing access to pre-exposure prophylaxis (PrEP) in primary care settings for patients who may be at risk for HIV could help to increase PrEP uptake, which has remained low among certain key risk populations. The current study conducted interviews with primary care providers identified from national claims data as having either high or low likelihood of serving PrEP-eligible patients based on their prescribing practices for other sexually transmitted infections. The study yielded important information about primary care providers' knowledge, attitudes, and beliefs about PrEP, as well as the barriers and facilitators to prescribing PrEP. Key recommendations for a provider-focused intervention to increase PrEP prescribing among primary care providers, including increasing patient education to increase demand from providers, enhancing provider education, leveraging technology, and instituting standardized sexual health checks, are provided with the goal of informing network-based interventions.
增加初级保健环境中针对可能感染 HIV 的高危人群的暴露前预防(PrEP)的可及性,有助于提高 PrEP 的普及率,而某些关键高危人群的 PrEP 普及率仍然很低。本研究对从全国索赔数据中确定的初级保健提供者进行了访谈,这些提供者根据其治疗其他性传播感染的处方实践,被认为有较高或较低的为 PrEP 合格患者提供服务的可能性。该研究提供了有关初级保健提供者对 PrEP 的知识、态度和信念,以及开具 PrEP 处方的障碍和促进因素的重要信息。为了提高初级保健提供者开具 PrEP 处方的数量,针对提供者的干预措施提出了一些关键建议,包括增加患者教育以提高提供者的需求,加强提供者教育,利用技术和实施标准化的性健康检查,目的是为网络干预措施提供信息。