Lessons Learned from an HIV Pre-Exposure Prophylaxis Coordination Program in San Francisco Primary Care Clinics.
Isha ShresthaKristin MingVeronica JimenezJames WendelbornAlexander VazquezWayne StewardHyman ScottParya SaberiPublished in: AIDS research and human retroviruses (2022)
HIV pre-exposure prophylaxis (PrEP) has shown high efficacy and effectiveness for HIV prevention; however, many individuals with PrEP indications are not receiving PrEP. PrEP Coordinators work closely with patients and health care providers to increase PrEP access, and they provide unique insights into the inner workings of PrEP care and service delivery. In this study, we discuss key challenges and recommendations for improved PrEP service delivery (including training PrEP Coordinators to manage PrEP panels, making PrEP a part of routine care and optimizing electronic health records, designating a PrEP "champion" who can strengthen communication and leadership, using a proactive approach to increase PrEP retention, and training providers and PrEP Coordinators to meet youth-specific needs) from our discussions with the PrEP Coordinators who led PrEP panel management in San Francisco Department of Public Health primary care clinics.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- primary care
- healthcare
- public health
- randomized controlled trial
- mental health
- electronic health record
- systematic review
- antiretroviral therapy
- quality improvement
- human immunodeficiency virus
- hiv aids
- clinical practice
- ejection fraction
- south africa
- general practice