HIV-Pre-Exposure Prophylaxis Provider Assessment

HIV Pre-Exposure Prophylaxis Provider Assessment

Pre-Exposure Prophylaxis (PrEP) is an HIV prevention strategy based on a daily pill taken by HIV-negative individuals. PrEP contains two antiretroviral medications-tenofovir and emtricitabine. The brand name for PrEP is Truvada. PrEP is meant to be used in combination with other HIV prevention methods, such as condoms. The Centers for Disease Control and Prevention (CDC) recommends PrEP as an effective method for reducing the risk of HIV infection. PrEP should be considered for those at high risk for contracting HIV. These may include men who have sex with men (MSM), injection drug users, and HIV negative individuals with HIV positive partners.

If you would like to have an update on PrEP at your clinical site, or if you are providing PrEP and would like your site to be included in a PrEP provider directory that will be posted on the Phila Dept. of Public Health Website, please contact Erika Aaron, at erika.aaron@phila.gov

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* 1. What is your gender?

Male

Female

Transgender Male

Transgender Female

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* 2. What is your age?

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* 3. How many years have you worked as a health care provider?

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* 4. Please indicate your credential type below:

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* 5. Please indicate your practice type:

HIV Specialist/Infectious Disease

Internal Medicine

Family Medicine

Pediatrician/Adolescent Medicine

Women's Health/OBGYN

Other (please specify)

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* 6. What type of setting do you work in?

Outpatient Primary Care

HIV/ID Clinic

Academic Institution/University Hospital

Other (please specify)

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* 7. What is your Zip Code?

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* 8. Number of HIV+ persons cared for ever

0-10

10-50

50-100

>100

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* 9. Has a patient ever asked you about PrEP?

Yes

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* 10. Have you ever initiated a discussion about PrEP with a patient?

Yes

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* 11. Which of the following statements best applies to you?

I have prescribed and/or currently prescribe PrEP for HIV prevention

I refer patients to other providers who prescribe PrEP

With more education and training, I would prescribe PrEP

I will not prescribe PrEP to my patients

Other (please specify)

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* 12. If you will not prescribe PrEP, please indicate your reason why:

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* 13. If you have prescribed PrEP, please indicate the number of patients you've prescribed it to?

1-5

6-10

10-20

>20

N/A

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* 14. If you have prescribed PrEP, please indicate who you've prescribed to:

Men who have sex with men (MSM)

Women seeking pregnancy in serodiscordant relationship

Heterosexual male

Heterosexual female

Transgender female

Transgender male

People who use or inject drugs

People who exchange sex for money

Women who identify as bisexual or lesbian

N/A

Other (please specify)

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* 15. If you have had a patient(s) referred to you for PrEP, who was your referral source(s)?

Community Based Organization

A health care provider from an outside clinic

An STD clinic

Another provider in my clinic

I don't know

N/A

Other (please specify)

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* 16. Would you attend a PrEP clinical training (either online or in-person)?

Yes

Maybe

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* 17. What is your preferred training modality? (Check all that apply)

Training in my clinical practice

Training with other providers outside of my clinical practice

Webinar

Self-guided online course

Clinical consultation with PrEP experts

Written Materials

N/A

Other (please specify)

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* 18. To what extent do you agree with the following statements?

	Strongly Disagree	Disagree	No Opinion or Uncertain	Agree	StronglyAgree
I am familar with current research on PrEP safety	I am familar with current research on PrEP safety Strongly Disagree	I am familar with current research on PrEP safety Disagree	I am familar with current research on PrEP safety No Opinion or Uncertain	I am familar with current research on PrEP safety Agree	I am familar with current research on PrEP safety StronglyAgree
I am comfortable discussing HIV risk factors with my patients	I am comfortable discussing HIV risk factors with my patients Strongly Disagree	I am comfortable discussing HIV risk factors with my patients Disagree	I am comfortable discussing HIV risk factors with my patients No Opinion or Uncertain	I am comfortable discussing HIV risk factors with my patients Agree	I am comfortable discussing HIV risk factors with my patients StronglyAgree
I can determine if PrEP is indicated for my patients	I can determine if PrEP is indicated for my patients Strongly Disagree	I can determine if PrEP is indicated for my patients Disagree	I can determine if PrEP is indicated for my patients No Opinion or Uncertain	I can determine if PrEP is indicated for my patients Agree	I can determine if PrEP is indicated for my patients StronglyAgree
I know the required labs for PrEP initiation and management	I know the required labs for PrEP initiation and management Strongly Disagree	I know the required labs for PrEP initiation and management Disagree	I know the required labs for PrEP initiation and management No Opinion or Uncertain	I know the required labs for PrEP initiation and management Agree	I know the required labs for PrEP initiation and management StronglyAgree
I am comfortable prescribing PrEP for my patients	I am comfortable prescribing PrEP for my patients Strongly Disagree	I am comfortable prescribing PrEP for my patients Disagree	I am comfortable prescribing PrEP for my patients No Opinion or Uncertain	I am comfortable prescribing PrEP for my patients Agree	I am comfortable prescribing PrEP for my patients StronglyAgree
I know the resources available to help patients pay for PrEP	I know the resources available to help patients pay for PrEP Strongly Disagree	I know the resources available to help patients pay for PrEP Disagree	I know the resources available to help patients pay for PrEP No Opinion or Uncertain	I know the resources available to help patients pay for PrEP Agree	I know the resources available to help patients pay for PrEP StronglyAgree

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* 19. Please rank your clinic's ability to provide the following PrEP support

	Yes, we provide this service at our clinic	Maybe, we could provide this service with more training	No, we would need to refer patients elsewhere for this service	I don't know
Medication adherence counseling	Medication adherence counseling Yes, we provide this service at our clinic	Medication adherence counseling Maybe, we could provide this service with more training	Medication adherence counseling No, we would need to refer patients elsewhere for this service	Medication adherence counseling I don't know
HIV risk reduction counseling	HIV risk reduction counseling Yes, we provide this service at our clinic	HIV risk reduction counseling Maybe, we could provide this service with more training	HIV risk reduction counseling No, we would need to refer patients elsewhere for this service	HIV risk reduction counseling I don't know
Ensure HIV testing every three months	Ensure HIV testing every three months Yes, we provide this service at our clinic	Ensure HIV testing every three months Maybe, we could provide this service with more training	Ensure HIV testing every three months No, we would need to refer patients elsewhere for this service	Ensure HIV testing every three months I don't know
Ensure other clinical follow-up and monitoring requirements are met for PrEP	Ensure other clinical follow-up and monitoring requirements are met for PrEP Yes, we provide this service at our clinic	Ensure other clinical follow-up and monitoring requirements are met for PrEP Maybe, we could provide this service with more training	Ensure other clinical follow-up and monitoring requirements are met for PrEP No, we would need to refer patients elsewhere for this service	Ensure other clinical follow-up and monitoring requirements are met for PrEP I don't know
Benefits coordination to assist PrEP patients with insurance and patient assistance programs	Benefits coordination to assist PrEP patients with insurance and patient assistance programs Yes, we provide this service at our clinic	Benefits coordination to assist PrEP patients with insurance and patient assistance programs Maybe, we could provide this service with more training	Benefits coordination to assist PrEP patients with insurance and patient assistance programs No, we would need to refer patients elsewhere for this service	Benefits coordination to assist PrEP patients with insurance and patient assistance programs I don't know