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Improving access to pre-exposure prophylaxis for HIV prescribing in a primary care setting
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    Improving access to PrEP using a pharmacist-centric model

    The Virginia Mason Medical Center’s Department of Primary Care partnered with their Proudly VM LGBTQIA+ interest group to increase the number of patients receiving new PrEP prescriptions in Seattle. VM’s initiative targeted PCPs instead of pharmacist as the main touch point for PrEP prescribing citing scope of practice concerns (Lumsden et al., 2022). The Lumsden article demonstrated that the program helped to increase new PrEP prescriptions but there were limitations. Research indicates that Pharmacist may be better positioned than PCPs to not only increase new PrEP prescriptions, but also increase PrEP adherence.

    Nationally, the scope of care for pharmacist has been expanded through collaborative practice agreements (CPA). CPAs allow pharmacist to fulfil additional responsibilities under the supervision of a physician. Washington is 1 of 48 states that have legalized CPAs, which despite Lumsden’s findings would allow VM to empower pharmacist to be more involved in the recruitment and retention of PrEP patients (Lopez et al., 2020).

    Over 90% of Americans live within 5 miles of a pharmacy; making pharmacies one of the most accessible healthcare entry points (Tung et al., 2018). Moreover, populations that have high risk for HIV, such as POC LGBTQ+ individuals and intravenous drug users, tend to live in disadvantaged neighborhoods that have fewer physicians (Crawford et al., 2020). This population is likely to rely on resources that are easy to access within...

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    Conflict of Interest:
    None declared.