{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T14:40:11Z","timestamp":1782052811482,"version":"3.54.5"},"reference-count":51,"publisher":"CSIRO Publishing","issue":"6","license":[{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"vor","delay-in-days":1712,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,22]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The addition of pre-exposure prophylaxis (PrEP) for HIV prevention to the Australian Government-subsidised Pharmaceutical Benefits Scheme (PBS) enables any doctor or nurse practitioner to prescribe it and has increased accessibility options. However, understanding of Australian healthcare providers\u2019 (HCP) knowledge and preparedness to prescribe PrEP remains limited. Methods: Semistructured interviews, conducted before PBS listing (October 2016\u2013April 2017), explored PrEP knowledge and prescription experiences of 51 multidisciplinary HCPs involved with the Queensland Pre-Exposure Prophylaxis Demonstration study. Results: Thematic analysis revealed that participants viewed PrEP as a necessary HIV prevention option, but there was concern about confusing prevention messages and potential risk compensation. Clinical capacity, stigma, cultural norms, rural access and PrEP-associated costs were identified as barriers to access and uptake. Some of these barriers may be addressed by the PBS listing; nonetheless, there was strong specialist concern about the preparedness of general practitioners without sexual health experience to prescribe PrEP. Participants identified a need to educate all HCPs, implement multidisciplinary supply models and provide timely access to PrEP for vulnerable populations and those ineligible for Medicare (Australia\u2019s universal healthcare insurance system). Conclusions: Although PrEP listing on the PBS addressed structural barriers to access, this study highlights the role of nurses and other interdisciplinary healthcare workers in the provision of PrEP in addressing the sociocultural barriers that still affect the access of certain populations to HIV prevention measures. These findings will inform further professional training as PrEP is more widely accessed and requested outside specialist sexual health services. Future work is needed to ensure that the primary healthcare workforce is prepared to provide competent and safe access to PrEP across diverse locations and population groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh20156","type":"journal-article","created":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T22:19:01Z","timestamp":1607465941000},"page":"485-492","source":"Crossref","is-referenced-by-count":14,"title":["Australian interdisciplinary healthcare providers\u2019 perspectives on the effects of broader pre-exposure prophylaxis (PrEP) access on uptake and service delivery: a qualitative study"],"prefix":"10.1071","volume":"17","author":[{"given":"Mattea","family":"Lazarou","sequence":"first","affiliation":[{"name":"ASchool of Public Health, Faculty of Medicine, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, Faculty of Medicine, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Warner","sequence":"additional","affiliation":[{"name":"BBlood Borne Virus and Sexually Transmissible Infection Unit, Communicable Disease Branch, Queensland Health, Butterfield Street, Herston, Qld 4006, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Downing","sequence":"additional","affiliation":[{"name":"CCollege of Public Health, Medical and Veterinary Sciences, Division of Tropical Health and Medicine, James Cook University, 1 James Cook Drive, Douglas, Qld 4811, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Owain D.","family":"Williams","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, Faculty of Medicine, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles F.","family":"Gilks","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, Faculty of Medicine, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Russell","sequence":"additional","affiliation":[{"name":"DCairns Sexual Health Service, Cairns and Hinterland Hospital and Health Service, 381 Sheridan Street, Cairns North, Qld 4870, Australia."},{"name":"ECollege of Medicine and Dentistry, James Cook University, 1 James Cook Drive, Douglas, Qld 4811, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2513-2013","authenticated-orcid":true,"given":"Judith A.","family":"Dean","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, Faculty of Medicine, The University of Queensland, Herston Campus, 288 Herston Road, Herston, Qld 4006, Australia."},{"name":"FCorresponding author. 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