Table 2 Themes of no separate signed consent
Benefits | Risks or Harms |
|---|---|
Theme: Leads to better utilization of HIV testing Theme: Positively affects the HIV testing process Sub-theme: Streamlines Sub-theme: Overcomes barriers Theme: Positively affects the perception of HIV and HIV testing Theme: Leads to increased testing, which has positive downstream effects | Theme: When specific signed consent is eliminated there is a loss of a safeguard to HIV testing Sub-theme: Inadequate transfer of information Sub-theme: Lack of truly informed consent Sub-subtheme: May bring harm to specific populations Sub-subtheme: May lead to negative downstream consequences Sub-theme: Passivity in the consent process Sub-theme: Loss of legal protection for providers Theme: No specific signed consent harms the trust patients have in their providers and the medicals system Theme: No specific signed consent de-emphasizes individual healthcare needs |
How does no separate signed consent fulfill responsibilities to patients? Theme: General consent for medical care might be considered an equivalent consent mechanism to separate signed consent Theme: Reduces barriers to HIV testing Theme: Leads to increased testing, which has positive downstream effects Theme: "Mainstreams" HIV testing Theme: Improves the HIV testing experience for patients | How does no separate signed consent violate responsibilities to patients? Theme: Does not provide for adequate delivery of information Theme: Does not acknowledge that HIV testing is different than testing for other diseases Theme: Negatively affects patient trust |
How does no separate signed consent respect patients' rights? Theme: Incorporates a process into good, standard clinical care Theme: Leads to increased testing, which has positive downstream effects Theme: Reduces stigma | How does no separate signed consent violate patients' rights? Theme: Eliminates safeguards in obtaining proper informed consent Sub-theme: Does not allow for adequate assessment of patient comprehension Sub-theme: Might lead to improper procedures, which could have negative consequences Theme: Compromises individual patient needs Theme: Does not respect patient autonomy Theme: May lead to paternalistic and poor clinician actions Theme: May inadvertently reduce patients' access to care |