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
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.</.
引用
收藏
页码:901 / 915
页数:15
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