P443 Transitioning to Telehealth PrEP Delivery During the COVID-19 Pandemic: Uptake and Patient Perceptions

Riba, Arthur; Obafemi, Oluyomi A.; Weise, Janelle; Gibson, Nicole; Wendel, Karen A.

doi:10.1136/sextrans-2021-sti.459

Cited by 6 publications

(14 citation statements)

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“…Although there is limited research in this area, our findings align with other surveys of patient and/or HCP acceptability of telephone consultations within various fields of medicine. [8][9][10] In particular, Riba et al (2021) performed a similar but smaller online survey of patients accessing PrEP via telephone or online assessment in Colorado, USA. 10 Over 90% (21/23) of respondents agreed that telephone/online PrEP appointments were easy to schedule and complete.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] In particular, Riba et al (2021) performed a similar but smaller online survey of patients accessing PrEP via telephone or online assessment in Colorado, USA. 10 Over 90% (21/23) of respondents agreed that telephone/online PrEP appointments were easy to schedule and complete. 10 Over 90% of their respondents also preferred this method compared to traditional face-to-face appointments.…”

Section: Discussionmentioning

confidence: 99%

“…10 Over 90% (21/23) of respondents agreed that telephone/online PrEP appointments were easy to schedule and complete. 10 Over 90% of their respondents also preferred this method compared to traditional face-to-face appointments. 10 The COVID-19 pandemic resulted in a rapid shift to telephone consultations without the sequential evaluative process which would usually characterise such a dramatic change in practice.…”

Section: Discussionmentioning

confidence: 99%

“…10 Over 90% of their respondents also preferred this method compared to traditional face-to-face appointments. 10 The COVID-19 pandemic resulted in a rapid shift to telephone consultations without the sequential evaluative process which would usually characterise such a dramatic change in practice. This service evaluation provides some of the first insights into the acceptability of Tele-PrEP which 7 Themes from PrEP-user respondents are in italic, those from HCP respondents are in standard font and themes common to both groups are highlighted in bold.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Maintaining access to HIV pre-exposure prophylaxis in a pandemic: A service evaluation of telephone-based pre-exposure prophylaxis provision

et al. 2022

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Objectives The objective was to perform a survey-based service evaluation of our telephone PrEP clinic (Tele-PrEP), which was instituted during the COVID-19 pandemic, to inform future service delivery. Methods We administered parallel, web-based, anonymous surveys to PrEP-users who had a Tele-PrEP appointment between 13.11.2020 and 17.12.2020 and all healthcare professionals (HCPs) conducting Tele-PrEP clinics. We used descriptive statistics to summarise demographic and qualitative data, and thematically categorised free text responses using the Framework for a Systems Approach to Healthcare Delivery. Results 62/117 (53%) PrEP-users and 8/9 (89%) HCPs completed the surveys. Tele-PrEP was rated ‘excellent’ or ‘good’ by 61/62 (98%) PrEP-users. All HCPs felt that Tele-PrEP allowed them to assess patients safely and confidently. 10/62 (16%) PrEP-users and 1 (11%) HCP expressed a preference for face-to-face care. Using the Framework for a Systems Approach to Healthcare Delivery we identified key areas important to respondents who highlighted the rapid changes as a result of COVID-19, which required an increase in dedicated resources. HCPs valued teamwork, support/supervision and convenience in achieving quality care for the patient, who in turn, valued convenient, holistic and individualised management to meet their sexual healthcare needs. Conclusion Tele-PrEP is feasible and acceptable. While most respondents rated the service highly, others identified a need/preference for face-to-face appointments.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Maintaining access to HIV pre-exposure prophylaxis in a pandemic: A service evaluation of telephone-based pre-exposure prophylaxis provision

et al. 2022

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Remote Health: Optimizing the Delivery of Sexual Health Care

et al. 2022

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R emote health care, including telehealth or telemedicine, has slowly evolved since the 1800s with the advent of the telegraph and telephone. 1 Telehealth is the use of electronic information and telecommunication technologies to provide care when an individual and his/her/their health care provider are not in the same place at the same time. 2 For the purpose of this supplement, "remote health care" includes all the different modalities health care providers can use to remotely interact, diagnose, treat, and monitor their patients. Remote care takes a broader perspective to consider how new communication technologies can complement in-person communication in public health clinics. Promising uses of new technology include assessing symptomatic patients via telephone triage, offering remote testing and diagnosis (e.g., laboratory, pharmacy/ retail clinic, at-home/mail-in) via self-collection of specimens and self-tests, Internet or text-based appointment reminders and test results (i.e., remote patient monitoring), or video appointments. In general, remote care encounters can occur synchronously (phone or video session) or asynchronously (patient communication separated in time and space through messaging platforms). 3 At its core, remote health is human-centric; it satisfies a patient's clinical needs, at his/her/their convenience, and removes barriers to the patient's health improvement. However, as with the introduction of any new technology or service, unintended consequences arise. 4 State-specific regulatory issues, payment and reimbursement, privacy, and confidentiality concerns, among others, have posed substantial challenges to scaling up remote health care in our nation. 5 The SARS-CoV-2 (COVID-19) pandemic forced the US health care system to modernize its approach to delivering clinical care that did not involve in-person clinician assessments.The COVID-19 response challenged the medical community to ensure continuity of services and care for people required to stay home in isolation, quarantine, or physical distance. In February 2020, the Centers for Disease Control and Prevention (CDC) released guidance advising health care providers and persons in areas affected by the COVID-19 pandemic to implement physical distancing practices and recommended that clinical services be offered through virtual means (e.g., telehealth). 6 Trends in telehealth encounters in October and November 2020 revealed that telehealth appointments were offered to approximately 64% of Medicare beneficiaries, whereas only 18% had been offered telehealth by their provider before the pandemic. 7 What was once not widely accepted or common among the medical community and insurers quickly became daily practice. Physicians who reported using telehealth nearly quadrupled from 22% in 2019 to 80% in 2020. 8 These findings indicated that continuing telehealth policy changes might provide increased access to acute, chronic, primary, and specialty care during and after the pandemic. 6 Our nation's health care system has faced overwhelming and...

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Emerging Lessons and Policy Options for Sexually Transmitted Infection Telehealth Payment: A Narrative Review

et al. 2022

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Long before the SARS-CoV-2 (hereafter COVID-19) pandemic, sexually transmitted infection (STI) prevention and control was underresourced in the United States, leading to large and sustained increases in reportable STIs and harmful sequelae of these infections. The abrupt disruption associated with the national shutdown of many public services in early 2020 forced STI clinics and programs to rapidly adopt new models of care, including the greatly increased use of telehealth services. Federal policy makers took actions to relax many requirements in Medicare and other programs that previously impeded the use of telehealth. Numerous states also adopted emergency policies to facilitate the delivery of telehealth services through Medicaid, many of which are related to payment for services. It is unresolved whether and which policies will or should be extended after the public health emergency. How these services are financed and reimbursed underpins the ability to effectively prevent and treat STIs and improve public health. Ultimately, payment systems need to support the solvency and stability of sexual health clinics and other health care services organizations in ways that support providers and that also improve patient satisfaction and retention in care. The Centers for Disease Control and Prevention and state/local health departments have important roles to play in supporting the dialogue needed to create new payment models and facilitate communication and technical assistance across public health and insurance systems. Sexual health providers must be engaged in iterative processes that continue to evolve and can be evaluated over time.

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P443 Transitioning to Telehealth PrEP Delivery During the COVID-19 Pandemic: Uptake and Patient Perceptions

Cited by 6 publications

References 0 publications

Maintaining access to HIV pre-exposure prophylaxis in a pandemic: A service evaluation of telephone-based pre-exposure prophylaxis provision

Maintaining access to HIV pre-exposure prophylaxis in a pandemic: A service evaluation of telephone-based pre-exposure prophylaxis provision

Remote Health: Optimizing the Delivery of Sexual Health Care

Emerging Lessons and Policy Options for Sexually Transmitted Infection Telehealth Payment: A Narrative Review

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