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Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation

Ending the HIV Epidemic is contingent upon the increased utilization of pre-exposure prophylaxis (PrEP). The majority of PrEP in the United States is prescribed in specialty care settings; however, to achieve national implementation goals, it is necessary to expand PrEP services in primary care and...

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Autores principales: Casey, Eunice, Kaplan-Lewis, Emma, Gala, Kruti, Lakew, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10301619/
https://www.ncbi.nlm.nih.gov/pubmed/37376664
http://dx.doi.org/10.3390/v15061365
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author Casey, Eunice
Kaplan-Lewis, Emma
Gala, Kruti
Lakew, Rebecca
author_facet Casey, Eunice
Kaplan-Lewis, Emma
Gala, Kruti
Lakew, Rebecca
author_sort Casey, Eunice
collection PubMed
description Ending the HIV Epidemic is contingent upon the increased utilization of pre-exposure prophylaxis (PrEP). The majority of PrEP in the United States is prescribed in specialty care settings; however, to achieve national implementation goals, it is necessary to expand PrEP services in primary care and women’s health clinics. To this end, a prospective cohort study was conducted of health care providers participating in one of three rounds of a virtual program aimed at increasing the number of PrEP prescribers in primary care and women’s health clinics within the NYC Health and Hospitals network, the public healthcare system of New York City. Provider prescribing behavior was compared at pre-intervention (August 2018–September 2019) and post-intervention (October 2019–February 2021). Among 104 providers, the number prescribing PrEP increased from 12 (11.5%) to 51 (49%) and the number of individual patients on PrEP increased from 19 to 128. The program utilized clinical integration models centering on existing STI management workflows and was associated with increased numbers of PrEP prescribers and volume of prescriptions in primary care and women’s health clinics. The dissemination of similar programs could support national scale-up of PrEP.
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spelling pubmed-103016192023-06-29 Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation Casey, Eunice Kaplan-Lewis, Emma Gala, Kruti Lakew, Rebecca Viruses Brief Report Ending the HIV Epidemic is contingent upon the increased utilization of pre-exposure prophylaxis (PrEP). The majority of PrEP in the United States is prescribed in specialty care settings; however, to achieve national implementation goals, it is necessary to expand PrEP services in primary care and women’s health clinics. To this end, a prospective cohort study was conducted of health care providers participating in one of three rounds of a virtual program aimed at increasing the number of PrEP prescribers in primary care and women’s health clinics within the NYC Health and Hospitals network, the public healthcare system of New York City. Provider prescribing behavior was compared at pre-intervention (August 2018–September 2019) and post-intervention (October 2019–February 2021). Among 104 providers, the number prescribing PrEP increased from 12 (11.5%) to 51 (49%) and the number of individual patients on PrEP increased from 19 to 128. The program utilized clinical integration models centering on existing STI management workflows and was associated with increased numbers of PrEP prescribers and volume of prescriptions in primary care and women’s health clinics. The dissemination of similar programs could support national scale-up of PrEP. MDPI 2023-06-13 /pmc/articles/PMC10301619/ /pubmed/37376664 http://dx.doi.org/10.3390/v15061365 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Casey, Eunice
Kaplan-Lewis, Emma
Gala, Kruti
Lakew, Rebecca
Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation
title Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation
title_full Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation
title_fullStr Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation
title_full_unstemmed Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation
title_short Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation
title_sort successful integration of hiv prep in primary care and women’s health clinical practice: a model for implementation
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10301619/
https://www.ncbi.nlm.nih.gov/pubmed/37376664
http://dx.doi.org/10.3390/v15061365
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