{"title":"开处方的临床医生专业影响 PrEP 的依从性","authors":"Maria Chiara Masone","doi":"10.1038/s41585-024-00945-0","DOIUrl":null,"url":null,"abstract":"<p>In a new study published in <i>JAMA Internal Medicine</i>, the association between patients abandoning or reversing the pre-exposure prophylaxis (PrEP) prescription and the specialty of the prescribing clinician has been assessed. Overall, 37,003 patients who were prescribed PrEP were assessed using pharmacy claims data. The majority of patients (67%) received their prescription from primary care practitioners (PCPs), 10% from infectious disease specialists and 24% from other specialty clinicians. Patients who were prescribed PrEP by infectious disease specialists had lower odds of PrEP reversal (OR 0.90; 95% CI 0.81–0.99) and abandonment (OR 0.88; 95% CI 0.78–0.98) than patients receiving prescription from PCPs. These results indicate that PrEP compliance differs according to the prescribing clinician specialty and that PCPs, who are often the first patient access point to PrEP care, should be supported with PrEP education and resources.</p>","PeriodicalId":19088,"journal":{"name":"Nature Reviews Urology","volume":null,"pages":null},"PeriodicalIF":12.1000,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prescribing clinician specialty influences adherence to PrEP\",\"authors\":\"Maria Chiara Masone\",\"doi\":\"10.1038/s41585-024-00945-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>In a new study published in <i>JAMA Internal Medicine</i>, the association between patients abandoning or reversing the pre-exposure prophylaxis (PrEP) prescription and the specialty of the prescribing clinician has been assessed. Overall, 37,003 patients who were prescribed PrEP were assessed using pharmacy claims data. The majority of patients (67%) received their prescription from primary care practitioners (PCPs), 10% from infectious disease specialists and 24% from other specialty clinicians. Patients who were prescribed PrEP by infectious disease specialists had lower odds of PrEP reversal (OR 0.90; 95% CI 0.81–0.99) and abandonment (OR 0.88; 95% CI 0.78–0.98) than patients receiving prescription from PCPs. These results indicate that PrEP compliance differs according to the prescribing clinician specialty and that PCPs, who are often the first patient access point to PrEP care, should be supported with PrEP education and resources.</p>\",\"PeriodicalId\":19088,\"journal\":{\"name\":\"Nature Reviews Urology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":12.1000,\"publicationDate\":\"2024-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nature Reviews Urology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1038/s41585-024-00945-0\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nature Reviews Urology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41585-024-00945-0","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
发表在《美国医学会杂志-内科学》(JAMA Internal Medicine)上的一项新研究评估了患者放弃或撤销暴露前预防疗法(PrEP)处方与开处方的临床医生专业之间的关系。利用药房报销数据对 37,003 名获得 PrEP 处方的患者进行了评估。大多数患者(67%)从初级保健医生(PCP)处获得处方,10%从传染病专家处获得处方,24%从其他专科临床医生处获得处方。与接受初级保健医生处方的患者相比,接受传染病专科医生处方的患者发生 PrEP 逆转(OR 0.90;95% CI 0.81-0.99)和放弃(OR 0.88;95% CI 0.78-0.98)的几率较低。这些结果表明,PrEP 的依从性因开具处方的临床医生的专业而异,初级保健医生通常是患者获得 PrEP 治疗的第一道关口,他们应该得到 PrEP 教育和资源的支持。
Prescribing clinician specialty influences adherence to PrEP
In a new study published in JAMA Internal Medicine, the association between patients abandoning or reversing the pre-exposure prophylaxis (PrEP) prescription and the specialty of the prescribing clinician has been assessed. Overall, 37,003 patients who were prescribed PrEP were assessed using pharmacy claims data. The majority of patients (67%) received their prescription from primary care practitioners (PCPs), 10% from infectious disease specialists and 24% from other specialty clinicians. Patients who were prescribed PrEP by infectious disease specialists had lower odds of PrEP reversal (OR 0.90; 95% CI 0.81–0.99) and abandonment (OR 0.88; 95% CI 0.78–0.98) than patients receiving prescription from PCPs. These results indicate that PrEP compliance differs according to the prescribing clinician specialty and that PCPs, who are often the first patient access point to PrEP care, should be supported with PrEP education and resources.
期刊介绍:
Nature Reviews Urology is part of the Nature Reviews portfolio of journals.Nature Reviews' basic, translational and clinical content is written by internationally renowned basic and clinical academics and researchers. This journal targeted readers in the biological and medical sciences, from the postgraduate level upwards, aiming to be accessible to professionals in any biological or medical discipline.
The journal features authoritative In-depth Reviews providing up-to-date information on topics within a field's history and development. Perspectives, News & Views articles, and the Research Highlights section offer topical discussions and opinions, filtering primary research from various medical journals.
Covering a wide range of subjects, including andrology, urologic oncology, and imaging, Nature Reviews provides valuable insights for practitioners, researchers, and academics within urology and related fields.