Stephens B J, Sinden P G, Ketcham R H, Rzepkowski N
Department of Sociology/Anthropology, SUNY College at Fredonia, NY 14063, USA.
Hosp Health Serv Adm. 1995 Winter;40(4):457-71.
Health care administrators are having to confront the many and complex problems associated with patient fears about the transmissibility of the HIV virus. Particularly acute are concerns that are raised when the physicians are HIV-positive or have AIDS. This article presents a case history of how one hospital handled the problems created by the announcement by one of its emergency room physicians that he was HIV-positive. The hospital's response--which included disclosure to the community, the full cooperation of the physician, provision of free counseling, and HIV testing--and the aftermath of this AIDS-related event are described. This case is discussed in relationship to the ongoing debate about the ethics and consequences of disclosure of the HIV status of health care workers.
医疗保健管理人员不得不面对与患者对艾滋病毒传播的恐惧相关的诸多复杂问题。当医生为艾滋病毒呈阳性或患有艾滋病时引发的担忧尤为尖锐。本文介绍了一家医院如何处理其一名急诊室医生宣布自己艾滋病毒呈阳性所引发问题的案例。描述了医院的应对措施——包括向社区披露、医生的全力配合、提供免费咨询和艾滋病毒检测——以及这起与艾滋病相关事件的后续情况。结合关于披露医护人员艾滋病毒感染状况的伦理和后果的持续辩论对该案例进行了讨论。
