| Autor: |
Barnett AP; Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island.; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Arnold T; Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island.; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Elwy AR; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Brock JB; Department of Internal Medicine, Division of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi., Giorlando KK; Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island., Sims-Gomillia C; Department of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi., Leigland A; Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island., Whiteley L; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Brown LK; Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island.; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island. |
| Abstrakt: |
Pre-exposure prophylaxis (PrEP) uptake remains low in the southeastern United States ("the South"), likely owing to overlapping structural barriers, including the lack of nearby PrEP providers. Federally qualified health centers (FQHCs) are potential sites through which to expand PrEP availability in the South, and telemedicine is promising for these services. This study investigated considerations for PrEP implementation at FQHCs and the use of telemedicine through qualitative interviews with 19 FQHC staff and 17 PrEP-eligible patients in Mississippi. Results indicated that existing infrastructure and policies at FQHCs can support PrEP implementation and that additional needed resources include more education for providers and strategies to advertise PrEP services. Findings suggest that using telemedicine for PrEP can address some regional implementation barriers (e.g., transportation problems and confidentiality concerns) but may present new ones (e.g., concerns about patients performing home HIV/STI testing procedures). Results can inform future PrEP implementation efforts in the South. |
