title: The consequences of disclosure: one hospital's response to the presence of an HIV-positive physician.
abstract: Health care administrators are having to confront the many and complex problems associated with patient fears about the transmissibility of the HIV virus. Particularly acute are concerns that are raised when the physicians are HIV-positive or have AIDS. This article presents a case history of how one hospital handled the problems created by the announcement by one of its emergency room physicians that he was HIV-positive. The hospital's response--which included disclosure to the community, the full cooperation of the physician, provision of free counseling, and HIV testing--and the aftermath of this AIDS-related event are described. This case is discussed in relationship to the ongoing debate about the ethics and consequences of disclosure of the HIV status of health care workers.
authors.affiliation: Department of Sociology/Anthropology, SUNY College at Fredonia, NY 14063, USA.
authors.forename: B J
authors.initials: BJ
authors.lastname: Stephens
authors.forename: P G
authors.initials: PG
authors.lastname: Sinden
authors.forename: R H
authors.initials: RH
authors.lastname: Ketcham
authors.forename: N
authors.initials: N
authors.lastname: Rzepkowski
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D003376:Counseling; D030881:Disclosure; D018563:Disease Notification; D004636:Emergency Service, Hospital / Q000458:organization & administration; D035082:Federal Government; D033161:Government Regulation; D017408:Guidelines as Topic; D015658:HIV Infections / Q000523:psychology* / Q000635:transmission; D015285:Hospital-Patient Relations; D015277:Hotlines; D006801:Humans; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control; D033181:Information Dissemination; D009518:New York; D010815:Physician Impairment; D011641:Public Relations; D014342:Truth Disclosure; D014481:United States; D016635:Universal Precautions; D035141:Voluntary Programs; D000078329:Workforce