Arnow P M, Pottenger L A, Stocking C B, Siegler M, DeLeeuw H W
Department of Medicine, University of Chicago, IL 60637.
Public Health Rep. 1989 Mar-Apr;104(2):121-9.
Concern regarding an occupational risk of acquiring human immunodeficiency virus (HIV) infection may influence surgeons' willingness to operate. A questionnaire survey of all orthopedists in the five cities with the most cases of acquired immunodeficiency syndrome (AIDS) was conducted to assess attitudes and practices. Questionnaires were completed anonymously by 325 of 510 orthopedists. In the previous year, 43 percent had examined or operated on an HIV-infected patient, and at least 90 percent who had had an opportunity to operate on an HIV-infected patient had chosen to do so. Decisions to operate did not appear to be based on hospital requirements, perceived ethical obligations, or knowledge of HIV transmissibility. Most orthopedists (85 percent) claimed the right to order preoperative HIV testing of high-risk patients, but such testing was ordered infrequently. Although most orthopedists believed they could not be compelled to operate and that ethically they could refuse when their health was threatened, they almost always were willing to treat HIV-infected patients.
对感染人类免疫缺陷病毒（HIV）的职业风险的担忧可能会影响外科医生的手术意愿。对获得性免疫缺陷综合征（AIDS）病例最多的五个城市的所有骨科医生进行了问卷调查，以评估他们的态度和做法。510名骨科医生中有325人匿名完成了问卷调查。在前一年，43%的医生曾为HIV感染患者进行检查或手术，并且至少90%有机会为HIV感染患者手术的医生选择了这样做。手术决策似乎并非基于医院要求、感知到的道德义务或对HIV传播性的了解。大多数骨科医生（85%）声称有权对高危患者进行术前HIV检测，但这种检测很少被安排。尽管大多数骨科医生认为他们不能被强制手术，并且从道德上讲，当自身健康受到威胁时他们可以拒绝，但他们几乎总是愿意治疗HIV感染患者。
