Implementation models and access to HIV pre-exposure prophylaxis in Spain
| Autor: | Mir, JF, Mazario, MF, Coll, P |
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| Rok vydání: | 2020 |
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| Zdroj: | Enfermedades Infecciosas y Microbiologia Clinica r-IGTP: Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol Institut de Recerca Germans Trias i Pujol (IGTP) r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol Universidad de Alicante (UA) |
| ISSN: | 1578-1852 |
| Popis: | To implement HIV pre-exposure prophylaxis (PrEP) in Spain, several possible models fitting the Spanish National Health System must be considered. The experience of other countries with a similar background let us foresee their benefits and their defects before implementing them. Possible implementation models for prescription-follow-up-dispensing circuits may involve hospitals, STI clinics or primary care centres and community pharmacies. On the one hand, a hospital-based circuit is the least effective of them all and it may not satisfy the potential demand, even though it could be deployed immediately. On the other hand, accessibility would increase with PrEP prescription in Primary care and dispensing by community pharmacists. Involvement of community-based STI clinics and publicly-funded STI clinics would be the best option to attract the population not frequenting the general health system, and co-management with Primary Care teams would ensure nation-wide access to PrEP. (C) 2019 Elsevier Espana, S.L.U. and Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica. All rights reserved. |
| Databáze: | OpenAIRE |
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