医师对药剂师处方HIV暴露后预防(PEP)的态度:一项国家医学协会的调查。

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES Journal of Community Health Pub Date : 2024-12-04 DOI:10.1007/s10900-024-01421-x
Kaylee Scarnati, Katherine L Esser, Julianna M Sim, Varun Vaidya, Eric Sahloff, Joan Duggan
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引用次数: 0

摘要

及时开始抗逆转录病毒治疗(ART)以进行非职业接触后预防(nPEP),对于预防艾滋病毒感染和推进终止艾滋病毒流行(EHE)的努力至关重要。nPEP必须在高风险暴露的72小时内施用,最好在24小时内施用。药店可能在增加获得nPEP和促进转介额外护理(如PrEP)方面发挥作用。最近的立法允许药剂师处方nPEP (PDP),尽管提供者对这一变化的态度尚未研究。在2024年国家医学协会年度会议期间,对医生和医学实习生(学生和住院医师)进行了调查。调查共包括24个问题,内容涉及nPEP知识和对药师处方nPEP (PDP)的态度。这项调查是用电子平板电脑亲自进行的,自愿参与有金钱奖励。采用SAS(9.4版)软件进行统计分析,评估医师与学员的反应差异。P值
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Physician Attitudes Towards Pharmacist-Prescribed HIV Post-Exposure Prophylaxis (PEP): A Survey of a State Medical Association.

Timely initiation of antiretroviral therapy (ART) for non-occupational post-exposure prophylaxis (nPEP) is crucial in preventing HIV infection and advancing efforts to end the HIV epidemic (EHE). nPEP must be administered within 72 h of high-risk exposure, ideally within 24 h. Pharmacies may play a role in increasing access to nPEP and facilitating referrals for additional care, such as PrEP. Recent legislation permits pharmacist-prescribed nPEP (PDP), though provider attitudes toward this change have not been studied. A survey querying physicians and medical trainees (students and residents) was conducted in 2024 during an annual state medical association conference. The survey included 24 questions on nPEP knowledge and attitudes towards pharmacist-prescribed nPEP (PDP). The survey was administered in person using electronic tablets, with voluntary participation incentivized by a monetary reward. Statistical analysis was conducted using SAS (9.4 version) software, with differences in responses between physicians and trainees evaluated. P values < 0.05 were considered statistically significant. Of 89 respondents (56% of attendees), 61 were physicians and 28 were trainees. Notably, 28% of licensed providers indicated that pharmacist-directed prescribing (PDP) should not be allowed in the State of Ohio, while no trainees expressed this same opposition (p = 0.001). Trainees were more likely to view pharmacist prescribing as safe and appropriate ((p = 0.0135, p = 0.013). Urban-based providers were more supportive of pharmacist prescribing than their rural counterparts (p = 0.0195). Trainees showed little opposition to PDP, whereas physicians expressed concerns about safety and appropriateness. Addressing these concerns is essential for integrating pharmacists into the EHE strategy.

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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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