2003

Obtaining Informed Consent Prior to Prenatal HIV Testing: The Value of Persuasion and the Threat of Coercion
AIDS & Public Policy Journal 18, no. 3/4 (Fall/Winter 2003) 97-112.
Kristin Kelly
Since 1988, Connecticut hospitals have been legally required to perform HIV tests on any infant whose mother does not have a negative HIV test result documented in her medical chart. Connecticut is one of two states in the U.S. that has passed a mandatory newborn screening law, and is one of 31 states that requires pre


U.S. Pregant Women's Perceptions of Universal, Routine Prenatal HIV Testing
AIDS & Public Policy Journal 18, no. 3/4 (Fall/Winter 2003) 82-96
Sohini Sengupta and Bernard Lo
OBJECTIVE: This study explored U.S. pregnant women s perceptions of universal, routine prenatal HIV testing, a health policy change recommended by the Institute of Medicine (IOM) in 1999. The policy would eliminate offering an HIV test, separate informed consent, and pre-test counseling. METHODS: We conducted 73 in-per


HIV Testing During Pregnancy: The Values of Optimizing Consent
AIDS & Public Policy Journal 18, no. 3/4 (Fall/Winter 2003) 77-81
David W. Webber
The issues of patient autonomy and informed decision making are at the center of the debate over appropriate standards for HIV testing during pregnancy. State law standards on this issue vary significantly from state to state. Federal policy pronouncements on this issue also lack consistency. Against this legal and pol


Corporate Citizenship: Managing Relationships with Professionals and Government
AIDS & Public Policy Journal 18, no. 3/4 (Fall/Winter 2003) 61-76
Greg Hughes, Sonali Rammohan, and Linda Emanuel
The authors introduce a map that describes the interaction between the social/professional, private enterprise, and government sectors, and use the map to analyze three cases that fall across all three sectors of society, involving activity in the commercial sector responding to HIV/AIDS in Africa.


Accounting for Future Risk Behaviors in HIV-Prevention Effectiveness Models
AIDS & Public Policy Journal 18, no. 1/2 (Spring/Summer 2003) 46-58
Steven D. Pinkerton and Harrell W. Chesson
Model-derived estimates of the number of infections averted by HIV-prevention interventions often are used in cost-effectiveness analyses and other evaluations of intervention effectiveness. In the cost-effectiveness framework, successful prevention efforts are associated with averted health losses and savings in HIV/A


Trends in Pediatric Care and Outcomes
AIDS & Public Policy Journal 18, no. 1/2 (Spring/Summer 2003) 35-45
Susan Abramowitz, Philip Alcabes, and Keith Krasinski
We investigated changes in access, quality of care, and clinical outcomes in 624 HIV-infected and HIV-affected infants and children seen in the pediatric infectious diseases clinic of a large urban hospital between 1985 and 1999. The independent variables, which included demographics, treatment, and utilization of serv


Careproviders' Adherence to HIV Standards of Care is Uniformly High in an Integrated HIV Care System
AIDS & Public Policy Journal 18, no. 1/2 (Spring/Summer 2003) 20-34.
Bruce Williams, Miranda Murray, Dale Harris, and Richard Conviser
PURPOSE: Several studies have reported that clinical experience is the most important predictor of careproviders adherence to HIV standards of care. The purpose of this study was to determine if the importance of this association can be mitigated in a highly integrated network of HIV careproviders in which clinical sup


Guidelines: The HIV/AIDS Experience - The Roles of State Government in Promoting Implementation of Clinical Practice
AIDS & Public Policy Journal 18, no. 1/2 (Spring/Summer 2003) 3-19.
Linda Wenze, Jennie B. Epstein, and Bruce D. Agins
Although clinical practice guidelines have become widely accepted, their implementation remains challenging. This study examines the role of state government in promoting, implementing, and monitoring the use of HIV clinical practice guidelines. Interviews were conducted with representatives from each state. States/ter



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