Community pharmacists' acceptance of prescribing pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV).

Autor:	Booker C; College of Pharmacy, Faculty of Health, Dalhousie University, Halifax., Murphy AL; College of Pharmacy, Faculty of Health, Dalhousie University, Halifax., Isenor JE; College of Pharmacy, Faculty of Health, Dalhousie University, Halifax., Ramsey TD; College of Pharmacy, Faculty of Health, Dalhousie University, Halifax.; Pharmacy Department, Nova Scotia Health Authority, Halifax, Nova Scotia., Smith AJ; School of Pharmacy, University of Otago, Dunedin, New Zealand., Bishop A; College of Pharmacy, Faculty of Health, Dalhousie University, Halifax.; Nova Scotia College of Pharmacists, Halifax, Nova Scotia., Kelly DV; School of Pharmacy, Memorial University of Newfoundland, St. John's, Newfoundland., Woodill L; Pharmacy Association of Nova Scotia, Halifax., Richard G; Boyd's Pharmasave, Halifax, Nova Scotia., John Wilby K; College of Pharmacy, Faculty of Health, Dalhousie University, Halifax.
Jazyk:	angličtina
Zdroj:	Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC [Can Pharm J (Ott)] 2023 Feb 28; Vol. 156 (3), pp. 137-149. Date of Electronic Publication: 2023 Feb 28 (Print Publication: 2023).
DOI:	10.1177/17151635231152218
Abstrakt:	Background: Pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) prevention is highly effective. Pharmacists can increase PrEP accessibility through pharmacist prescribing. This study aimed to determine pharmacists' acceptance of a pharmacist PrEP prescribing service in Nova Scotia. Methods: A triangulation mixed methods study consisting of an online survey and qualitative interviews was conducted with Nova Scotia community pharmacists. The survey questionnaire and qualitative interview guide were underpinned by the 7 constructs of the Theoretical Framework of Acceptability (affective attitude, burden, ethicality, opportunity costs, intervention coherence, perceived effectiveness and self-efficacy). Survey data were analyzed descriptively and with ordinal logistic regression to determine associations between variables. Interview transcripts were deductively coded according to the same constructs and then inductively coded to identify themes within each construct. Results: A total of 214 community pharmacists completed the survey, and 19 completed the interview. Pharmacists were positive about PrEP prescribing in the constructs of affective attitude (improved access), ethicality (benefits communities), intervention coherence (practice alignment) and self-efficacy (role). Pharmacists expressed concerns about burden (increased workload), opportunity costs (time to provide the service) and perceived effectiveness (education/training, public awareness, laboratory test ordering and reimbursement). Conclusion: A PrEP prescribing service has mixed acceptability to Nova Scotia pharmacists yet represents a model of service delivery to increase PrEP access to underserved populations. Future service development must consider pharmacists' workload, education and training as well as factors relating to laboratory test ordering and reimbursement. Competing Interests: G. Richard is a pharmacy owner in Nova Scotia who may benefit from a PrEP prescribing process but did not have a role in the data analysis components of the study. K. Wilby is the recipient of the funding obtained from Shoppers Drug Mart. (© The Author(s) 2023.)
Databáze:	MEDLINE
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