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Table 3 Themes of uncoupling prevention counseling from HIV testing

From: Perspectives on the ethical concerns and justifications of the 2006 Centers for Disease Control and Prevention HIV testing recommendations

Benefits

Risks or Harms

Theme: Positively affects perception of HIV and HIV testing

Theme: Expands access to HIV testing

Theme: Utilizes resources more efficiently

Theme: Positively affects the HIV testing process

Sub-theme: Streamlines

Sub-theme: Overcomes barriers

Theme: Deregulates HIV testing process

Sub-theme: Benefits patients

Sub-theme: Benefits providers

Theme: Leads to increased testing, which has positive downstream effects

Theme: Loss of educational opportunity

Theme: Negative effects on risk-taking behaviors

Theme: Discourages good clinical practice

Theme: Fails to address patient needs

Theme: Deleteriously affects other elements in the HIV testing process

How does uncoupled prevention counseling fulfill responsibilities to patients?

Theme: Expands access to HIV testing

Theme: Deregulates HIV testing

Theme: Leads to increased testing, which has positive downstream effects

How does uncoupled prevention counseling violate responsibilities to patients?

Theme: Leads to a loss of an educational opportunity

Theme: Does not acknowledge that HIV testing is different than testing for other diseases

Theme: May have negative effects on risk-taking behavior

How does uncoupled prevention counseling

respect patients' rights?

Theme: Protects patients' right to privacy

Theme: Respects patient autonomy

Theme: Respects individual patient needs

Theme: Leads to increased testing, which has positive downstream effects

Theme: Deregulates HIV testing

How does uncoupled prevention counseling

violate patients' rights?

Theme: Limits access to medical care