Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation
Ending the HIV Epidemic is contingent upon the increased utilization of pre-exposure prophylaxis (PrEP). The majority of PrEP in the United States is prescribed in specialty care settings; however, to achieve national implementation goals, it is necessary to expand PrEP services in primary care and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Viruses |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1999-4915/15/6/1365 |
| _version_ | 1797592338856411136 |
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| author | Eunice Casey Emma Kaplan-Lewis Kruti Gala Rebecca Lakew |
| author_facet | Eunice Casey Emma Kaplan-Lewis Kruti Gala Rebecca Lakew |
| author_sort | Eunice Casey |
| collection | DOAJ |
| description | Ending the HIV Epidemic is contingent upon the increased utilization of pre-exposure prophylaxis (PrEP). The majority of PrEP in the United States is prescribed in specialty care settings; however, to achieve national implementation goals, it is necessary to expand PrEP services in primary care and women’s health clinics. To this end, a prospective cohort study was conducted of health care providers participating in one of three rounds of a virtual program aimed at increasing the number of PrEP prescribers in primary care and women’s health clinics within the NYC Health and Hospitals network, the public healthcare system of New York City. Provider prescribing behavior was compared at pre-intervention (August 2018–September 2019) and post-intervention (October 2019–February 2021). Among 104 providers, the number prescribing PrEP increased from 12 (11.5%) to 51 (49%) and the number of individual patients on PrEP increased from 19 to 128. The program utilized clinical integration models centering on existing STI management workflows and was associated with increased numbers of PrEP prescribers and volume of prescriptions in primary care and women’s health clinics. The dissemination of similar programs could support national scale-up of PrEP. |
| first_indexed | 2024-03-11T01:49:44Z |
| format | Article |
| id | doaj.art-1170910ad870443cadcc51a7cd09e0a8 |
| institution | Directory Open Access Journal |
| issn | 1999-4915 |
| language | English |
| last_indexed | 2024-03-11T01:49:44Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Viruses |
| spelling | doaj.art-1170910ad870443cadcc51a7cd09e0a82023-11-18T13:02:47ZengMDPI AGViruses1999-49152023-06-01156136510.3390/v15061365Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for ImplementationEunice Casey0Emma Kaplan-Lewis1Kruti Gala2Rebecca Lakew3HIV Services, Office of Ambulatory Care and Population Health, NYC Health and Hospitals, 50 Water Street, 6th Floor, New York, NY 10004, USAHIV Services, Office of Ambulatory Care and Population Health, NYC Health and Hospitals, 50 Water Street, 6th Floor, New York, NY 10004, USAHIV Services, Office of Ambulatory Care and Population Health, NYC Health and Hospitals, 50 Water Street, 6th Floor, New York, NY 10004, USAChronic Diseases and Prevention, Office of Ambulatory Care and Population Health, NYC Health and Hospitals, 50 Water Street, 6th Floor, New York, NY 10004, USAEnding the HIV Epidemic is contingent upon the increased utilization of pre-exposure prophylaxis (PrEP). The majority of PrEP in the United States is prescribed in specialty care settings; however, to achieve national implementation goals, it is necessary to expand PrEP services in primary care and women’s health clinics. To this end, a prospective cohort study was conducted of health care providers participating in one of three rounds of a virtual program aimed at increasing the number of PrEP prescribers in primary care and women’s health clinics within the NYC Health and Hospitals network, the public healthcare system of New York City. Provider prescribing behavior was compared at pre-intervention (August 2018–September 2019) and post-intervention (October 2019–February 2021). Among 104 providers, the number prescribing PrEP increased from 12 (11.5%) to 51 (49%) and the number of individual patients on PrEP increased from 19 to 128. The program utilized clinical integration models centering on existing STI management workflows and was associated with increased numbers of PrEP prescribers and volume of prescriptions in primary care and women’s health clinics. The dissemination of similar programs could support national scale-up of PrEP.https://www.mdpi.com/1999-4915/15/6/1365HIV preventionPrEP care modelPrEP implementationPrEP for womenPrEP expansion |
| spellingShingle | Eunice Casey Emma Kaplan-Lewis Kruti Gala Rebecca Lakew Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation Viruses HIV prevention PrEP care model PrEP implementation PrEP for women PrEP expansion |
| title | Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation |
| title_full | Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation |
| title_fullStr | Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation |
| title_full_unstemmed | Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation |
| title_short | Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation |
| title_sort | successful integration of hiv prep in primary care and women s health clinical practice a model for implementation |
| topic | HIV prevention PrEP care model PrEP implementation PrEP for women PrEP expansion |
| url | https://www.mdpi.com/1999-4915/15/6/1365 |
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