Re-shaping professional boundaries to scale-up HIV pre-exposure prophylaxis (PrEP) services: collaborative care and power dynamics in Belgium
This study reveals that scaling up HIV pre-exposure prophylaxis (PrEP) services in Belgium beyond specialized clinics is hindered not just by operational challenges, but primarily by structural power dynamics, reimbursement regulations, and professional jurisdictional boundaries that reinforce specialist dominance and limit general practitioner involvement.