Troubling the non-specialist prescription of HIV pre-exposure prophylaxis (PrEP)
The views of Australian HIV experts
Bibliographic Data
| ID | 3643065 |
|---|---|
| Authors | A K Smith (0000-0002-0005-9542, UNSW Sydney, corresponding author), Martin Holt (0000-0002-2586-8274, UNSW Sydney), Shana D Hughes (0000-0002-1388-4103, University of California System), Hong‐ha M Truong (0009-0001-0310-8872, San Francisco AIDS Foundation), Hong-Ha M Truong (0009-0001-1283-5748, University of California System), Christy E Newman (0000-0002-5482-2822, UNSW Sydney) |
| Year | 2020 |
| Volume | 29 |
| Issue | 1 |
| Pages | 62-75 |
| Publication date | 2020-01-02 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Health Sociology Review (JOURNAL) |
| Journal identifiers | ISSN: 1446-1242 • E-ISSN: 1839-3551 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/14461242.2019.1703781 |
| PMID | 33411659 |
| OpenAlex | W2996935381 |
| Language | EN |
| Citations received | 6 |
| References cited | 27 |
The broadening of access to HIV pre-exposure prophylaxis (PrEP) in Australia has rekindled debates about which types of clinicians are best suited to deliver HIV prevention innovations: specialist HIV services or primary care physicians and general practitioners (GPs). We conducted 21 semi-structured qualitative interviews in 2017 with Australian HIV sector experts working across policy, advocacy, clinical service provision, research, and health promotion. These interviews took place before a national policy commitment to subsidising access to PrEP was achieved. We explored how participants conceptualised PrEP, patients and GPs at this key turning point in the history of HIV prevention. Participants expressed varied views regarding GPs' anticipated ability to successfully navigate the potential complexities associated with PrEP roll-out. While participants were supportive of greater patient access to PrEP, they expressed concerns about non-specialist GPs' cultural competence and expertise regarding sexuality and clinical practice, and the potential for patients to experience discrimination and homophobia from non-expert GPs. This study has broad implications for thinking about experts and expertise, the implementation of previously specialised medicine into mainstream settings, and the anticipated challenges of LGBTIQ+ inclusive healthcare
Competence (human resources · Family medicine · Health care · Human immunodeficiency virus (HIV · Mainstream · Medical education · Medical prescription · Political science · Project commissioning · Public relations · Publishing · Qualitative research · Sociology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Sex work and related issues · Social Psychology
Barriers and Facilitators to Oral HIV Pre-exposure Prophylaxis Use in Australia
What to do with the new molecular publics
Clinician imaginaries of HIV PrEP users in and beyond the gay community in Australia
Tasmanian healthcare professionals' & students' capacity for LGBTI + inclusive care
LGBTPQ Youth Negotiating Access to Sexual Health Education and Resources in a Rural South African University
Prescribing as affective clinical practice
Effectiveness and safety of oral HIV preexposure prophylaxis for all populations
Population-level effectiveness of rapid, targeted, high-coverage roll-out of HIV pre-exposure prophylaxis in men who have sex with men
HIV providers’ likelihood to prescribe pre-exposure prophylaxis (PrEP) for HIV prevention differs by patient type
Trends in Attitudes to and the Use of HIV Pre-exposure Prophylaxis by Australian Gay and Bisexual Men, 2011–2017
Promoting ‘Equitable Access’ to PrEP in Australia
The New Cultural Politics of the Waiting Room
Using thematic analysis in psychology
Introduction
Healthcare workers mobilising cultural health capital to assist socially marginalised patients
When the social meets health in rural Australia
Making Assumptions, Making Space
HIV pre-exposure prophylaxis and the 'problems' of reduced condom use and sexually transmitted infections in Australia
| Citations per year | 1 |
|---|---|
| Citation span | 2020 - 2026 (7) |
| Highly cited | No |