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Projecting the Impact of Aids on Hospitals

1987; Project HOPE; Volume: 6; Issue: 3 Linguagem: Inglês

10.1377/hlthaff.6.3.19

2694-233X

Hilary Green, Mendel E. Singer, Neil Wintfeld, Kevin A. Schulman, Leigh J. Passman,

HIV Research and Treatment

Research Article Health AffairsVol. 6, No. 3 Projecting the Impact of Aids on HospitalsJesse Green, Madeleine Singer, Neil Wintfeld, Kevin Schulman, and Leigh PassmanPUBLISHED:Fall 1987No Accesshttps://doi.org/10.1377/hlthaff.6.3.19AboutSectionsView articleView Full TextView PDFPermissions ShareShare onFacebookTwitterLinked InRedditEmail ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions View articleAbstractPrologue: In the context of the acquired immunodeficiency syndrome (AIDS) epidemic, a recent Washington Post editorial stated that “no hospital wants to shrink from the sick, but every hospital wants to protect its staff” Faced with these twin objectives, hospitals—the front line of the battle against AIDS—must meet moral and philosophical questions head on. In “balancing the rights and needs of the sick against [those] of the society at large,” the Post editorial continued, hospitals must resist the “panicky and demagogical responses” that the AIDS epidemic has provoked. And they must do so in a climate in which cost estimates and prevalence projections are constantly revised upward. In this article, Jesse Green and his colleagues at the New York University (NYU) Medical Center assess hospitals reactions to the AIDS crisis. They look at practical ways hospitals have responded to the disease's impact on staffing and financing patterns. Green, who is currently director of health services research at the NYU Medical Center, holds a doctorate in philosophy from the University of Rochester in New York. He served as a consultant to the Institute of Medicine's task force that prepared its landmark report, Confronting AIDS. Madeleine Singer, with a master of public health degree from the Yale University School of Medicine, is a research analyst at the NYU Medical Center. Neil Wintfeld holds a doctorate in policy analysis-quantitative methods from the University of Rochester and is a senior research analyst at the NYU Medical Center. Kevin Schulman, a medical student at NYU and a master of business administration candidate from the Wharton School in Philadelphia, was a research associate at the NYU Medical Center at the time the study was completed. Leigh Passman, a trainee in the NYU Medical Scientists' Training Program at the time of the study, is a resident in internal medicine at the University of California, Los Angeles. TOPICSHIV/AIDSHospital costsNursingDiseasesHospitalsPatient careNursesHospital staysLengths-of-stayHospice Loading Comments... Please enable JavaScript to view the comments powered by Disqus. DetailsExhibitsReferencesRelated Article MetricsCitations: Crossref 12 History Published online 1 January 1987 InformationCopyright © by Project HOPE: The People-to-People Health Foundation, Inc.ACKNOWLEDGMENTSThe authors wish to express their appreciation to Gail Flay, who prepared the manuscript and assisted with the research for this article.PDF downloadCited byConfronting Another Pandemic: Lessons from HIV can Inform Our COVID-19 Response12 May 2020 | AIDS and Behavior, Vol. 24, No. 7Are Rates of Psychiatric Disorders in the Homeless Population Changing?American Journal of Public Health, Vol. 94, No. 1The $147,000 Misunderstanding: Repercussions of Overestimating the Cost of AIDSJournal of Health Politics, Policy and Law, Vol. 19, No. 1The seattle appropriate level of care survey: Health status and health services use in ambulatory persons with AIDS25 September 2007 | AIDS Care, Vol. 5, No. 3Child and adolescent psychiatrists and HIV disease: A surveyJournal of the American Academy of Child & Adolescent Psychiatry, Vol. 30, No. 5The impact of HIV-related illness on employment.American Journal of Public Health, Vol. 81, No. 1Hospital cost for patients with HIV infection in a University Hospital in The NetherlandsHealth Policy, Vol. 16, No. 1Perspectives on a Continuum of Care for Persons with HIV Illnesses19 August 2016 | Medical Care Review, Vol. 46, No. 4The impact of AIDS on the health care system in New JerseyThe Costs of Caring for Intravenous Drug-Related AIDS Cases in New Jersey1 January 1989 | Journal of Drug Issues, Vol. 19, No. 1Treating AIDS: the economic issuesHealth Policy, Vol. 10, No. 1Coping with AIDSNew England Journal of Medicine, Vol. 318, No. 24