Document Detail

Restricting access of human immunodeficiency virus (HIV)-seropositive patients to infertility services: a legal analysis of the rights of reproductive endocrinologists and of HIV-seropositive patients.
MedLine Citation:
PMID:  18078847     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To discuss the legal rights of reproductive endocrinologists and HIV-seropositive patients seeking infertility services. DESIGN: Westlaw and LexisNexis commercial legal search engines were used to perform a legal review of statutes and cases pertaining to HIV-seropositive patients seeking health care services. CONCLUSION(S): Human immunodeficiency virus antidiscrimination laws apply to healthcare providers whether they practice in private clinics or a university setting. Patients infected with HIV cannot be denied access to health services solely on the basis of their HIV status. If proof exists that HIV-seropositive patients will medically benefit by a referral to another provider with more expertise, it is legally permissible to refer these patients to another provider who has more expertise in providing infertility services to HIV-seropositive patients. However, the burden will be on the reproductive endocrinologist to demonstrate that he or she lacks the capability to care for HIV-seropositive patients and that the referral was for the medical benefit of the patient and of the patient's potential offspring.
John Y Phelps
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Fertility and sterility     Volume:  88     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-14     Completed Date:  2008-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1483-90     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Texas Medical Branch, Galveston, Texas 77555-0587, USA.
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MeSH Terms
Endocrinology / legislation & jurisprudence*
HIV Seropositivity* / complications,  psychology
HIV-1 / immunology*
Health Planning Guidelines
Health Services Accessibility / legislation & jurisprudence*
Infertility, Female / complications,  immunology,  therapy*
Models, Theoretical
Patient Rights*
Refusal to Treat / legislation & jurisprudence*
Reproductive Rights
Reproductive Techniques, Assisted / legislation & jurisprudence*,  psychology
Societies, Medical
United States
Wrongful Life

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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