"You can't have a PrEP program without a PrEP Coordinator": Implementation of a PrEP panel management intervention.
"You can't have a PrEP program without a PrEP Coordinator": Implementation of a PrEP panel management intervention.
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DOI：
10.1371/journal.pone.0240745
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Steward W
中科院分区：
文献类型：
--
作者：
Saberi P;Ming K;Scott H;Liu A;Steward W
缺乏医疗保健提供者的知识，能力和意愿，以规定PrEP是在临床环境中提供PrEP的障碍。我们实施了PrEP优化干预（PrEP-OI），将PrEP协调员与在线面板管理工具相结合，以帮助提供者在12个旧金山弗朗西斯科公共卫生部初级保健诊所进行PrEP吸收，持久性和管理。医疗主任（N = 10）确定了实施前需要考虑的重要因素，包括协调员临床空间短缺、医疗不信任、语言障碍和有限的实验室时间，以及沿着对提供者和工作人员的教育和患者外展的需要。在完成基线调查的110名提供者中，大多数人在询问性行为和关于PrEP的对话方面持保留态度。提供者报告说，PrEP-OI提高了他们管理PrEP患者的效率和能力，并成为获得额外服务的途径。这些结果强调了基于提供者的干预措施的承诺，以改善PrEP连续体并最大限度地发挥PrEP的影响。
Lack of healthcare provider knowledge, capacity, and willingness to prescribe PrEP are barriers to PrEP delivery in clinical settings. We implemented the PrEP Optimization Intervention (PrEP-OI) combining a PrEP Coordinator with an online panel management tool to assist providers with PrEP uptake, persistence, and management in 12 San Francisco Department of Public Health Primary Care Clinics. Medical directors (N = 10) identified important factors to consider prior to implementation, including shortage of clinical space for coordinators, medical mistrust, language barriers, and limited lab hours, along with the need for education of providers and staff and patient outreach. Among 110 providers who completed a baseline survey, the majority had reservations in asking about sexual practices and having conversations about PrEP. Providers reported PrEP-OI increased their efficiency and capacity to manage PrEP patients, and served as a gateway to additional services. These results highlight the promise of a provider-based intervention to improve the PrEP continuum and maximize the impact of PrEP.
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影响因子：
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