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) 已经存在十多年了，但许多原本可以受益的人 来自 PrEP 的人员尚未获得 PrEP 服务。实施基于药物的 PrEP 是一个有前途的方法 该策略提供了克服与诊所距离和耻辱相关的障碍并增加 PrEP 的获取、采用、坚持和坚持将是受益最多的个人。 尽管项目团队成员兼药剂师 Elyse Tung 博士开创了第一个基于药房的 近十年前，西雅图的 PrEP 诊所在没有经过许可的情况下，仍然无法通过药房广泛获得 PrEP。 持有执照的医生或其他临床医生的处方。截至 2023 年，并非所有州都允许药剂师开处方 并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来提供 药剂师的这一角色的报酬。需要开展工作来发展和完善培训和教育 药剂师特别需要的支持，以扩大其执业范围并倡导支持性 政策。 这份针对终结艾滋病毒流行 (EHE) 倡议的行政补充申请提出了两项建议 具体目标。目标 1 将为药剂师和药剂师建立在线虚拟实践社区 (VCoP) 药房工作人员提高他们在处方 PrEP 方面的知识、能力和舒适度。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。最终的目标是 该补充品旨在支持可持续的基于药房的计划，该计划将增加人口数量 在美国各地的 EHE 管辖区开始并继续 PrEP。 该项目涉及 EHE 计划的预防支柱，并对诊断支柱产生次要影响。这个 项目还涉及 NIH HIV/AIDS 研究优先事项 (NOT-OD-20-018)，以减少 HIV 发病率 测试新的预防策略并培训艾滋病毒工作人员。它与当地 EHE 计划具有协同作用（参见 华盛顿州卫生部 EHE 项目经理 Hutcheson 女士的支持信 （见支持信）和国家艾滋病毒/艾滋病战略。国家战略明确提出 利用几乎每个城市和农村社区的药剂师的知识和可及性，作为 全面的艾滋病毒预防和护理战略。我们的最终目标是提供更多 PrEP 选择 扩大受艾滋病毒影响的地区和人群的 PrEP 护理服务点 感染，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.