Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia.
Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia.
复制标题
赞比亚儿科患者开始 ART 前的资源利用和护理成本。
DOI：
10.1155/2014/235483
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发表时间：
2014
影响因子：
1.7
通讯作者：
Rosen,Sydney
中科院分区：
文献类型：
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作者：
Iyer,HariS;Scott,CallieA;LembelaBwalya,Deophine;Meyer-Rath,Gesine;Moyo,Crispin;BoltonMoore,Carolyn;Larson,BruceA;Rosen,Sydney
Objective.我们估计了赞比亚HIV感染儿童患者开始ART治疗前6个月内的开始时间、门诊资源使用和门诊护理费用。我们在2006年至2011年期间在5个研究中心招募了1，102名15岁以下开始ART的儿童。其中，832例患者在研究中心首次接受治疗后≤6个月开始ART治疗。从患者医疗记录中提取了在ART开始前6个月期间的护理时间和资源利用数据。成本是从供应商的角度估计的，并以2011年美元报告。对于在就诊后≤6个月开始ART的患者，就诊时的中位年龄为3.9岁;中位CD 4百分比为13%。开始抗逆转录病毒治疗的中位时间为26天。患者在开始抗逆转录病毒治疗前平均进行了2.38次门诊访视，并接受了0.81次CD 4检测、0.74次全血细胞计数检测和0.49次血液化学检测。ART前护理的平均成本为每位患者20美元。赞比亚儿科患者在接受治疗后≤6个月开始ART治疗，速度很快，使用的资源少于国家指南规定的资源，且费用较低。
Objective. We estimated time to initiation, outpatient resource use, and costs of outpatient care during the 6 months prior to ART initiation for HIV‐infected pediatric patients in Zambia.Methods. We enrolled 1,102 children who initiated ART at <15 years of age between 2006 and 2011 at 5 study sites. Of these, 832 initiated ART ≤6 months after first presenting to care at the study sites. Data on time in care and resources utilized during the 6 months prior to ART initiation were extracted from patient medical records. Costs were estimated from the provider’s perspective and are reported in 2011 USD.Results. For the patients who initiated ART ≤6 months after presenting to care, median age at presentation to care was 3.9 years; median CD4 percentage was 13%. Median time to ART initiation was 26 days. Patients made, on average, 2.38 clinic visits prior to ART initiation and received 0.81 CD4 tests, 0.74 full blood count tests, and 0.49 blood chemistry tests. The mean cost of pre‐ART care was $20 per patient.Conclusions. Zambian pediatric patients initiating ART ≤6 months after presenting to care do so quickly, utilize fewer resources than mandated by national guidelines, and accrue low costs.