Organizational issues in the implementation of a hospital-based syringe exchange program

Carmen L. Masson; James L. Sorensen; Nina Grossman; Karl A. Sporer; Don C. Des Jarlais; David C. Perlman

doi:10.3109/10826080903080631

Organizational issues in the implementation of a hospital-based syringe exchange program

Carmen L. Masson, James L. Sorensen, Nina Grossman, Karl A. Sporer, Don C. Des Jarlais, David C. Perlman

Global Public Health

Research output: Contribution to journal › Article › peer-review

Abstract

Little published information exists to guide health care institutions in establishing syringe exchange program (SEP) services. To address this gap, this article discusses organizational issues encountered in the implementation of a hospital-based SEP in San Francisco, California (USA). Investigators collaborated with a community organization in implementing a county hospital-based SEP. SEP services integrated into a public hospital presented unique challenges directly related to their status as a health care institution. In the course of introducing SEP services into a hospital setting as part of a clinical trial, various ethical, legal, and logistical issues were raised. Based on these experiences, this paper provides guidance on how to integrate an SEP into a traditional health care institution.

Original language	English (US)
Pages (from-to)	901-915
Number of pages	15
Journal	Substance Use and Misuse
Volume	45
Issue number	6
DOIs	https://doi.org/10.3109/10826080903080631
State	Published - Mar 2010

Keywords

HIV
Hospital
Injection drug use
Organizational
Syringe exchange

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
Medicine (miscellaneous)

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10.3109/10826080903080631

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title = "Organizational issues in the implementation of a hospital-based syringe exchange program",

abstract = "Little published information exists to guide health care institutions in establishing syringe exchange program (SEP) services. To address this gap, this article discusses organizational issues encountered in the implementation of a hospital-based SEP in San Francisco, California (USA). Investigators collaborated with a community organization in implementing a county hospital-based SEP. SEP services integrated into a public hospital presented unique challenges directly related to their status as a health care institution. In the course of introducing SEP services into a hospital setting as part of a clinical trial, various ethical, legal, and logistical issues were raised. Based on these experiences, this paper provides guidance on how to integrate an SEP into a traditional health care institution.",

keywords = "HIV, Hospital, Injection drug use, Organizational, Syringe exchange",

author = "Masson, {Carmen L.} and Sorensen, {James L.} and Nina Grossman and Sporer, {Karl A.} and {Des Jarlais}, {Don C.} and Perlman, {David C.}",

note = "Funding Information: Acknowledgments: We extend our thanks to the staff at the San Francisco AIDS Foundation HIV Prevention Project, and the Division of Substance Abuse and Addiction Medicine and Volunteer Center at San Francisco General Hospital for their participation in this project. This work was supported by grants from the National Institute on Drug Abuse (K01DA000408, P50DA09253, and P30DA011041).",

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AU - Sorensen, James L.

AU - Grossman, Nina

AU - Sporer, Karl A.

AU - Des Jarlais, Don C.

AU - Perlman, David C.

N1 - Funding Information: Acknowledgments: We extend our thanks to the staff at the San Francisco AIDS Foundation HIV Prevention Project, and the Division of Substance Abuse and Addiction Medicine and Volunteer Center at San Francisco General Hospital for their participation in this project. This work was supported by grants from the National Institute on Drug Abuse (K01DA000408, P50DA09253, and P30DA011041).

PY - 2010/3

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N2 - Little published information exists to guide health care institutions in establishing syringe exchange program (SEP) services. To address this gap, this article discusses organizational issues encountered in the implementation of a hospital-based SEP in San Francisco, California (USA). Investigators collaborated with a community organization in implementing a county hospital-based SEP. SEP services integrated into a public hospital presented unique challenges directly related to their status as a health care institution. In the course of introducing SEP services into a hospital setting as part of a clinical trial, various ethical, legal, and logistical issues were raised. Based on these experiences, this paper provides guidance on how to integrate an SEP into a traditional health care institution.

AB - Little published information exists to guide health care institutions in establishing syringe exchange program (SEP) services. To address this gap, this article discusses organizational issues encountered in the implementation of a hospital-based SEP in San Francisco, California (USA). Investigators collaborated with a community organization in implementing a county hospital-based SEP. SEP services integrated into a public hospital presented unique challenges directly related to their status as a health care institution. In the course of introducing SEP services into a hospital setting as part of a clinical trial, various ethical, legal, and logistical issues were raised. Based on these experiences, this paper provides guidance on how to integrate an SEP into a traditional health care institution.

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KW - Hospital

KW - Injection drug use

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Organizational issues in the implementation of a hospital-based syringe exchange program

Abstract

Keywords

ASJC Scopus subject areas

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