Organizational issues in the implementation of a hospital-based syringe exchange program.
Little published information exists to guide health care institutions in establishing syringe exchange program (SEP) services. To address this gap, this article discusses organizational issues encountered in the implementation of a hospital-based SEP in San Francisco, California (USA). Investigators collaborated with a community organization in implementing a county hospital-based SEP. SEP services integrated into a public hospital presented unique challenges directly related to their status as a health care institution. In the course of introducing SEP services into a hospital setting as part of a clinical trial, various ethical, legal, and logistical issues were raised. Based on these experiences, this paper provides guidance on how to integrate an SEP into a traditional health care institution.
Masson
Carmen L
CL
Department of Psychiatry, San Francisco General Hospital Center, University of California, San Francisco, California 94110, USA. Carmen.masson@ucsf.edu
Sorensen
James L
JL
Grossman
Nina
N
Sporer
Karl A
KA
Des Jarlais
Don C
DC
Perlman
David C
DC
D019058:Community Networks / Q000266:history; D015658:HIV Infections; D049673:History, 20th Century; D049674:History, 21st Century; D006779:Hospitals, Public; D006801:Humans; D018671:Needle-Exchange Programs / Q000941:ethics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D016730:Program Development / Q000379:methods; D012495:San Francisco; D015819:Substance Abuse, Intravenous
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