Salvant Valentine Sheila, Carnes Neal, Caldwell Joseph, Gelaude Deborah, Taylor Raekiela
Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Health Equity. 2022 Jan 20;6(1):27-31. doi: 10.1089/heq.2021.0113. eCollection 2022.
Reducing the number of new HIV infections will require addressing barriers to HIV pre-exposure prophylaxis (PrEP) access and uptake. Nurse practitioners (NPs) may help increase PrEP access and uptake. State scope of practice laws determines NPs' ability to work independently and their authority to prescribe PrEP, a legend nonscheduled medication. This analysis applied legal epidemiology methods to analyze the laws of the 50 states and the District of Columbia that govern NPs' scope of practice as they may apply to prescribing legend nonscheduled medications. These laws were extracted from Westlaw Next between April and June 2019. As of June 8, 2019, 17 states had laws that allowed NPs to both practice independently and prescribe legend nonscheduled drugs without restriction. The role that state scope of practice laws plays in potentially limiting NPs' ability to prescribe PrEP should be considered. Increasing PrEP access and uptake is essential in reaching national HIV prevention goals. This analysis can inform further studies and polices on barriers to PrEP access and uptake.
减少新的艾滋病毒感染病例数量需要消除在获得和使用艾滋病毒暴露前预防（PrEP）方面存在的障碍。执业护士（NPs）可能有助于增加PrEP的可及性和使用率。州执业范围法律决定了执业护士独立工作的能力以及他们开具PrEP（一种需要处方的非管制药物）的权限。本分析应用法律流行病学方法，分析了50个州和哥伦比亚特区关于执业护士执业范围的法律，这些法律可能适用于开具需要处方的非管制药物。这些法律于2019年4月至6月从Westlaw Next中提取。截至2019年6月8日，有17个州的法律允许执业护士独立执业并毫无限制地开具需要处方的非管制药物。应考虑州执业范围法律在潜在限制执业护士开具PrEP能力方面所起的作用。增加PrEP的可及性和使用率对于实现国家艾滋病毒预防目标至关重要。该分析可为关于PrEP可及性和使用率障碍的进一步研究及政策提供参考。
