Successful Integration of HIV PrEP in Primary Care and Women’s Health Clinical Practice: A Model for Implementation

Eunice Casey, Emma Kaplan-Lewis, Kruti Gala, Rebecca Lakew

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

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.

Original languageEnglish
Article number1365
JournalViruses
Volume15
Issue number6
DOIs
StatePublished - Jun 2023
Externally publishedYes

Keywords

  • HIV prevention
  • PrEP care model
  • PrEP expansion
  • PrEP for women
  • PrEP implementation

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