Integrated Pharmacy and PrEP Navigation Services to Support PrEP Uptake: A Quality Improvement Project
| Autor: | Sarah Henn, Ashley Hodges, Megan E. Coleman, Crystal Chapman Lambert |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Program evaluation
Adult Evidence-Based Pharmacy Practice Male medicine.medical_specialty Quality management Anti-HIV Agents Psychological intervention MEDLINE Pharmacy HIV Infections Medication Adherence Evidence-Based Emergency Medicine 03 medical and health sciences Pre-exposure prophylaxis 0302 clinical medicine Community health center medicine Retention in Care Humans Patient Navigation 030212 general & internal medicine Medical prescription Advanced and Specialized Nursing 030505 public health business.industry Delivery of Health Care Integrated Quality Improvement Family medicine District of Columbia Female Pre-Exposure Prophylaxis 0305 other medical science business Program Evaluation |
| Zdroj: | The Journal of the Association of Nurses in AIDS Care : JANAC. 31(6) |
| ISSN: | 1552-6917 |
| Popis: | Preexposure prophylaxis (PrEP) is highly effective in preventing HIV among both men and women, with the reduction in risk directly linked to medication adherence. Navigation services and other adherence interventions have demonstrated efficacy in medication uptake; however, their use may not be fully integrated into clinic operations or their roles clearly defined. This quality improvement (QI) project developed an evidenced-based PrEP Navigation (PN) tool to identify patient-reported barriers to uptake and to support process improvement at a large community health center in Washington, DC. Outcomes related to patient-reported barriers, patient demographics, and time to medication pickup from the pharmacy were measured before and after implementation. A total of 198 patients were included in this analysis. Mean days from initial prescription to medication pickup was reduced by 1.42 days (p = .030) following PN tool implementation. The evidenced-based PN tool is modifiable to the needs of the individual clinic and the patients they care for to support wide-scale PrEP uptake and continuous system process improvements. |
| Databáze: | OpenAIRE |
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