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.

在《美国医学会内科学》杂志上发表的一项新研究中，对患者放弃或逆转暴露前预防 (PrEP) 处方与处方临床医生的专业之间的关系进行了评估。总体而言，使用药房索赔数据对 37,003 名接受 PrEP 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 PCP 处方的患者相比，由传染病专家开具 PrEP 处方的患者的 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，根据处方临床医生专业的不同，PrEP 依从性也有所不同，PCP 通常是 PrEP 护理的第一个患者接触点，应该得到 PrEP 教育和资源的支持。