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- Title
Unlocking HIV Pre-Exposure Prophylaxis Delivery: Examining the Role of HIV Providers in Pre-Exposure Prophylaxis Care.
- Authors
Kenison, Tiffany Cho; Badenhop, Brittan; Safo, Stella
- Abstract
Despite being a promising prevention strategy for populations at risk for HIV acquisition, there has not been rapid uptake of HIV antiretroviral pre-exposure prophylaxis (PrEP). Yet, HIV clinics within the Mount Sinai Health System in New York City have successfully incorporated PrEP. HIV care providers (n = 18), who practice in these clinics and were early PrEP adopters, participated in a survey and semistructured interview. Qualitative thematic analysis revealed that barriers and facilitators to PrEP uptake were identified on multiple levels from broader systemic to provider-and-patient-level concerns. The following themes were identified: (1) to reach a greater proportion of patients at risk for HIV and address racial/ethnic and gender disparities, PrEP should be available in a variety of settings and provided by different types of providers within proximity to affected populations; (2) financial support is needed beyond addressing medication cost; and (3) multidisciplinary teams and population-specific clinic protocols can assist providers in conducting high-quality visits and addressing these barriers to PrEP.
- Subjects
NEW York (State); HIV prevention; HIV infection risk factors; ENDOWMENTS; ETHNIC groups; HEALTH care teams; HEALTH services accessibility; INTERVIEWING; RESEARCH methodology; MEDICAL appointments; MEDICAL quality control; MEDICAL care costs; MEDICAL protocols; MEDICAL practice; PREVENTIVE medicine; RACE; SEX distribution; SURVEYS; QUALITATIVE research; ANTIRETROVIRAL agents; OCCUPATIONAL roles; THEMATIC analysis
- Publication
AIDS Patient Care & STDs, 2020, Vol 34, Issue 6, p251
- ISSN
1087-2914
- Publication type
Article
- DOI
10.1089/apc.2019.0288