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

项目摘要/摘要 尽管艾滋病毒暴露前预防(PrEP)已有十多年的历史，但许多可能受益的人 来自PrEP的人员尚未访问PrEP服务。实施基于药房的PrEP是一种很有前途的做法 提供机会克服与临床距离和耻辱有关的障碍并增加 为受益最大的个人做好获取、吸收、坚持和坚持的准备。 尽管项目团队成员兼药剂师董丽诗博士创办了第一个以药房为基础的 西雅图预科诊所近十年前，PrEP仍然不能在没有 由执业医生或其他临床医生开出的处方。截至2023年，并不是所有的州都允许药剂师开处方 而且在没有医生处方的情况下分发PrEP，许多保险公司设置了障碍，无法提供 对药剂师这一角色的补偿。需要开展和完善培训和教育工作 药剂师特别需要的支持，以扩大他们的执业范围并倡导支持 政策。 终止艾滋病毒流行(EHE)倡议的这项行政补充申请提出了两项建议 明确的目标。目标1将建立一个在线虚拟执业社区(VCoP)，供药剂师和 药房工作人员在处方PrEP时增加他们的知识、能力和舒适度。第二个目标是 为药剂师、技术员和学生制定全面的PrEP课程大纲。归根结底， 这一补充是为了支持基于药房的可持续计划，这些计划将增加人数 在美国各地的EHE司法管辖区开始并继续实施PrEP。 该项目涉及EHE计划的预防支柱，并对诊断支柱产生二次影响。这 该项目还涉及NIH艾滋病毒/艾滋病研究优先事项(NOT-OD-20-018)，以通过以下方式减少艾滋病毒发病率 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计划协同工作(见 华盛顿州卫生部项目经理Hutcheson女士的支持信 (见支持函)和国家艾滋病毒/艾滋病战略。国家战略明确要求 利用药剂师在几乎每个城市和农村社区的知识和可及性，作为 全面的艾滋病毒预防和护理战略。最终，我们的目标是提供更多的PrEP选项和 在不成比例受艾滋病毒影响的地区和人群中扩大PrEP护理的接入点 感染。为了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.