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Testing public health ethics: why the CDC's HIV screening recommendations may violate the least infringement principle.

TitleTesting public health ethics: why the CDC's HIV screening recommendations may violate the least infringement principle.
Publication TypeJournal Article
Year of Publication2011
AuthorsPierce, Matthew W., Suzanne Maman, Allison K. Groves, Elizabeth J. King, and Sarah C. Wyckoff
JournalThe Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics
Volume39
Issue2
Pagination263-71
Date Published2011 Summer
ISSN1748-720X
KeywordsAIDS Serodiagnosis, Centers for Disease Control and Prevention (U.S.), Counseling, Female, Humans, Informed Consent, Patient Acceptance of Health Care, Patient Rights, Personal Autonomy, Pregnancy, United States
AbstractThe CDC's HIV screening recommendations for health care settings advocate abandoning two important autonomy protections: (1) pretest counseling and (2) the requirement that providers obtain affirmative agreement from patients prior to testing. The recommendations may violate the least infringement principle because there is insufficient evidence to conclude that abandoning pretest counseling or affirmative agreement requirements will further the CDC's stated public health goals.
DOI10.1097/QAI.0b013e3181fbc94f
Alternate JournalJ Law Med Ethics

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