The HIV-Testing Policies of US Hospitals
Lewis, Charles E.
JAMA. 1990 Dec 5; 264(21): 2764-2767.
This report summarizes the findings of a recent survey of HIV-testing policies in acute care hospitals throughout the United States. The chief administrators of 561 hospitals responded to queries regarding their institutions' experience with AIDS patients, adoption of HIV-testing policies, the decision to adopt a policy, and specific elements of the policies. Two thirds of the hospitals surveyed had admitted at least one patient with AIDS, and over 83% had formal written policies about HIV-testing. Personnel fears of contagion were the most frequently cited influence on the decision to adopt an HIV-testing policy. A number of policies did not include provisions protecting patients' rights involving informed consent to testing, pre-test counseling, and disclosure of results. Lewis and Montgomery conclude that despite the difficulties of formulating HIV-testing policies that protect the rights of patients and of hospital personnel, efforts must continue toward this goal. (KIE abstract)
Administrators; Adoption; Aids; Aids Serodiagnosis; Attitudes; Confidentiality; Consent Forms; Counseling; Consent; Diagnosis; Disclosure; Duty to Warn; Evaluation; Evaluation Studies; Forms; Health; HIV Seropositivity; Hospitals; Informed Consent; Mass Screening; Motivation; Patient Admission; Patient Transfer; Patients; Patients' Rights; Proprietary Hospitals; Public Hospitals; Records; Rights; Statistics; Survey;
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