Organizational Issues in the Implementation of a Hospital-Based Syringe Exchange Program

被引：3
|
作者：
Masson, Carmen L. [1 ]
Sorensen, James L. [1 ]
Grossman, Nina [2 ]
Sporer, Karl A. [3 ]
Des Jarlais, Don C. [4 ,5 ]
Perlman, David C. [4 ,5 ,6 ]
机构：
[1] Univ Calif San Francisco, San Francisco Gen Hosp, Dept Psychiat, San Francisco, CA 94110 USA
[2] San Francisco AIDS Fdn HIV Prevent Project, San Francisco, CA USA
[3] Univ Calif San Francisco, San Francisco Gen Hosp, Dept Med, San Francisco, CA 94110 USA
[4] Beth Israel Deaconess Med Ctr, Baron Edmond Rothschild Chem Dependency Inst, New York, NY USA
[5] Natl Dev & Res Inst Inc, Ctr Drug Use & HIV Res, New York, NY USA
[6] Beth Israel Deaconess Med Ctr, Dept Med, New York, NY 10003 USA
来源：
SUBSTANCE USE & MISUSE | 2010年 / 45卷 / 06期
关键词：
syringe exchange; HIV; injection drug use; organizational; hospital; INJECTION-DRUG USERS; US METROPOLITAN-AREAS; NEEDLE EXCHANGE; HEPATITIS-B; HIV-INFECTION; UNITED-STATES; INCENTIVES; IMPACT; PREVALENCE; PREVENTION;
D O I：
10.3109/10826080903080631
中图分类号：
R194 [卫生标准、卫生检查、医药管理];
学科分类号：
摘要：
Little published information exists to guide health care institutions in establishing syringe exchange program (SEP) services. To address this gap, this article discusses organizational issues encountered in the implementation of a hospital-based SEP in San Francisco, California (USA). Investigators collaborated with a community organization in implementing a county hospital-based SEP. SEP services integrated into a public hospital presented unique challenges directly related to their status as a health care institution. In the course of introducing SEP services into a hospital setting as part of a clinical trial, various ethical, legal, and logistical issues were raised. Based on these experiences, this paper provides guidance on how to integrate an SEP into a traditional health care institution.</.
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页码：901 / 915
页数：15
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