A Demedicalized Model to Provide PrEP in a Sexual Health Clinic.

ABSTRACT:

Background

Sexual health clinics (SHCs) serve large numbers of patients who might benefit from preexposure prophylaxis (PrEP). Integrating longitudinal PrEP care into SHCs can overburden clinics. We implemented an SHC PrEP program that task shifted most PrEP operations to nonmedical staff, disease intervention specialists (DIS).

Methods

We conducted a retrospective cohort analysis of PrEP patients in an SHC in Seattle, WA, from 2014 to 2020 to assess the number of patients served and factors associated with PrEP discontinuation. Clinicians provide same-day PrEP prescriptions, whereas DIS coordinate the program, act as navigators, and provide most follow-up care.

Results

Between 2014 and 2019, 1387 patients attended an initial PrEP visit, 93% of whom were men who have

SUBMITTER: Ramchandani MS 

PROVIDER: S-EPMC9283215 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature