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ARTICLE |

The HIV Testing Policies of US Hospitals FREE

Keith Henry, MD; Scott Campbell, RN, MSPH
[+] Author Affiliations

Edited by Drummond Rennie, MD, Deputy Editor (West), and Don Riesenberg, MD, Senior Editor.


JAMA. 1991;265(13):1685-1685. doi:10.1001/jama.1991.03460130077013
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To the Editor.—  The recent article by Lewis and Montgomery1 on human immunodeficiency virus (HIV) testing policies of US hospitals was a valuable contribution to information on that topic. Since policy decisions about hospital-based HIV testing will likely be influenced by their study, we raise several questions. First, who exactly is the chief hospital administrator (eg, the president, chief executive officer, chief of staff)? Second, does that person actually know what the hospital's HIV testing policy is? In our studies of knowledge and attitudes related to the acquired immunodeficiency syndrome (AIDS), hospital administrative staff were found to have higher levels of knowledge and positive attitudes than nurses but lower levels than physicians.2,3 We believe that a survey of hospital-based infection-control practitioners would provide a more accurate assessment of a hospital's HIV testing policies.In addition, there is a significant gap between policy recommendations and actual practices that has

REFERENCES

Lewis CE, Montgomery K.  The HIV-testing policies of US hospitals . JAMA . 1990;;264:2764-2767.
Campbell S, Willenbring K, Henry K.  AIDS-related knowledge, attitudes and behavior of nurses and hospital administrators: a comparative analysis . Presented at the Fifth International Conference on AIDS; June 4-9, 1989 ; Montreal, Quebec.
Campbell S, Maki M, Henry K.  AIDS-related knowledge, attitudes and behavior of nurses and physicians: a comparative analysis . Presented at the Fifth International Conference on AIDS; June 4-9,1989 ; Montreal, Quebec.
Henry K, Maki M, Crossley K.  Analysis of the use of HIV antibody testing in a Minnesota hospital . JAMA . 1988;; 259:229-232.
Henry K, Willenbring K, Crossley K.  Human immunodeficiency virus antibody testing: a description of practices and policies at US infectious disease—teaching hospitals and Minnesota hospitals . JAMA . 1988;;259:1819-1822.
Manian FA, Rinke D.  HIV antibody testing in hospitalized patients . South Med J . 1990;;83:23-29.
Campbell S, Thurn JR, Maki M, Willenbring K, Henry K.  Impact of experience with AIDS on HIV testing patterns: an analysis of Minnesota and US hospitals . Presented at the Fifth International Conference on AIDS; June 4-9, 1989 ; Montreal, Quebec.
Henry K, Maki M, Willenbring K, Campbell S.  The impact of experience with AIDS on human immunodeficiency virus (HIV) testing and counseling practices: a study of infectious disease teaching hospitals and Minnesota hospitals . AIDS Educ Prev . In press.

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Lewis CE, Montgomery K.  The HIV-testing policies of US hospitals . JAMA . 1990;;264:2764-2767.
Campbell S, Willenbring K, Henry K.  AIDS-related knowledge, attitudes and behavior of nurses and hospital administrators: a comparative analysis . Presented at the Fifth International Conference on AIDS; June 4-9, 1989 ; Montreal, Quebec.
Campbell S, Maki M, Henry K.  AIDS-related knowledge, attitudes and behavior of nurses and physicians: a comparative analysis . Presented at the Fifth International Conference on AIDS; June 4-9,1989 ; Montreal, Quebec.
Henry K, Maki M, Crossley K.  Analysis of the use of HIV antibody testing in a Minnesota hospital . JAMA . 1988;; 259:229-232.
Henry K, Willenbring K, Crossley K.  Human immunodeficiency virus antibody testing: a description of practices and policies at US infectious disease—teaching hospitals and Minnesota hospitals . JAMA . 1988;;259:1819-1822.
Manian FA, Rinke D.  HIV antibody testing in hospitalized patients . South Med J . 1990;;83:23-29.
Campbell S, Thurn JR, Maki M, Willenbring K, Henry K.  Impact of experience with AIDS on HIV testing patterns: an analysis of Minnesota and US hospitals . Presented at the Fifth International Conference on AIDS; June 4-9, 1989 ; Montreal, Quebec.
Henry K, Maki M, Willenbring K, Campbell S.  The impact of experience with AIDS on human immunodeficiency virus (HIV) testing and counseling practices: a study of infectious disease teaching hospitals and Minnesota hospitals . AIDS Educ Prev . In press.
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