Evolving Models and Ongoing Challenges for HIV Preexposure Prophylaxis Implementation in the United States

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Kenneth H MayerDouglas S Krakower

Abstract

The use of preexposure prophylaxis (PrEP) for HIV prevention was approved by the Food and Drug Administration in 2012, but delivery to at-risk persons has lagged. This critical review analyzes the current state of PrEP implementation in the United States, by reviewing barriers and innovative solutions to enhance PrEP access and uptake. Clinical care settings, public health programs, and community-based organizations (CBOs). Critical review of recent peer-reviewed literature. More than 100 papers were reviewed. PrEP is currently provided in diverse settings. Care models include sexually transmitted disease clinics, community health centers, CBOs, pharmacies, and private primary care providers (PCPs). Sexually transmitted disease clinics have staff trained in sexual health counseling and are linked to public health programs (eg, partner notification services), whereas PCPs and community health centers may be less comfortable counseling and feel time-constrained in managing PrEP. However, PCPs may be ideal PrEP providers, given their long-term relationships with patients, integrating PrEP into routine care. Collaborations with CBOs can expand PrEP care through adherence support and insurance navigation. Pharmacies can deliver PrEP...Continue Reading

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May 17, 2019·AIDS Patient Care and STDs·Sarit A Golub, Julie E Myers
Mar 27, 2018·Journal of the International AIDS Society·J Carlo HojillaAdam W Carrico
Oct 29, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kenneth H Mayer, Lao-Tzu Allan-Blitz
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Jun 8, 2021·AIDS Patient Care and STDs·Jason S HaukoosErik Anderson

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