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Publication Profiles

Rapid ART, Rapid PrEP, and Status Neutral Implementation in Ryan White-Funded Clinics: Results From a Multisite Survey

Citation

Jones JL, Schwartz S, Kassanits JE, et al. Rapid ART, Rapid PrEP, and Status Neutral Implementation in Ryan White-Funded Clinics: Results From a Multisite Survey. J Acquir Immune Defic Syndr. 2025;98(5S):e136-e145. doi:10.1097/QAI.0000000000003632

Implementation stage:

Implementation

Implementation outcomes reported:

Acceptability, Adoption, Feasibility, Appropriateness

Continuum target addressed:

Linkage to HIV care, HIV testing, ART initiation, Viral suppression, PrEP initation, PrEP persistence

Geography:

Alabama, Los Angeles County-CA, San Diego County-CA, Dallas County-TX, Cook County-IL, Baltimore City-MD

Study Participant Classification:

Implementer(s)

Plain Language Objectives

The researchers surveyed Ryan White-funded clinics about offering rapid HIV treatment, rapid HIV-prevention medication, and services that begin without separating people by HIV status. They wanted to compare adoption and understand barriers and facilitators across different clinics.

Plain Language Abstract

Federal HIV strategies promote rapid treatment, rapid pre-exposure prophylaxis, and status-neutral care, but implementation across settings is not well described. Researchers surveyed Ryan White-funded clinics in selected priority areas. Forty of 83 invited organizations responded, representing 57 clinics serving more than 70,000 people annually. Reported uptake was 85% for rapid treatment, 65% for status-neutral care, and 60% for rapid PrEP, with wide variation. No organization identifying as rural offered rapid treatment or PrEP, compared with 96% and 76% of urban organizations, respectively. Ratings of acceptability, appropriateness, and feasibility were generally high and strongest among implementers. Rapid-treatment barriers most often involved providers and clinics, while rapid-PrEP barriers most often involved systems, especially insurance, followed by patient, provider, and clinic concerns. The survey documents substantial but uneven adoption. Because response was 48% and the analysis was descriptive, results may not represent all Ryan White clinics and do not show that rapid models caused better patient outcomes.

Key Takeaways

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