Midwest pharmacist's familiarity, experience, and willingness to provide pre-exposure prophylaxis (PrEP) for HIV
Midwest pharmacist's familiarity, experience, and willingness to provide pre-exposure prophylaxis (PrEP) for HIV
复制标题
DOI：
10.1371/journal.pone.0207372
复制
发表时间：
2018-11-14
期刊：
影响因子：
3.7
通讯作者：
Bares, Sara H.
中科院分区：
文献类型：
--
作者：
Broekhuis, Jordan M.;Scarsi, Kimberly K.;Bares, Sara H.
简介药剂师通过与医生的合作实践协议提供暴露前预防 (PrEP)，可以扩大对艾滋病毒高危人群的服务范围。我们描述了内布拉斯加州和爱荷华州药剂师对提供 PrEP 服务的熟悉程度和意愿。方法2016 年 6 月和 7 月，通过电子邮件向内布拉斯加州和爱荷华州的 1,140 名药剂师发送了完成一项包含 18 个问题的调查的邀请。使用描述性分析和皮尔逊卡方检验来确定人口统计、熟悉程度和经验与受访者提供 PrEP 意愿之间的关联程度。 Wilcoxon 秩和检验比较了各组受访者之间的年龄和经验年限。结果 140 名药剂师 (12.3%) 做出了回应。不到一半的人熟悉 PrEP 的使用（42%）或 CDC 的使用指南（25%）。年龄较大 (p = .015) 和实践时间较长 (p = .005) 的受访者不太可能熟悉 PrEP。总体而言，54% 的受访者表示，作为合作实践协议的一部分并经过额外培训，他们相当或非常有可能提供 PrEP 服务。虽然对 PrEP 使用或指南的熟悉程度并不影响受访者提供 PrEP 的意愿，但受访者更有可能向 HIV 感染者提供抗逆转录病毒治疗咨询经验（OR 2.43；p = 0.023）或 PrEP（OR 4.67；p = 0.013），并且之前接受过 HIV 相关继续教育（OR 2.77；p = 0.013）。 0.032）。结论内布拉斯加州和爱荷华州的药剂师受访者对 PrEP 的熟悉度和经验有限，但大多数人表示愿意在额外培训后通过合作实践协议提供 PrEP。提供以 PrEP 为重点的继续教育可能会提高参与 PrEP 计划的意愿。
IntroductionPharmacist provision of pre-exposure prophylaxis (PrEP) through collaborative practice agreements with physicians could expand access to people at risk for HIV. We characterized pharmacists' familiarity with and willingness to provide PrEP services in Nebraska and Iowa.MethodsAn invitation to complete an 18-question survey was emailed to 1,140 pharmacists in Nebraska and Iowa in June and July of 2016. Descriptive analyses and Pearson chi-square tests were used to determine to what extent demographics, familiarity and experience were associated with respondent willingness to provide PrEP. Wilcoxon rank-sum tests compared ages and years of experience between groups of respondents.ResultsOne hundred forty pharmacists (12.3%) responded. Less than half were familiar with the use of PrEP (42%) or the CDC guidelines for its use (25%). Respondents who were older (p = .015) and in practice longer (p = .005) were less likely to be familiar with PrEP. Overall, 54% indicated they were fairly or very likely to provide PrEP services as part of a collaborative practice agreement and after additional training. While familiarity with PrEP use or guidelines did not affect respondent's willingness to provide PrEP, respondents were more likely to provide PrEP with prior experience counseling HIV-infected patients on antiretroviral therapy (OR 2.43; p = 0.023) or PrEP (OR 4.67; p = 0.013), and with prior HIV-related continuing education (OR 2.77; p = 0.032).ConclusionsPharmacist respondents in Nebraska and Iowa had limited familiarity and experience with PrEP, but most indicated willingness to provide PrEP through collaborative practice agreements after additional training. Provision of PrEP-focused continuing education may lead to increased willingness to participate in PrEP programs.