Patient navigation is a primary element in linkage to HIV pre-exposure prophylaxis (PrEP) care and linkage to or re-engagement in HIV care, depending on the HIV status of the individual. However, there is a dearth of literature describing navigation services in these areas. In the context of Chicago Project PrIDE, this project conducted process and implementation evaluations with eight agencies leading demonstration projects to address these gaps. The evaluation team conducted semi-structured, individual interviews with agency staff (N = 20) assessing navigation implementation and fit, as well as project successes and challenges. Additionally, agency staff collected patient surveys (N = 300) assessing services provided, service quality, and satisfaction. The interview transcripts were coded and analyzed thematically and descriptive analyses were performed on the survey data. Analyses indicated that screening for social determinants of health, providing healthcare engagement guidance, and providing service referrals were frequently cited navigation activities. Most staff members indicated that navigation fits well within their agencies, and that limited staff and clinic capacity were often barriers to navigation. Patient navigation to support engagement in HIV prevention and care services is critical due to the extensive support provided by navigators to address social determinants of health impacting HIV disparity populations.

患者导航是与 HIV 暴露前预防 (PrEP) 护理以及与 HIV 护理相关联或重新参与 HIV 护理的主要元素，具体取决于个人的 HIV 状态。然而，描述这些领域的导航服务的文献很少。在芝加哥 Project PrIDE 的背景下，该项目与八个领导示范项目的机构进行了流程和实施评估，以解决这些差距。评估小组对机构工作人员 (N = 20) 进行了半结构化的个人访谈，以评估导航的实施和适合性，以及项目的成功和挑战。此外，机构工作人员收集了评估所提供服务、服务质量和满意度的患者调查 (N = 300)。对访谈记录进行编码和主题分析，并对调查数据进行描述性分析。分析表明，筛查健康的社会决定因素、提供医疗保健参与指导和提供服务转介是经常被引用的导航活动。大多数工作人员表示，导航非常适合他们的机构，有限的工作人员和诊所容量通常是导航的障碍。患者导航以支持参与 HIV 预防和护理服务至关重要，因为导航员提供了广泛的支持，以解决影响 HIV 差异人群的健康的社会决定因素。并提供服务推荐是经常被引用的导航活动。大多数工作人员表示，导航非常适合他们的机构，有限的工作人员和诊所容量通常是导航的障碍。患者导航以支持参与 HIV 预防和护理服务至关重要，因为导航员提供了广泛的支持，以解决影响 HIV 差异人群的健康的社会决定因素。并提供服务推荐是经常被引用的导航活动。大多数工作人员表示，导航非常适合他们的机构，有限的工作人员和诊所容量通常是导航的障碍。患者导航以支持参与 HIV 预防和护理服务至关重要，因为导航员提供了广泛的支持，以解决影响 HIV 差异人群的健康的社会决定因素。