The PrEP Laboratory Service Gap: Applying Implementation Science Strategies to Bring PrEP Coverage to Scale in the United States

J Law Med Ethics. 2022;50(S1):40-46. doi: 10.1017/jme.2022.34.

Abstract

Using an implementation science framework, we detail how a national system for covering both standard and telemedicine laboratory testing would support a national PrEP program. Implementation strategies that will facilitate success include minimizing provider burden through uncomplicated billing systems and minimizing patient burden through centralized, online access systems. We anticipate that providing telemedicine and in-person laboratory testing options will optimize PrEP care by making it less burdensome, leading to cost-effective healthcare and improved population health.

Keywords: Implementation Science; Insurance; Laboratory Testing; Pre-exposure Prophylaxis (PrEP).

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Anti-HIV Agents* / therapeutic use
  • Delivery of Health Care
  • HIV Infections*
  • Humans
  • Implementation Science
  • Pre-Exposure Prophylaxis*
  • United States

Substances

  • Anti-HIV Agents