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Life sciences · Journal article
AIDS Patient Care and Stds · August 5, 2026
A consensus or society position rather than new primary data.
This is a consensus-based operational roadmap developed by Spanish multidisciplinary experts and community representatives to address documented barriers to PrEP access, equity, and persistence. The statement synthesizes expert judgment and stakeholder input (HCPs, NGOs, and current/potential/past PrEP users) to propose a decalogue of actionable priorities but does not present empirical outcome data.
Multidisciplinary consensus process with semi-structured interviews, small-group sessions, plenary workshops, and complementary descriptive surveys. 19 experts from infectious diseases/HIV care, sexual health/STI services, primary care, emergency medicine, nursing, pediatrics, hospital pharmacy, public health, epidemiology/biostatistics, and community-based organizations in Spain. Survey respondents included healthcare professionals, NGO and co…. Intervention: Structured consensus process to identify barriers to PrEP adoption and develop solutions.. Spain.
Key identified challenges include fragmented access (hospital-centered), capacity constraints, restrictive eligibility criteria, knowledge gaps, and adherence/persistence issues. Consensus decalogue prioritizes decentralization, improving HCP and public knowledge, rapid PrEP linkage, and innovation for those for whom oral PrEP is insufficient. Complementary surveys included n=150 healthcare professionals and NGO/community health centres and n=95 current/potential/past PrEP users.
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
Clinicians and public health planners in Spain should consider this consensus roadmap as guidance for restructuring PrEP services toward decentralization, equitable access, and person-centered care. The decalogue provides a framework for addressing fragmentation and knowledge gaps identified as key barriers to PrEP adoption.
A multidisciplinary consensus statement using structured expert process and stakeholder input to identify barriers and develop actionable recommendations for PrEP implementation in Spain.
As stated by the source record.
Quoted from the source exactly as published.
Clinicians and public health planners in Spain should consider this consensus roadmap as guidance for restructuring PrEP services toward decentralization, equitable access, and person-centered care. The decalogue provides a framework for addressing fragmentation and knowledge gaps identified as key barriers to PrEP adoption.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Despite progress in antiretroviral therapy and prevention, HIV remains a major public health challenge in Spain. Pre-exposure prophylaxis (PrEP) is a proven and effective prevention strategy, but challenges in access, equity, adherence and persistence limit its population impact. Our aim was to identify current barriers to PrEP adoption in Spain and develop actionable solutions. We conducted a structured consensus process (September 2024–May 2025) with 19 experts from fields including infectious diseases/HIV care, sexual health/sexually transmitted infection services, primary care, emergency medicine, nursing, pediatrics, hospital pharmacy, public health, epidemiology/biostatistics, and community-based organizations. It included semi-structured interviews, multidisciplinary small-group sessions, and two plenary workshops. Complementary descriptive surveys of healthcare professionals (HCPs) and NGO/community health centers ( n = 150) and current/potential/past PrEP users ( n = 95) provided contextual data. Consensus statements were developed using a facilitator-led approach based on nominal group techniques, with community representatives contributing lived-experience insights. The panel identified key challenges, including fragmented access (hospital-centered), capacity constraints, restrictive eligibility criteria, knowledge gaps, adherence and persistence issues, and limitations in information systems. To address these, a focused decalogue was developed to promote decentralization, equity, person-centered care and preparedness for transformative innovation in PrEP. The ComPrEmetidos consensus offers an operational roadmap to move Spain from policy availability to program performance and more effectively reduce new HIV infections in Spain. Priorities include decentralization, improving the training and knowledge of HCPs and the general public, rapid linkage to PrEP, and the incorporation of innovation, especially for those for whom oral PrEP is not sufficient.
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