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Evaluation of the Impact and Outcomes of a Rapid Transition to Telehealth PrEP Delivery at a Sexual Health Clinic During the COVID-19 Pandemic  期刊论文  

  • 编号:
    367E4B25D4C665BACC4E107D0B781056
  • 作者:
    Higgins, David M.[1,2] Riba, Adrean[1] Alderton, Lucy[1] Wendel, Karen A.[1,3,4] Scanlon, Jennifer[1] Weise, Julia[1] Gibson, Nathan[1] Obafemi, Oluyomi[1]
  • 语种:
    英文
  • 期刊:
    SEXUALLY TRANSMITTED DISEASES ISSN:0148-5717 2023 年 50 卷 12 期 (816 - 820) ; DEC
  • 疾病分类:
    新型冠状病毒肺炎
  • 摘要:

    Implementation of telehealth human immunodeficiency virus preexposure prophylaxis (PrEP) delivery enabled the Denver Sexual Health Clinic to sustain PrEP services during the COVID-19 pandemic without significant differences in demographics, engagement, or retention in PrEP services. BackgroundIncreasing human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) use is a critical part of ending the HIV epidemic. In response to the COVID-19 pandemic, many PrEP services transitioned to a telehealth model (telePrEP). This report evaluates the effect of COVID-19 and the addition of telePrEP on delivery of PrEP services at the Denver Sexual Health Clinic (DSHC), a regional sexual health clinic in Denver, CO.MethodsBefore COVID-19, DSHC PrEP services were offered exclusively in-clinic. In response to the pandemic, after March 15, 2020, most PrEP initiation and follow-up visits were converted to telePrEP. A retrospective analysis of DSHC PrEP visits compared pre-COVID-19 (September 1, 2019 to March 15, 2020) to post-COVID-19 (March 16, 2020 to September 30, 2020) visit volume, demographics, and outcomes.ResultsThe DSHC completed 689 PrEP visits pre-COVID-19 and maintained 96.8% (n = 667) of this volume post-COVID-19. There were no differences in client demographics between pre-COVID-19 (n = 341) and post-COVID-19 PrEP start visits (n = 283) or between post-COVID-19 in-clinic (n = 140) vs telePrEP start visits (n = 143). There were no differences in 3- to 4-month retention rates pre-COVID-19 (n = 17/43) and post-COVID-19 (n = 21/43) (P = 0.52) or between in-clinic (n = 12/21) and telePrEP clients (n = 9/22) in the post-COVID-19 window (P = 0.37). Also, there were no significant differences in lab completion rates between in-clinic (n = 140/140) and telePrEP clients (n = 138/143) (P = 0.06) and prescription fill rates between in-clinic (n = 115/136) and telePrEP clients (n = 116/135) in the post-COVID-19 window (P = 0.86).ConclusionsImplementation of TelePrEP enabled the DSHC to sustain PrEP services during the COVID-19 pandemic without significant differences in demographics, engagement, or retention in PrEP services.

  • 推荐引用方式
    GB/T 7714:
    Higgins David M.,Riba Adrean,Alderton Lucy, et al. Evaluation of the Impact and Outcomes of a Rapid Transition to Telehealth PrEP Delivery at a Sexual Health Clinic During the COVID-19 Pandemic [J].SEXUALLY TRANSMITTED DISEASES,2023,50(12):816-820.
  • APA:
    Higgins David M.,Riba Adrean,Alderton Lucy,Wendel Karen A.,&Obafemi Oluyomi.(2023).Evaluation of the Impact and Outcomes of a Rapid Transition to Telehealth PrEP Delivery at a Sexual Health Clinic During the COVID-19 Pandemic .SEXUALLY TRANSMITTED DISEASES,50(12):816-820.
  • MLA:
    Higgins David M., et al. "Evaluation of the Impact and Outcomes of a Rapid Transition to Telehealth PrEP Delivery at a Sexual Health Clinic During the COVID-19 Pandemic" .SEXUALLY TRANSMITTED DISEASES 50,12(2023):816-820.
  • 数据来源自科睿唯安Web of Science核心合集
  • 入库时间:
    2024/1/23 23:09:49
  • 更新时间:
    2024/1/23 23:09:49
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