@article{6d5b8b331b6f41f0a387729a96374899,
title = "Successful Integration of HIV PrEP in Primary Care and Women{\textquoteright}s Health Clinical Practice: A Model for Implementation",
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{\textquoteright}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{\textquoteright}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{\textquoteright}s health clinics. The dissemination of similar programs could support national scale-up of PrEP.",
keywords = "HIV prevention, PrEP care model, PrEP expansion, PrEP for women, PrEP implementation",
author = "Eunice Casey and Emma Kaplan-Lewis and Kruti Gala and Rebecca Lakew",
note = "Funding Information: Funding for the evaluation of the PrEP ECHO program was received from the NYSDOH AIDS Institute and we would like to extend our gratitude for support for this work. This work has not been presented at any conference; however, it was presented at the NYSDOH AIDS Institute ETE Research and Evaluation End of Grant Presentations which occurred virtually on 6 May 2021. Funding Information: NYC H+H includes a network of 11 acute care hospitals and more than 30 federally qualified health centers that make up the safety net public healthcare system in New York City. NYC H+H provides care to over 14,000 New Yorkers living with HIV (38% female sex) as well as over 19,000 New Yorkers (32% female sex) who could benefit from targeted HIV prevention efforts due to the increased risk of HIV acquisition. In 2019, NYC H+H Office of HIV Services received grant funding from the New York State Department of Health, AIDS Institute, to evaluate an online provider education and support program. The program was aimed at increasing the number of primary care and women{\textquoteright}s health providers offering PrEP as well as expanding overall access to PrEP services throughout the primary care and women{\textquoteright}s health clinics of the NYC H+H network. The present study attempts to answer whether an online provider education curriculum in conjunction with a series of customized support tools would be effective at increasing the number of PrEP prescribers and patients being prescribed PrEP. Publisher Copyright: {\textcopyright} 2023 by the authors.",
year = "2023",
month = jun,
doi = "10.3390/v15061365",
language = "English",
volume = "15",
journal = "Viruses",
issn = "1999-4915",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "6",
}