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首页> 外文期刊>Journal of health care for the poor and underserved >HIV testing and treatment with correctional populations: people, not prisoners.
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HIV testing and treatment with correctional populations: people, not prisoners.

机译：教养人群的艾滋病毒检测和治疗：人，而不是囚犯。

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摘要

Institutional policies, practices, and norms can impede the delivery of ethical standard-of-care treatment for people with HIV in correctional settings. In this commentary, we focus on the fundamental issues that must be addressed to create an ethical environment in which best medical practices can be implemented when working with correctional populations. Thus, we consider ethical issues related to access to services, patient privacy, confidentiality, informed consent for testing and treatment, and issues related to the provision of services in an institutional setting in which maintenance of security is the primary mission. Medical providers must understand and navigate the dehumanization inherent in most correctional settings, competing life demands for incarcerated individuals, power dynamics within the correctional system, and the needs of family and significant others who remain in the community.
机译：机构的政策，做法和规范可能会阻碍在惩教机构中为艾滋病病毒感染者提供符合道德标准的护理标准。在此评论中，我们重点关注创建道德环境所必须解决的基本问题，在这种环境中，与教养人群一起工作时可以实施最佳医疗实践。因此，我们考虑与获取服务，患者隐私，机密性，测试和治疗的知情同意有关的道德问题，以及在以维护安全为首要任务的机构环境中与提供服务有关的问题。医疗服务提供者必须了解并驾驭大多数教养环境中固有的非人道化，对被监禁人员的生活需求的竞争，教养系统内的动力变化，以及留在社区中的家庭和重要他人的需求。

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