Concerns of medical and pediatric house officers about acquiring AIDS from their patients.

Link, R. Nathan; Feingold, Anat R.; Charap, Mitchell; Freeman, Katherine; Shelov, Steven P.

doi:10.2105/ajph.78.4.455

Cited by 121 publications

(44 citation statements)

References 8 publications

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“…This result is in agreement with Weiner and Siege1 (1990) and contradictory to colleagues' (1987-1988) study of social work practitioners and with the sample of physicians (Richardson et a]., 1987) and medical and pediatric house officers (Link et al, 1988). There is at least three years time difference in the data collection between the studies.…”

Section: Discussionsupporting

confidence: 85%

Comfort and Willingness of Social Work Students to Provide Services to AIDS Patients

Owens

1993

Journal of Teaching in Social Work

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Section: Discussionsupporting

confidence: 85%

Comfort and Willingness of Social Work Students to Provide Services to AIDS Patients

Owens

1993

Journal of Teaching in Social Work

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“…Dialysis workers may also fear being responsible for the secondary transmission of HIV infection to spouses. Studies among health care workers have confirmed that the fear of occupational HIV infection is substantial, as was evidenced in a study of medical house officiers in New York City by Link et al [6], Forty percent of the house officers reported that concern over the occupa tional transmission of HIV had increased their level of occupational stress at least moderately. Ten percent of these house officers thought they had contracted AIDS at some point in their training, and 24% indicated they would not voluntarily treat AIDS patients.…”

Section: Discussionmentioning

confidence: 82%

Seroprevalence of Antibodies to the Human Immunodeficiency Virus in Dialysis Workers: Results of a Multi-Center Study

Berlyne¹,

Kaczmarek

Hamburger

et al. 1992

Nephron

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The Center for Devices and Radiological Health, in collaboration with the Department of Veterans Affairs Medical Center, Brooklyn, N. Y., conducted a multi-center, multi-institutional study of the seroprevalence of antibodies to the human immunodeficiency virus (HIV) among dialysis workers. Seven dialysis units and 112 dialysis workers participated in the study over a period of 2 years. Participation was limited to dialysis workers who, by questionnaire, denied non-occupational risk factors for HIV infection. The vast majority of the study participants were drawn from areas where the prevalence of HIV infection and AIDS cases are substantially greater than the national average. Study participants received the ELISA test for HIV antibodies. All 112 of the participants tested negative for HIV antibodies. These results are encouraging, as they failed to reveal unrecognized occupational transmission of HIV infection among dialysis workers.

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“…In a 1988 article, Link et al found that 25% of New York house officers surveyed would not continue to care for HIV patients if given the choice, and 48% of medical house officers reported moderate to major concern about contracting HIV. Furthermore, 24% of all house officers felt that refusing to care for AIDS patients was not unethical; 34% felt that house officers should be allowed to decide for themselves whether to treat AIDS patients, and 53% felt medical students should have this choice (Link et al 1988). A national survey of physicians found similar results-68% of respondents felt that they had a responsibility to treat HIV patients, but 50% said they would not treat HIV patients if they had the choice (Gerbert et al 1991).…”

Section: Cultivating a Duty To Treatmentioning

confidence: 96%

“…However, the survey data suggest that the reluctance to treat HIV patients did not stem solely from inflated perceptions of risk. Link et al (1988) found that 80% of house officers surveyed estimated their chances of acquiring HIV to be equal or less than 1/10,000. Thus, it appears that changes in professional culture, as well as increased knowledge, have affected the willingness to treat HIV.…”

Section: Cultivating a Duty To Treatmentioning

confidence: 99%

Preventing Absenteeism and Promoting Resilience Among Health Care Workers In Biological Emergencies

Lesperance¹,

Miller²

2009

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Executive SummarySince the terrorist attacks of September 11, 2001, and the 2003 severe acute respiratory syndrome epidemic, homeland security and emergency response communities have increasingly focused on planning for disaster medical surge capacity-the capacity of the health care system to respond to a large influx of patients after a disaster. The ability to ensure adequate numbers of medical staff represents a crucial part of the medical response to any disaster. However, healthcare worker absenteeism during disasters, especially in the event of an attack of biological terrorism or an epidemic, such as pandemic influenza, is a serious concern.Though a significant rate of absenteeism is often included as a baseline assumption in emergency planning, published reports on strategies to minimize absenteeism are comparatively few. This report documents interviews with managers and emergency response planners at hospitals and public health agencies and reviews existing survey data on healthcare worker absenteeism and studies of disasters to glean lessons about the needs of healthcare workers during those disasters. Based on this research, expected rates of absenteeism and individual determinants of absenteeism are presented along with recommendations of steps that hospitals, emergency medical services organizations, public health organizations, and government agencies can take to meet the needs of healthcare workers and minimize absenteeism during a biological event.v AcknowledgmentsThis work was conducted in support of the Interagency Biological Restoration Demonstration, a collaborative regional program jointly funded by the U.S. Department of Defense-Defense Threat Reduction Agency and the U.S. Department of Homeland Security (DHS) designed to develop policies, methods, plans, and applied technologies to restore large urban areas, DoD installations, and critical infrastructure following the release of a biological event.

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Concerns of medical and pediatric house officers about acquiring AIDS from their patients.

Cited by 121 publications

References 8 publications

Comfort and Willingness of Social Work Students to Provide Services to AIDS Patients

Comfort and Willingness of Social Work Students to Provide Services to AIDS Patients

Seroprevalence of Antibodies to the Human Immunodeficiency Virus in Dialysis Workers: Results of a Multi-Center Study

Preventing Absenteeism and Promoting Resilience Among Health Care Workers In Biological Emergencies

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