Analysis of the Use of HIV Antibody Testing in a Minnesota Hospital
JAMA. 1988 Jan 8; 259(2): 229-232.
The authors studied screening for the human immunodeficiency virus (HIV) at the St. Paul-Ramsey Medical Center in Minneapolis and its affiliated clinics when there were no restrictions on screening and recommendations were limited to patient consent and provision of risk reduction information. Only 10% of the tests performed met the criteria for screening--medically indicated, informed consent obtained, and counseling provided with all steps documented in the medical record. The authors maintain that education of health personnel about HIV, which was given at the Medical Center, may be insufficient to change ordering patterns. They suggest that clinicians' attitudes differ from public policy statements on HIV screening and urge the development of a community consensus encompassing public health officials, local medical associations, and hospital associations, to be translated into standardized guidelines. (KIE abstract)
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