دورية أكاديمية

Health Care Providers' Views on Clinic Infrastructure and Practice Models That May Facilitate HIV Preexposure Prophylaxis (PrEP) Prescribing: A Qualitative Meta-Synthesis.

التفاصيل البيبلوغرافية
العنوان: Health Care Providers' Views on Clinic Infrastructure and Practice Models That May Facilitate HIV Preexposure Prophylaxis (PrEP) Prescribing: A Qualitative Meta-Synthesis.
المؤلفون: Mizuno Y; Centers for Disease Control and Prevention, Atlanta, GA, USA., Gelaude DJ; Centers for Disease Control and Prevention, Atlanta, GA, USA., Crepaz N; Centers for Disease Control and Prevention, Atlanta, GA, USA., Kamitani E; Centers for Disease Control and Prevention, Atlanta, GA, USA., DeLuca JB; Centers for Disease Control and Prevention, Atlanta, GA, USA., Leighton CA; Centers for Disease Control and Prevention, Atlanta, GA, USA., Wichser ME; ICF International, Atlanta, GA, USA., Smith DK; Centers for Disease Control and Prevention, Atlanta, GA, USA.
المصدر: Health promotion practice [Health Promot Pract] 2022 Nov; Vol. 23 (6), pp. 999-1014. Date of Electronic Publication: 2021 Sep 22.
نوع المنشور: Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 100890609 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1524-8399 (Print) Linking ISSN: 15248399 NLM ISO Abbreviation: Health Promot Pract Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Thousand Oaks, CA : Sage Publications, c2000-
مواضيع طبية MeSH: Anti-HIV Agents*/therapeutic use , Pre-Exposure Prophylaxis*/methods , HIV Infections*/prevention & control , HIV Infections*/drug therapy, Humans ; United States ; Health Knowledge, Attitudes, Practice ; Health Personnel
مستخلص: HIV (human immunodeficiency virus) preexposure prophylaxis (PrEP) is an effective biomedical HIV prevention tool. Increasing PrEP use among populations disproportionately affected by HIV is one of the key efforts in the United States' Ending the HIV Epidemic (EHE) initiative and the HIV National Strategic Plan for the United States. Given that PrEP is available only through prescription, it is important to explore structural, organizational, or environmental factors that could facilitate or impede health care provider's PrEP prescribing behavior. The purpose of this systematic review (PROSPERO [CRD: 42019138889]) is to identify qualitative studies that addressed this topic and conduct meta-synthesis using the thematic synthesis method to identify major themes on the characteristics of clinic infrastructure or clinic models that providers consider as facilitators of PrEP prescribing in the United States. Eighteen citations representing 15 studies were included in this review. Five overarching themes were identified: (1) routinized HIV risk assessment; (2) interdisciplinary/coordinated PrEP teams or services; (3) clinic capacity to provide essential PrEP-related services; (4) low out-of-pocket patient costs; and (5) access to the priority populations. Some of these themes are consistent with the recommendations of CDC's PrEP clinical guidelines and the EHE initiative. More recent studies that include perspectives of diverse providers, timely analysis of these studies, and implementation research to assess strategies to address the current practice gaps are needed to further promote PrEP prescribing among providers in the United States.
معلومات مُعتمدة: CC999999 United States ImCDC Intramural CDC HHS
فهرسة مساهمة: Keywords: HIV preexposure prophylaxis (PrEP); HIV/AIDS; access to care; clinic infrastructure; environmental and systems change; health care providers; practice models; prescribing
المشرفين على المادة: 0 (Anti-HIV Agents)
تواريخ الأحداث: Date Created: 20210922 Date Completed: 20221202 Latest Revision: 20231102
رمز التحديث: 20231102
مُعرف محوري في PubMed: PMC8938291
DOI: 10.1177/15248399211038364
PMID: 34549652
قاعدة البيانات: MEDLINE
الوصف
تدمد:1524-8399
DOI:10.1177/15248399211038364