What's in a Name? the Policy Implications of the CDC Definition of AIDS
Stein, Gary L.
Law, Medicine and Health Care. 1991 Fall-Winter; 19(3-4): 278-290.
...The Centers for Disease Control's (CDC) case definition of AIDS is used by public health officials, researchers, clinicians, hospital administrators, disability specialists, insurance administrators, health economists, legislators, social workers, policy makers, and the media. It has influenced the way the HIV epidemic is perceived, managed, and funded....Any changes in the definition will have repercussions for individuals, health care practitioners and institutions, state and federal governments, and even the international community. In this broad context, this paper has two straightforward and limited intentions: first, to distinguish the primary purpose of the CDC's surveillance definition from the ancillary uses that it triggers in entitlements and benefits, funding formulas, clinical research, medical care, and calculations of the costs of health care and social services; and, second, to offer some recommendations for action and areas for further study. There are two overarching questions. First, is the CDC definition fulfilling its primary epidemiological purpose? Second, are the ancillary uses of this surveillance tool appropriate?
Administrators; Aids; Aids Serodiagnosis; Biomedical Research; Confidentiality; Clinical Research; Diagnosis; Disability; Disease; Drug Abuse; Economics; Epidemiology; Federal Government; Females; Financial Support; Government; Government Financing; Health; Health Care; Health Insurance; Hospitals; Human Experimentation; Indigents; Insurance; Legal Aspects; Mandatory Programs; Morbidity; Prevalence; Public Health; Research; Research Subjects; Researchers; Resource Allocation; Risks and Benefits; Social Impact; Social Workers; Socioeconomic Factors; State Government; Statistics; Terminology;
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