The Surgeon and the HIV-Infected Patient-Reply

The Surgeon and the HIV-Infected Patient-Reply
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外科医生和艾滋病毒感染者的回复

DOI:
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发表时间:
1990
期刊:
影响因子:
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通讯作者:
L. Gostin
L. Gostin
中科院分区:
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文献类型:
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作者:
L. Gostin

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在回答。Shewell博士阐述了医生们的一个可以理解的担忧,即法律要求他们治疗感染艾滋病毒的病人,但如果他们在行医过程中血清转化,几乎没有提供就业保护。《美国残疾人法案》(该法案将禁止私营部门和公共部门对残疾人的歧视)的可能颁布只会加强艾滋病诉讼项目中提出的观点,即医疗保健提供者不得歧视感染艾滋病毒的患者。这意味着医疗服务提供者不得在未经患者同意的情况下对其进行检测,不得任意将受感染的患者转介给其他医疗服务提供者,也不得拒绝对他们进行治疗。这些严格的法律的要求的原因是,根据联邦和州法律,艾滋病毒感染是一种障碍。不能因为残疾而歧视任何人,就像不能因为种族或性别而歧视任何人一样。当然,法律并不
In Reply.— Dr Shewell enunciates an understandable concern among physicians that the law requires them to treat patients infected with HIV but provides little employment protection if they seroconvert in the course of practicing medicine. The probable enactment of the Americans With Disabilities Act (which would ban discrimination against handicapped people in the private as well as the public sector) only reinforces the point made in the AIDS Litigation Project that health care providers may not discriminate against patients infected with HIV. This means that providers may not test patients without their consent, arbitrarily refer infected patients to other providers, or refuse to treat them. The reason for these strict legal requirements is that HIV infection is a handicap under federal and state law. Persons cannot be discriminated against because of their disability, any more than they can because of their race or gender. The law, of course, does not