Changing the model of HIV PrEP delivery - nurse-led telehealth in a metropolitan sexual health service: a retrospective analysis.

The TelePrEP client population was predominantly cisgender male, non-Medicare, and overseas-born.

• A total of 472 clients were reviewed in the retrospective analysis.
• 99% of clients were cisgender male.
• 77% of clients were non-Medicare status.
• 86% of clients were overseas-born.

There was no significant difference in appointment attendance rates between the three screening pathways (MyCheck, a[TEST], and Xpress).

• Three distinct screening pathways were compared: MyCheck, a[TEST], and Xpress.
• The analysis found no statistically significant difference in attendance rates across the three pathways.
• This finding applied across the full sample of 472 clients reviewed.

The majority of TelePrEP appointments referred through the MyCheck pathway resulted in PrEP continuation.

• 82% of appointments referred through MyCheck resulted in PrEP continuation.
• This suggests MyCheck referrals predominantly represented clients already established on PrEP.

Follow-up screening attendance rates were low overall, with variation by screening pathway.

• Overall, 36% of clients attended follow-up screening.
• The highest rate of follow-up was among clients referred through a[TEST] at 44%.
• The lowest rate of follow-up was among clients referred through Xpress at 22%.

Non-Medicare clients attended follow-up screening at a higher rate than Medicare clients.

• 38% of non-Medicare clients attended follow-up screening.
• 27% of Medicare clients attended follow-up screening.
• Non-Medicare clients comprised 77% of the total client population reviewed.

Adherence to national guidelines for laboratory testing was high, and screening identified two new HIV diagnoses.

• The TelePrEP model achieved high adherence to guideline-indicated laboratory monitoring.
• Two new HIV diagnoses were identified through the screening process.
• The paper reports rapid linkage to treatment for clients with HIV identified on screening.

The nurse-led telehealth PrEP model was developed with a free multi-modal testing pathway at Sydney Sexual Health Centre (SSHC).

• The model used a multi-modal testing pathway comprising at least three screening options: MyCheck, a[TEST], and Xpress.
• The clinic was nurse-led and delivered via telehealth.
• The service was designed to reduce burden on clinical services and provide convenience and access for clients.
• Data were collected via retrospective review of electronic medical records.

The nurse-led TelePrEP model was concluded to be feasible in overcoming accessibility issues for key population groups including overseas-born men who have sex with men (MSM).

• The model specifically addressed accessibility for overseas-born MSM, who comprised 86% of the client base.
• The conclusion was supported by high overall attendance rates and high guideline adherence.
• Rapid linkage to treatment for newly diagnosed HIV clients was also cited as evidence of feasibility.