Abstract：
BACKGROUND: Over 1 million people in the US are infected with human immunodeficiency virus (HIV). As of 2021, pharmacists in California can prescribe PrEP and PEP without establishing a collaborative practice agreement in an effort to reduce HIV transmission. However, in 2021 less than 3% of independent pharmacies in the San Francisco Bay Area did so. To our knowledge, there has been no follow-up research assessing potential changes in PrEP/PEP furnishing rates in the region.
OBJECTIVE: Assess the extent of PrEP/PEP furnishing in San Francisco Bay Area pharmacies 3 years after policy implementation.
METHODS: We conducted an observational, cross-sectional study to identify independent community and mail-order pharmacies furnishing PrEP/PEP in the 9-county San Francisco Bay Area in 2024. Furnishing pharmacies were identified via phone calls and the findings were validated with in-person visits. We also identified the number of retail chain pharmacies furnishing PrEP/PEP in San Francisco County.
RESULTS: We contacted 202 independent community and mail order pharmacies in the 9-county San Francisco Bay Area by telephone; of these, 16 reported furnishing PEP/PrEP and all confirmed their ability to furnish when visited in person. We contacted 67 retail chain pharmacies in San Francisco County; of these, 11 pharmacies reported furnishing PrEP/PEP (10 Safeway; 1 Walgreens).
CONCLUSIONS: More pharmacies furnished PrEP/PEP in the 9-county San Francisco Bay Area in 2024 (8%) than in 2021 (3%); in addition, one retail chain pharmacy had instituted a furnishing protocol. However, furnishing rates remained low. Past research suggests that advertising and the development of furnishing protocols may help increase furnishing and increase medication access.
OBJECTIVE: Assess the extent of PrEP/PEP furnishing in San Francisco Bay Area pharmacies 3 years after policy implementation.
METHODS: We conducted an observational, cross-sectional study to identify independent community and mail-order pharmacies furnishing PrEP/PEP in the 9-county San Francisco Bay Area in 2024. Furnishing pharmacies were identified via phone calls and the findings were validated with in-person visits. We also identified the number of retail chain pharmacies furnishing PrEP/PEP in San Francisco County.
RESULTS: We contacted 202 independent community and mail order pharmacies in the 9-county San Francisco Bay Area by telephone; of these, 16 reported furnishing PEP/PrEP and all confirmed their ability to furnish when visited in person. We contacted 67 retail chain pharmacies in San Francisco County; of these, 11 pharmacies reported furnishing PrEP/PEP (10 Safeway; 1 Walgreens).
CONCLUSIONS: More pharmacies furnished PrEP/PEP in the 9-county San Francisco Bay Area in 2024 (8%) than in 2021 (3%); in addition, one retail chain pharmacy had instituted a furnishing protocol. However, furnishing rates remained low. Past research suggests that advertising and the development of furnishing protocols may help increase furnishing and increase medication access.
摘要：
背景：在美国，超过100万人感染了人类免疫缺陷病毒（HIV）。截至2021年，加利福尼亚州的药剂师可以在不建立合作实践协议的情况下开出PrEP和PEP，以减少HIV传播。然而,到2021年，旧金山湾区只有不到3%的独立药店这样做。据我们所知,目前尚无评估该地区PrEP/PEP提供率潜在变化的后续研究.
目的：评估政策实施3年后旧金山湾区药房的PrEP/PEP供应程度。
方法：我们进行了一项观察，横断面研究，以确定2024年在9县旧金山湾区提供PrEP/PEP的独立社区和邮购药房。通过电话确定了药房，并通过亲自访问验证了调查结果。我们还确定了旧金山县提供PrEP/PEP的零售连锁药店的数量。
结果：我们通过电话联系了9个县旧金山湾区的202家独立社区和邮购药房；其中，16报告了提供PEP/PrEP，并且都确认了他们亲自访问时提供的能力。我们联系了旧金山县的67家零售连锁药店；其中，11家药店报告提供PrEP/PEP（10Safeway；1Walgreens）。
结论：与2021年（3％）相比，2024年在9县旧金山湾区提供PrEP/PEP的药房更多（8％）；此外，一家零售连锁药店已经制定了家具协议。然而,装修率仍然很低。过去的研究表明，广告和家具协议的发展可能有助于增加家具和增加药物的获取。
目的：评估政策实施3年后旧金山湾区药房的PrEP/PEP供应程度。
方法：我们进行了一项观察，横断面研究，以确定2024年在9县旧金山湾区提供PrEP/PEP的独立社区和邮购药房。通过电话确定了药房，并通过亲自访问验证了调查结果。我们还确定了旧金山县提供PrEP/PEP的零售连锁药店的数量。
结果：我们通过电话联系了9个县旧金山湾区的202家独立社区和邮购药房；其中，16报告了提供PEP/PrEP，并且都确认了他们亲自访问时提供的能力。我们联系了旧金山县的67家零售连锁药店；其中，11家药店报告提供PrEP/PEP（10Safeway；1Walgreens）。
结论：与2021年（3％）相比，2024年在9县旧金山湾区提供PrEP/PEP的药房更多（8％）；此外，一家零售连锁药店已经制定了家具协议。然而,装修率仍然很低。过去的研究表明，广告和家具协议的发展可能有助于增加家具和增加药物的获取。
