2022, Number 1
<< Back Next >>
salud ciencia tec 2022; 2 (1)
Pre-Exposure Prophylaxis and new technologies for treatment adherence in Chile
Silva-Sánchez CA, Reynaldos-Grandón KL
Language: Spanish
References: 19
Page:
PDF size: 139.96 Kb.
ABSTRACT
Based on the report of the “United Nations Program on HIV/AIDS 2019” and the low adherence to pre-exposure prophylaxis (PrEP) in risk populations in Chile since its implementation in 2019, a thought on the benefits that new technologies such as telemedicine currently have and how this influences access and adherence to therapy is presented, according to some of the current technological strategies implemented in the United States. On the other hand, Chile proposes telemedicine and telehealth guidelines, these are not aimed at improving access to therapy in risk groups. It proposed that extending telemedicine services to those who require PrEP could be beneficial in increasing adherence and access, also in decreasing HIV infections. Likewise, other countries in the region could use these innovations to get the same objective.
REFERENCES
Pyra MN, Haberer JE, Hasen N, Reed J, Mugo NR, Baeten JM. Global implementation of PrEP for HIV prevention: setting expectations for impact. J Int AIDS Soc 2019;22. https://doi.org/10.1002/jia2.25370.
Wong KYK, Stafylis C, Klausner JD. Telemedicine: a solution to disparities in human immunodeficiency virus prevention and pre-exposure prophylaxis uptake, and a framework to scalability and equity. MHealth 2020;6. https://doi.org/10.21037/mhealth.2019.12.06.
Zioga EAM, Arias-de la Torre J, Patera E, Borjabad B, Macorigh L, Ferrer L. El papel de las intervenciones biomédicas en la prevención del VIH: la profilaxis preexposición (PrEP). Medicina de Familia SEMERGEN 2020;46:202-7. https://doi.org/10.1016/j.semerg.2019.06.006.
Golub SA. PrEP Stigma: Implicit and Explicit Drivers of Disparity. Curr HIV/AIDS Rep 2018;15:190-7. https://doi.org/10.1007/s11904-018-0385-0.
Refugio ON, Kimble MM, Silva CL, Lykens JE, Bannister C, Klausner JD. PrEPTECH: a telehealth-based initiation program for human immunodeficiency virus pre-exposure prophylaxis in young men of color who have sex with men. A pilot study of feasibility. J Acquir Immune Defic Syndr 2019;80:40-5. https://doi.org/10.1097/QAI.0000000000001873.
Touger R, Wood BR. A Review of Telehealth Innovations for HIV Pre-Exposure Prophylaxis (PrEP). Curr HIV/AIDS Rep 2019;16:113-9. https://doi.org/10.1007/s11904-019-00430-z.
Rokosh RS, Lewis WC, Chaikof EL, Kavraki LE. How Should We Prepare for the Post-Pandemic World of Telehealth and Digital Medicine? NAM Perspect s. f.;2021:10.31478/202106a. https://doi.org/10.31478/202106a.
Koester KA, Hughes SD, Grant RM. “A Good Habit”: Telehealth PrEP Users Find Benefit in Quarterly Monitoring Requirements. J Int Assoc Provid AIDS Care 2020;19:2325958220919269. https://doi.org/10.1177/2325958220919269.
Patel P, Kerzner M, Reed JB, Sullivan P, El-Sadr WM. Public health implications of adapting HIV pre-exposure prophylaxis programs for virtual service delivery in the context of the COVID-19 pandemic: a systematic review. JMIR Public Health Surveill 2022. https://doi.org/10.2196/37479.
Henderson L, Gibbs J, Quinn J, Ramasami S, Estcourt C. Maintaining access to HIV pre-exposure prophylaxis in a pandemic: A service evaluation of telephone-based pre-exposure prophylaxis provision. Int J STD AIDS 2022:9564624211068766. https://doi.org/10.1177/09564624211068766.
Stekler JD, McMahan V, Ballinger L, Viquez L, Swanson F, Stockton J, et al. HIV Pre-exposure Prophylaxis Prescribing Through Telehealth. JAIDS Journal of Acquired Immune Deficiency Syndromes 2018;77:e40. https://doi.org/10.1097/QAI.0000000000001621.
Hoth AB, Shafer C, Dillon DB, Mayer R, Walton G, Ohl ME. Iowa TelePrEP: A Public-Health-Partnered Telehealth Model for Human Immunodeficiency Virus Preexposure Prophylaxis Delivery in a Rural State. Sexually Transmitted Diseases 2019;46:507-12. https://doi.org/10.1097/OLQ.0000000000001017.
Zapata Pizarro A, Muena Bugueño C, Quiroz Nilo S, Valenzuela Cruz J, Zapata Pizarro A, Muena Bugueño C, et al. Programa de Profilaxis Pre-exposición contra el VIH (PreP) del Ministerio de Salud en Chile. Revista médica de Chile 2020;148:1860-1860. https://doi.org/10.4067/S0034-98872020001201860.
United Nations. Programme on HIV/AIDS (UNAIDS) Chile. ONUSIDA 2019. https://www.unaids.org/es/regionscountries/countries/chile.
Ministerio de Salud. Lineamientos para el desarrollo de la telemedicina y telesalud en Chile 2020.
Naciones Unidas. Manual de salud electrónica «Para directivos de servicios y sistemas de salud» 2012.
Subsecretaría de telecomunicaciones de Chile. IX Encuesta de acceso y uso de internet 2017.
MINSAL. Orientaciones técnicas 2019, Profilaxis Pre-exposición (PrEP) a la infección por VIH 2019. https://diprece.minsal.cl/wp-content/uploads/2019/08/OT-2019-Profilaxis-Pre-Exposici%C3%B3n-PrEP-a-la-infecci%C3%B3n-por-VIH.pdf.
Fuchs JD, Stojanovski K, Vittinghoff E, McMahan VM, Hosek SG, Amico KR, et al. A Mobile Health Strategy to Support Adherence to Antiretroviral Preexposure Prophylaxis. AIDS Patient Care STDS 2018;32:104-11. https://doi.org/10.1089/apc.2017.0255.