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.</.

引用

页码：901 / 915

页数：15

共 39 条

[21] THE IMPACT OF THE NEEDLE AND SYRINGE-EXCHANGE PROGRAM IN AMSTERDAM ON INJECTING RISK BEHAVIOR [J].

HARTGERS, C ;

BUNING, EC ;

VANSANTEN, GW ;

VERSTER, AD ;

COUTINHO, RA .

AIDS, 1989, 3 (09) :571-576

[22] Injection drug users as social actors: a stigmatized community's participation in the syringe exchange programmes of New York City [J].

Henman, AR ;

Paone, D ;

Des Jarlais, DC ;

Kochems, LM ;

Friedman, SR .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 1998, 10 (04) :397-408

[23] The estimated prevalence and incidence of HIV in 96 large US metropolitan areas [J].

Holmberg, SD .

AMERICAN JOURNAL OF PUBLIC HEALTH, 1996, 86 (05) :642-654

[24] Development of an enhanced needle and syringe programme: the First Step programme pilot [J].

Hudoba, M ;

Grenyer, BFS ;

O'Toole, M .

DRUG AND ALCOHOL REVIEW, 2004, 23 (03) :295-297

[25]

Joseph H, 2000, MT SINAI J MED, V67, P347

[26] High rates of primary care and emergency department use among injection drug users in Vancouver [J].

Kerr, T ;

Wood, E ;

Grafstein, E ;

Ishida, T ;

Shannon, K ;

Lai, C ;

Montaner, J ;

Tyndall, MW .

JOURNAL OF PUBLIC HEALTH, 2005, 27 (01) :62-66

[27]

Khoshnood K, 2000, AIDS PUBLIC POLICY J, V15, P88

[28] Injection risk behaviors among clients of syringe exchange programs with different syringe dispensation policies [J].

Kral, AH ;

Anderson, R ;

Flynn, NM ;

Bluthenthal, RN .

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2004, 37 (02) :1307-1312

[29] The economic costs of heroin addiction in the United States [J].

Mark, TL ;

Woody, GE ;

Juday, T ;

Kleber, HD .

DRUG AND ALCOHOL DEPENDENCE, 2001, 61 (02) :195-206

[30] Trends in crime and the introduction of a needle exchange program [J].

Marx, MA ;

Crape, B ;

Brookmeyer, RS ;

Junge, B ;

Latkin, C ;

Vlahov, D ;

Strathdee, SA .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (12) :1933-1936

← 1 2 3 4 →