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
收藏
页码：901 / 915
页数：15
相关论文
共 39 条
[31]   Medical service use and financial charges among opioid users at a public hospital [J].
Masson, CL ;
Sorensen, JL ;
Batki, SL ;
Okin, R ;
Delucchi, KL ;
Perlman, DC .
DRUG AND ALCOHOL DEPENDENCE, 2002, 66 (01) :45-50
[32]   Innovation in HIV prevention: Organizational and intervention characteristics affecting program adoption [J].
Miller, RL .
AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY, 2001, 29 (04) :621-647
[33]   Age-specific seroprevalence of HIV, hepatitis B virus, and hepatitis C virus infection among injection drug users admitted to drug treatment in 6 US cities [J].
Murrill, CS ;
Weeks, H ;
Castrucci, BC ;
Weinstock, HS ;
Bell, BP ;
Spruill, C ;
Gwinn, M .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2002, 92 (03) :385-387
[34]   Over a decade of syringe exchange: results from 1997 UK survey [J].
Parsons, J ;
Hickman, M ;
Turnbull, PJ ;
McSweeney, T ;
Stimson, GV ;
Judd, A ;
Roberts, K .
ADDICTION, 2002, 97 (07) :845-850
[35]   Impact of monetary incentives on adherence to referral for screening chest X-rays after syringe exchange-based tuberculin skin testing [J].
Perlman, DC ;
Friedmann, P ;
Horn, L ;
Nugent, A ;
Schoeb, V ;
Carey, J ;
Salomon, N ;
Jarlais, DCD .
JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 2003, 80 (03) :428-437
[36]   Geographic proximity, policy and utilization of syringe exchange programmes [J].
Rockwell, R ;
Des Jarlais, DC ;
Friedman, SR ;
Perlis, TE ;
Paone, D .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 1999, 11 (04) :437-442
[37]   Placing the dynamics of syringe exchange programs in the United States [J].
Tempalski, Barbara .
HEALTH & PLACE, 2007, 13 (02) :417-431
[38]   The recruitment of normal healthy volunteers: A review of the literature on the use of financial incentives [J].
Tishler, CL ;
Bartholomae, S .
JOURNAL OF CLINICAL PHARMACOLOGY, 2002, 42 (04) :365-375
[39]   Do needle syringe programs reduce HIV infection among injecting drug users: A comprehensive review of the international evidence [J].
Wodak, Alex ;
Cooney, Annie .
SUBSTANCE USE & MISUSE, 2006, 41 (6-7) :777-813
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