HIV pre-exposure prophylaxis (PrEP) has shown high efficacy and effectiveness for HIV prevention; however, many individuals with PrEP indications are not receiving PrEP. PrEP Coordinators work closely with patients and health care providers to increase PrEP access, and they provide unique insights into the inner workings of PrEP care and service delivery. In this study, we discuss key challenges and recommendations for improved PrEP service delivery (including training PrEP Coordinators to manage PrEP panels, making PrEP a part of routine care and optimizing electronic health records, designating a PrEP “champion” who can strengthen communication and leadership, using a proactive approach to increase PrEP retention, and training providers and PrEP Coordinators to meet youth-specific needs) from our discussions with the PrEP Coordinators who led PrEP panel management in San Francisco Department of Public Health primary care clinics.

中文翻译：

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从旧金山初级保健诊所艾滋病毒暴露前预防协调计划中汲取的经验教训

HIV暴露前预防（PrEP）已显示出对HIV预防的高效性和有效性；然而，许多有 PrEP 指征的人并未接受 PrEP。PrEP 协调员与患者和医疗保健提供者密切合作，以增加 PrEP 的获取机会，他们对 PrEP 护理和服务提供的内部运作提供独特的见解。在这项研究中，我们讨论了改善 PrEP 服务提供的关键挑战和建议（包括培训 PrEP 协调员来管理 PrEP 小组、使 PrEP 成为日常护理的一部分、优化电子健康记录、指定一位可以加强沟通和领导力的 PrEP“冠军” ，使用积极主动的方法来提高 PrEP 保留率，并培训提供者和 PrEP 协调员以满足青少年的特定需求）来自我们与领导旧金山公共卫生部初级保健诊所 PrEP 小组管理的 PrEP 协调员的讨论。