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ARTICLE |

The Cost-effectiveness of Voluntary Counseling and Testina of Hospital Patients for HIV

J. Todd Weber, MD; Robert S. Janssen, MD; J. Richard George, PhD; John W. Ward, MD
JAMA. 1995;274(2):129-130. doi:10.1001/jama.1995.03530020047028.
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To the Editor.  —We are concerned that readers of the article about the cost-effectiveness of HIV counseling and testing of hospital inpatients by Dr Lurie and colleagues1 might misinterpret the purposes of the CDC recommendations for voluntary counseling and testing of inpatients.2 In addition, we believe that Lurie et al underestimate the cost-effectiveness of the CDC recommendations and overestimate the rate of false-positive HIV test results that would occur with large-scale testing.Although Lurie et al refer to the purpose of CDC recommendations for voluntary counseling and testing of hospital patients, we would like to reiterate that CDC recommendations state that HIV testing programs must not be used as a substitute for universal precautions and other infection control techniques.2 The purpose of the recommendations was not to decrease transmission to health care workers; rather, their purposes were to assist in the differential diagnosis of medical conditions, to

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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