在美国推进关于同意和 HIV 分子监测的对话：联邦顾问小组呼吁进行重大改革后提出的四项建议。

IF 4.8 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Milbank Quarterly Pub Date : 2023-12-01 Epub Date: 2023-06-28 DOI:10.1111/1468-0009.12663

Stephen Molldrem, Anthony K J Smith, Alexander McCLELLAND

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引用次数: 0

摘要

政策要点分子艾滋病毒监测和集群检测与响应（MHS/CDR）计划自 2018 年以来一直是美国的核心公共卫生活动，也是 2019 年发起的 "终结艾滋病毒流行 "倡议的 "第四大支柱"。MHS/CDR 引起了争议，包括艾滋病毒感染者网络呼吁暂停实施。2022 年 10 月，艾滋病毒/艾滋病问题总统顾问委员会 (PACHA) 通过了一项决议，呼吁进行重大改革。我们分析了政策环境，并向联邦利益相关者提出了与 PACHA 建议有关的四项提案，这些建议涉及在 MHS/CDR 计划中纳入选择退出和通俗易懂的通知。

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Advancing Dialogue About Consent and Molecular HIV Surveillance in the United States: Four Proposals Following a Federal Advisory Panel's Call for Major Reforms.

Policy Points Molecular HIV surveillance and cluster detection and response (MHS/CDR) programs have been a core public health activity in the United States since 2018 and are the "fourth pillar" of the Ending the HIV Epidemic initiative launched in 2019. MHS/CDR has caused controversy, including calls for a moratorium from networks of people living with HIV. In October 2022, the Presidential Advisory Council on HIV/AIDS (PACHA) adopted a resolution calling for major reforms. We analyze the policy landscape and present four proposals to federal stakeholders pertaining to PACHA's recommendations about incorporating opt-outs and plain-language notifications into MHS/CDR programs.

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来源期刊

Milbank Quarterly 医学-卫生保健

CiteScore

9.60

自引率

3.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.