Resource utilisation and cost of ambulatory HIV care in a regional HIV centre in Ireland: a micro-costing study.
Resource utilisation and cost of ambulatory HIV care in a regional HIV centre in Ireland: a micro-costing study.
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DOI：
10.1186/s12913-015-0816-1
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发表时间：
2015-04-03
影响因子：
2.8
通讯作者：
Browne JP
中科院分区：
文献类型：
--
作者：
Brennan A;Jackson A;Horgan M;Bergin CJ;Browne JP
由于接受高效抗逆转录病毒治疗（HAART）的艾滋病毒患者的预期寿命延长，预计未来几年对艾滋病毒门诊服务的需求将会增加。需要准确的成本数据，以便就新的服务提供模式、新技术和新药物作出基于证据的政策决定。在爱尔兰南部一个单一区域中心的艾滋病毒门诊进行了一项微观成本研究。个别任用类型的费用是根据工作人员职等和时间估计的。2012年参加门诊护理服务的艾滋病毒患者使用的医院资源被确定并从现有的医院系统中提取。采用单变量和多变量分析，研究了患者特征与每个患者每月花费（2012欧元）之间的关系。2012年，提供艾滋病毒门诊护理的平均费用为每位患者每月973欧元（95%置信区间938 - 1008欧元）。敏感性分析将基本病例的工作人员时间估计变化20%，诊断测试成本估计变化60%，估计平均成本从每位患者每月927欧元到每位患者每月1019欧元不等。绝大多数费用是由于HAART的费用。使用多变量分析发现，女性患者每月HAART费用明显较高，而50岁以上患者每月HAART费用明显较低。这项研究提供了在爱尔兰的一个区域艾滋病毒中心的流动护理的估计费用。这些数据对于地方一级的服务规划很有价值，并且确定与资源使用相关的患者因素，如年龄和性别，对于艾滋病毒护理提供的长期规划在国内和国际上都很有意义。
It is anticipated that demands on ambulatory HIV services will increase in coming years as a consequence of the increased life expectancy of HIV patients on highly active anti-retroviral therapy (HAART). Accurate cost data are needed to enable evidence based policy decisions be made about new models of service delivery, new technologies and new medications. A micro-costing study was carried out in an HIV outpatient clinic in a single regional centre in the south of Ireland. The costs of individual appointment types were estimated based on staff grade and time. Hospital resources used by HIV patients who attended the ambulatory care service in 2012 were identified and extracted from existing hospital systems. Associations between patient characteristics and costs per patient month, in 2012 euros, were examined using univariate and multivariate analyses. The average cost of providing ambulatory HIV care was found to be €973 (95% confidence interval €938 - €1008) per patient month in 2012. Sensitivity analysis, varying the base-case staff time estimates by 20% and diagnostic testing costs by 60%, estimated the average cost to vary from a low of €927 per patient month to a high of €1019 per patient month. The vast majority of costs were due to the cost of HAART. Women were found to have significantly higher HAART costs per patient month while patients over 50 years of age had significantly lower HAART costs using multivariate analysis. This study provides the estimated cost of ambulatory care in a regional HIV centre in Ireland. These data are valuable for planning services at a local level, and the identification of patient factors, such as age and gender, associated with resource use is of interest both nationally and internationally for the long-term planning of HIV care provision.
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影响因子：
4.4
作者：
Mostardt, Sarah;Hanhoff, Nikola;Neumann, Anja
通讯作者：
Neumann, Anja
影响因子：
4.4
作者：
Brennan, Aline;Morley, Deirdre;Horgan, Mary
通讯作者：
Horgan, Mary
DOI：
10.1097/qai.0b013e31825a3668
发表时间：
2012-07-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
High KP;Brennan-Ing M;Clifford DB;Cohen MH;Currier J;Deeks SG;Deren S;Effros RB;Gebo K;Goronzy JJ;Justice AC;Landay A;Levin J;Miotti PG;Munk RJ;Nass H;Rinaldo CR Jr;Shlipak MG;Tracy R;Valcour V;Vance DE;Walston JD;Volberding P;OAR Working Group on HIV and Aging
通讯作者：
OAR Working Group on HIV and Aging
影响因子：
3
作者：
Krentz, H. B.;Gill, M. J.
通讯作者：
Gill, M. J.
影响因子：
3.5
作者：
Gillespie, P.;O'Neill, C.;Dunne, F.
通讯作者：
Dunne, F.