Faculty Bibliography

In spite of the direct referral system and family-centered model of primary oral health care linking medical and dental care providers, most HIV-positive patients at the Columbia Presbyterian Medical Center received only emergency and episodic dental care between 1993 and 1998. To improve access to dental care for HIV/AIDS patients, a mobile program, called WE CARE, was developed and colocated in community-based organizations serving HIV-infected people. WE CARE provided preventive, early intervention, and comprehensive oral health services to minorities, low-income women and children, homeless youths, gays and lesbians, transgender individuals, and victims of past abuse. More efforts to colocate dental services with HIV/AIDS care at community-based organizations are urgently needed

Currently, research institutions are not mandated to provide free medical care or compensation to research participants for research-induced injuries. Research studies offering financial compensation or the possibility of treatment often attract more of the working poor who are less likely to have health insurance. Thus uninsured or underinsured participants face a heavier burden and greater risk than those with insurance. Based on a theoretical examination of the Belmont principles of beneficence and justice, the authors' IRB analysis, and an analysis of the changing health care and research arenas, the authors provide reasons to amend the Federal Code of Regulations