Pharmacists’ Suggestions of Training that Would Help them Feel Comfortable Providing Human Immunodeficiency Virus (HIV) Point-of-Care Testing (POCT) (Question 9) |
• Substantially more additional training about HIV in general (n = 7, 27%) |
• Hands-on experience with testing (n = 5, 19%) |
• Support from corporate leadership (n = 5, 19%) |
• More staff/labor hours (n = 3, 12%) |
• Assistance with development of a collaborative drug therapy agreement (CDTA) (n = 2, 8%) |
• A detailed implementation plan (n = 2, 8%) |
• Training on talking to couples about reactive results (n = 1, 4%) |
• Training for de-escalation during emotional situations (n = 1, 4%) |
• And a motivational interviewing refresher course (n = 1, 4%) |
Pharmacists’ opinions of the amount of time needed to conduct the HIV POCT, discuss results, and provide education and counseling if the test itself takes 5 min (Question 14) |
• 5 to 10 min (n = 1, 4%) |
• 15 to 20 min (n = 4, 15%) |
• 20 to 30 min (n = 14, 54%) |
• 30 to 45 min (n = 4, 15%) |
• More than 45 min (n = 2, 8%) |
• Prefer not to answer (n = 1, 4%) |
Challenges to implementing HIV POCT beyond staffing time and physical space identified by pharmacist participants (Question 16) |
• Corporate support for implementation (n = 4, 15%) |
• Adding HIV POCT into workflow (n = 3, 12%) |
• Advertising the service to the community (n = 2, 8%) |
• Cost of testing and potential for reimbursement (n = 1, 4%) |
Concerns regarding referring patients with a reactive screening and collaborating with community partners identified by pharmacist participants (Question 21) |
• Ensuring patients followed up with another provider and not “falling between the cracks” (n = 3, 12%) |
• Cost of testing and insurance coverage for testing and pre-exposure prophylaxis (PrEP)/post-exposure prophylaxis (PEP) (n = 2, 8%) |
• Obtaining liver and kidney function blood tests prior to beginning PreP/PEP (n = 1, 4%) |
• Limitations of the pharmacy’s computer system to document encounters (n = 1, 4%) |