University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)

项目概要/摘要 尽管艾滋病毒暴露前预防（PrEP）的可用性超过十年，许多人谁可以受益 尚未使用PrEP服务。基于药房的PrEP的实施是一个有前途的 提供机会克服与诊所距离和耻辱有关的障碍， PrEP访问，摄取，持久性，以及受益最大的个人之间的坚持。 尽管项目团队成员和药剂师Elyse Tung博士开始了第一个基于药房的 PrEP诊所在西雅图近十年前，PrEP仍然没有通过药店广泛提供， 处方从执业医生或其他临床医生。截至2023年，并非所有州都允许药剂师开处方 在没有医生处方的情况下分发PrEP，许多保险公司为提供PrEP设置了障碍， 为药剂师的这一角色提供补偿。需要开展工作，发展和完善培训和教育， 药剂师特别需要的支持，以扩大他们的实践范围，并倡导支持 施政纲要而 终止艾滋病毒流行（EHE）倡议的行政补充申请提出了两个 具体目标。目标1将为药剂师建立一个在线虚拟实践社区， 药房工作人员，以增加他们的知识，能力和舒适的处方准备。第二个目标将 为药剂师、技术人员和学生概述全面的PrEP课程。最终， 这一补充是为了支持可持续的基于药物的计划， 在美国各地的EHE管辖区开始并继续PrEP。 本项目涉及EHE计划的预防支柱，对诊断支柱产生次要影响。这 该项目还涉及NIH HIV/AIDS研究优先事项（NOT-OD-20-018），以通过以下方式降低HIV发病率： 测试新的预防战略和培训艾滋病毒工作人员。它与当地的EHE计划（参见 来自华盛顿州卫生部EHE项目经理Hutcheson女士的支持信 (see支持书）和国家艾滋病毒/艾滋病战略。国家战略特别呼吁， 在几乎每个城市和农村社区利用药剂师的知识和可及性， 艾滋病毒全面预防和护理战略。最终，我们的目标是提供更多的PrEP选择， 在受艾滋病毒影响不成比例的地区和人群中扩大PrEP护理的接入点 infection.in以结束艾滋病毒的流行。

Project Summary/Abstract Despite availability of HIV pre-exposure prophylaxis (PrEP) for over a decade, many persons who could benefit from PrEP have not yet accessed PrEP services. Implementation of pharmacy-based PrEP is a promising strategy that presents opportunity to overcome barriers related to clinic distance and stigma and to increase PrEP access, uptake, persistence, and adherence among individuals who would benefit most. Despite the fact that project team member and pharmacist Dr. Elyse Tung started the first pharmacy-based PrEP clinic in Seattle nearly ten years ago, PrEP still is not widely available through pharmacies without a prescription from a licensed doctor or other clinician. As of 2023, not all states allow pharmacists to prescribe and dispense PrEP without a doctor’s prescription, and many insurance companies erect barriers to providing compensation to pharmacists for this role. Work is needed to develop and refine the training and educational support specifically required by pharmacists to expand their scope of practice and to advocate for supportive policies. This administrative supplement application to the Ending the HIV Epidemic (EHE) initiative proposes two specific aims. Aim 1 will establish an online virtual community of practice (VCoP) for pharmacists and pharmacy staff to increase their knowledge, capabilities, and comfort in prescribing PrEP. The second aim will outline a comprehensive PrEP curriculum for pharmacists, technicians, and students. Ultimately, the goal of this supplement is to support sustainable pharmacy-based programs that will increase the number of people starting and continuing PrEP in EHE jurisdictions across the United States. This project addresses the Prevent pillar of the EHE plan with a secondary impact on the Diagnose pillar. This project also addresses the NIH HIV/AIDS Research Priorities (NOT-OD-20-018) to reduce HIV incidence by testing new prevention strategies and training the HIV workforce. It is in synergy with the local EHE plan (see Letter of Support from Ms. Hutcheson, EHE Program Manager), the Washington State Department of Health (see Letter of Support), and the National HIV/AIDS Strategy. The national strategy specifically calls out to leverage pharmacists’ knowledge and accessibility in nearly every urban and rural community as part of a comprehensive HIV prevention and care strategy. Ultimately our goal is to provide more PrEP options and expand access points for PrEP care in locations and to populations disproportionately impacted by HIV infection.in order to end the HIV epidemic.