New Centers for Disease Control and Prevention's guidelines on HIV counseling and testing for the general population and pregnant women.

New Centers for Disease Control and Prevention's guidelines on HIV counseling and testing for the general population and pregnant women.
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新的疾病控制和预防中心针对普通人群和孕妇的艾滋病毒咨询和检测指南。

DOI:
10.1097/00126334-200302010-00010
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发表时间:
2003
期刊:
Journal of acquired immune deficiency syndromes (1999)
影响因子:
--
通讯作者:
Chen,JamesL
Chen,JamesL
中科院分区:
--
文献类型:
--
作者:
Phillips,KathrynA;Bayer,Ronald;Chen,JamesL

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:我们回顾了美国疾病控制和预防中心制定的两项新的艾滋病毒咨询和检测指南。该指南针对的是普通人群和孕妇,反映了咨询和检测的目标和方法的重大转变,具有广泛的影响。该指南的显着特征是更加强调增加了解其艾滋病毒状况的人数,同时保持对广泛的检测前咨询和同意程序的历史关注。我们通过评估五个因素来讨论政策和实践影响:1)指南会被采纳吗? 2) 是否会确定高危人群和感染者进行咨询和检测? 3) 医疗保健提供者是否会提供咨询和检测,患者是否会接受咨询和检测、获得检测结果、寻求治疗并改变危险行为? 4)指南是否相对具有成本效益? 5) 该指南是否符合道德标准?
: We review two new HIV counseling and testing guidelines by the US Centers for Disease Control and Prevention. The guidelines, which address the general population and pregnant women, reflect an important shift in the goals and methods of counseling and testing that has widespread implications. The guidelines' defining characteristic is the greater emphasis on increasing the numbers of people knowing their HIV status while maintaining the historical focus on extensive pretest counseling and consent procedures. We discuss the policy and practice implications by evaluating five factors: 1) Will the guidelines be adopted? 2) Will at-risk and infected individuals be identified for counseling and testing? 3) Will health care providers offer counseling and testing and patients accept counseling and testing, obtain their test results, seek treatment, and change risky behaviors? 4) Will the guidelines be relatively costeffective? 5) Will the guidelines be compatible with ethical standards?
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