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Table 3 Potential solutions for implementing same-day access to PrEP and MOUD among PWID and Clinical Stakeholders (N = 23)

From: Using nominal group technique to identify barriers and facilitators to preventing HIV using combination same-day pre-exposure prophylaxis and medications for opioid use disorder

“Based on the top three priorities identified in the last question, what types of resources or support do you think are required for developing a program that provides both PrEP and MOUD on the same day?”

Voting results

Persons who inject drugs (n = 14)

42

Home delivery by pharmacy

16

Access to more clinicians (and locations) that can prescribe both medications

10

Easy access to information (e.g., social media; WhatsApp)

6

Access to transportation (e.g., bus passes; pre-paid taxis)

3

Concrete appointment times

3

Access to telehealth

2

Health insurance assistance

2

Clinical Stakeholders (n = 9)

27

Coordinated care between providers and systems (e.g., case management)

7

Expedited system processing and coordination (e.g., clinical templates, checklists, smart phrases in EMR system; rapid testing for HIV)

6

Designated appointment slots and time allocated for these types of visits

5

Access to transportation for participants (e.g., bus passes; pre-paid taxis)

4

Standardization of treatment processes across systems

3

Provider education (e.g., mentorship and case reviews)

2

  1. PrEP pre-exposure prophylaxis for HIV; MOUD medication for opioid use disorder; EMR electronic medical record