Roles for Pharmacists in the “Ending the HIV Epidemic: A Plan for America” Initiative

McCree, Donna Hubbard; Byrd, Kathy K.; Johnston, Marie; Gaines, Malendie; Weidle, Paul J.

doi:10.1177/0033354920941184

Cited by 33 publications

(27 citation statements)

References 56 publications

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“…Pharmacy syringe sales without a prescription can complement the access SSPs offer and play an important role in the EHE initiative. 48 Pharmacies have much larger geographic coverage and longer hours of operation than SSPs alone could provide 49 and could have a role in providing clinical services, such as dispensing ART and providing HIV screening, adherence counseling, and PrEP. However, there is great variation in state laws regulating pharmacy sales of syringes, and even when state laws permit sales, perceived pharmacists' stigmatizing attitudes toward PWID and concerns over privacy can greatly restrict pharmacy sales and use by PWID.…”

Section: Minimize Distance Maximize Accessmentioning

confidence: 99%

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

Broz

Carnes

Chapin-Bardales

et al. 2021

American Journal of Preventive Medicine

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Section: Minimize Distance Maximize Accessmentioning

confidence: 99%

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

Broz

Carnes

Chapin-Bardales

et al. 2021

American Journal of Preventive Medicine

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“…Other novel uses of data to identify and re-engage people in care have emerged in recent years and are showing promising results. Frequent and routine linking of clinic or surveillance data with jail booking rosters, 28 electronic alerts from emergency department and hospital electronic medical records, 29 or pharmacy discharge databases 30,31 facilitate prompt identification of people recently lost to care or at risk of ART discontinuation and offer the opportunity for rapid delivery of reengagement strategies. Findings from the Link-Up Rx pilot program in Michigan, which used prescription refill data to trigger a 3-tiered pharmacist−provider−HD reengagement in care response over a 3-week period, suggest faster re-engagement than traditional D2C programs and improved service delivery for PWH.…”

Section: Interventions To Support Prompt Linkage To Care and Treatmentmentioning

confidence: 99%

The HIV Treat Pillar: An Update and Summary of Promising Approaches

Benbow

Mokotoff

Dombrowski

et al. 2021

American Journal of Preventive Medicine

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The Treat pillar of the Ending the HIV Epidemic in the U.S. plan calls for comprehensive strategies to enhance linkage to, and engagement in, HIV medical care to improve viral suppression among people with HIV and achieve the goal of 95% viral suppression by 2025. The U.S. has seen large increases in the proportion of people with HIV who have a suppressed viral load. Viral suppression has increased 41%, from 46% in 2010 to 65% in 2018. An additional increase of 46% is needed to meet the Ending the HIV Epidemic in the U.S. goal. The rate of viral suppression among those in care increased to 85% in 2018, highlighting the need to ensure sustained care for people with HIV. Greater increases in all steps along the HIV care continuum are needed for those disproportionately impacted by HIV, especially the young, sexual and racial/ethnic minorities, people experiencing homelessness, and people who inject drugs. Informed by systematic reviews and current research findings, this paper describes more recent promising practices that suggest an impact on HIV care outcomes. It highlights rapid linkage and treatment interventions; interventions that identify and re-engage people in HIV care through new collaborations among health departments, providers, and hospital systems; coordinated care and low-barrier clinic models; and telemedicine-delivered HIV care approaches. The interventions presented in this paper provide additional approaches that state and local jurisdictions can use to reach their local HIV elimination plans' goals and the ambitious Ending the HIV Epidemic in the U.S. Treat pillar targets by 2030.

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“…People living with HIV may have multiple health care providers, but they often receive all their medicines from one pharmacy, making the pharmacist a key point of contact [ 7 ]. The pharmacy setting is also considered less stigmatized and an ideal location for HIV care [ 22 , 23 , 24 ]. Currently, more people living with HIV are receiving care in the community setting rather than the hospital setting [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Patients, Social Workers, and Pharmacists’ Perceptions of Barriers to Providing HIV Care in Community Pharmacies in the United States

2021

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Retaining people living with HIV (PLWH) in clinical care is a global priority to end the HIV epidemic. Community pharmacies in the United States have structural influences on the success or failure of retention in HIV care by supporting patients’ complex needs. However, to date, barriers to retention in care in the community pharmacy setting have not been examined beyond pharmacy services of medication therapy management. We utilized the patient-centered medical home model to examine the barriers to HIV care in the community pharmacy setting. We utilized semi-structured interviews to collect data from 15 participants: five PLWH, five community pharmacists, and five social workers from a midwestern state. Interview data were transcribed and analyzed using directed content analysis. Four key themes emerged regarding the barriers that impact utilization of community pharmacy services by PLWH: the perception of the role of community pharmacists in HIV care, perceptions of pharmacists’ HIV knowledge, perceptions of pharmacy operation and services, and negative experiences within the community pharmacy space. Participants’ perceptions of solutions for improving HIV care in the community pharmacy focused on improving the relationship between pharmacists and patients, ensuring that the community pharmacy is a private and safe space for patients, and having a diverse pharmacy staff that is equipped to take care of the diverse and marginalized HIV population, such as transgender people.

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Roles for Pharmacists in the “Ending the HIV Epidemic: A Plan for America” Initiative

Cited by 33 publications

References 56 publications

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

The HIV Treat Pillar: An Update and Summary of Promising Approaches

Patients, Social Workers, and Pharmacists’ Perceptions of Barriers to Providing HIV Care in Community Pharmacies in the United States

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