Administrative Ethics Paper
HIV status disclosure is part of huge debates because of its potential for HIV prevention and its link to privacy and confidentiality. In order to play a role in prevention it’s important for a person to disclose and disclosure is a way to open up to the HIV epidemic. A lot of research has been done and there are many current articles available to read. I have chosen three articles about the research done and its affects on HIV/AIDS patients who are reluctant to disclose they have HIV/AIDS.
HIV/AIDS Patients Reluctant To Tell Partners
Reluctance for HIV patients to tell their partners about positive test results is becoming a more common ethical problem. New ...view middle of the document...
The tests are given in clinics that are set up in the field or privately in a brown bag type service.
I think that fear of the unknown is why so many are reluctant to speak up about getting tested for HIV/AID or disclosing a positive test result. Those who are HIV positive would promote testing and referral of partners and family members they could be prepared to counsel and support. By becoming more supportive and reducing stigma in health care facilities there would be an encouragement of disclosure by those who are HIV positive. There is always strength in numbers and the more people who are willing to get tested the less likely the spread of infection. A partnership provides support and that alone means your not alone in decisions and a patient will have support.
Facts to Support Proposed Solution
During a field study conducted by the New York City Department of Health and Mental Hygiene there were several studies and interventions. During the intervention period there were clinics that were set up in various places and partners chose a field test clinic 84% of the time. According to (Renaud, T. C., Wong, M. R., Bocour, A., Udeagu, C. N., Pickett, L., Alt, E. N., & ... Begier, E. M. (2011) all 12 partners who field tested negative received their results and those who did not receive results refused them or couldn’t be located but overall seroprevalence of tested partners decreased slightly from 12% (11 new diagnoses per 95 clinic tests only) to 9% (25 new diagnoses per 268 field and clinic tests; P = .82) after the introduction of field testing. The number of newly diagnosed persons more than doubled as a result of increased testing.
Ethical and Legal Issues
Obermeyer, C., Baijal, P., & Pegurri, E. (2011) says,”Discrimination against HIV-positive individuals was reported to occur when health workers treated them indifferently, use excessive precautions, or withhold appropriate care.” Also making sure protocol is always being followed is very important. The Department of Health and Mental Hygiene in the State of New York in which most of the test and studies were conducted requires all HIV-positive test results be reported, negative tests are to be documented if the staff performed the test or a medical provider confirmed test results and partners showed the test results must sign a release, the same New York State release of medical information permitting access to medical records(Renaud, T. C., Wong, M. R., Bocour, A., Udeagu, C. N., Pickett, L., Alt, E. N., & ... Begier, E. M. (2011).
Many issues arise ethically when a patient is reluctant to tell their partner about their positive test...