Barriers to Same-Day Pre-exposure Prophylaxis (PrEP) Implementation in Federally Funded HIV Clinics Within High-Burden Areas of the U.S.: A Coincidence Analysis.
Background: Same-day pre-exposure prophylaxis (PrEP) for HIV prevention is a novel tool to increase biomedical prevention access and uptake. Although prior research has identified same-day PrEP as feasible and acceptable, improved understanding of key barriers and facilitators to implementation is n...
| Publicado en: | AIDS & Behavior Vol. 30; no. 2; pp. 558 - 571 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191809416&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191809416 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2026 vid: 30 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191809416 188544164 191809416 191809416 10.1007/s10461-025-04898-2 191809416 ppf: 558 ppct: 13 formats: tig: atl: Barriers to Same-Day Pre-exposure Prophylaxis (PrEP) Implementation in Federally Funded HIV Clinics Within High-Burden Areas of the U.S.: A Coincidence Analysis. aug: au: Zamantakis, Alithia Gomez, Wilson Lukose, Lipin Pachicano, Ana Michaela Kassanits, Jessica Katomski, Anna-Sophia Rosenberg-Carlson, Elena P. Willging, Cathleen E. Nelson, LaRon E. Valeriano, Tequetta Karris, Maile Blumenthal, Jill S. Rana, Aadia I. Brewer, Russell A. Hamilton, Alison Kemp, Christopher Humphries, Debbie Benbow, Nanette D. Kao, Uyen Lee, Sung-Jae affil: https://ror.org/000e0be47 Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA sug: subj: Pre-Exposure Prophylaxis HIV Infections Prevention and Control Health Services Accessibility Financing, Government United States Human Implementation Science Data Analysis Software Public Health Community Health Centers Funding Source Descriptive Statistics ab: Background: Same-day pre-exposure prophylaxis (PrEP) for HIV prevention is a novel tool to increase biomedical prevention access and uptake. Although prior research has identified same-day PrEP as feasible and acceptable, improved understanding of key barriers and facilitators to implementation is needed to optimize impact. Methods: The Network for Implementation Science in HIV (NISH) examined the implementation of same-day PrEP across 42 Ryan White Part A-D-funded organizations in seven Ending the U.S. HIV Epidemic Initiative priority jurisdictions. We used crisp-set coincidence analysis with six conditions to identify key barriers explaining delayed implementation of same-day PrEP among 38 clinical organizations representing 137 individual clinics where same-day PrEP services were available currently or in the future. Results: Our final model explained ~ 67% of clinical organizations not currently implementing same-day PrEP (n = 8), with a consistency of 80%. This model identified three pathways to non-implementation of same-day PrEP: (1) insurance coverage as a top barrier and insufficient staffing resources as a top barrier; (2) no onsite pharmacy as a top barrier; or (3) provider reticence with same-day PrEP prescribing and insurance coverage as top barriers, and patient demand/(dis)interest in same-day PrEP not being ranked as a top barrier. Conclusion: The three identified pathways to delayed implementation of same-day PrEP aid researchers and providers in reverse mapping strategies to enhance and scale up the implementation of same-day PrEP in federally funded clinics in the U.S. Such strategies may include federal and state-level policy changes to expand funding for PrEP coverage, pharmacist-led same-day PrEP implementation, or mail delivery of PrEP prescriptions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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