Direct and Indirect Cost Savings From Sexually Transmitted Infection Testing, Treatment, and Counseling Among Foster Youth.
Direct and Indirect Cost Savings From Sexually Transmitted Infection Testing, Treatment, and Counseling Among Foster Youth.
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DOI：
10.1097/olq.0000000000001511
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发表时间：
2022-01-01
影响因子：
3.1
通讯作者：
Plax K
中科院分区：
文献类型：
--
作者：
Kennedy AK;Kaushik G;Dubinsky EL;Huseynli A;Jonson-Reid M;Plax K
性传播感染（STI）预防计划可以减少STI的经济负担。寄养青年的性传播感染率高于同龄人;然而，缺乏关于寄养青年通过性传播感染检测、治疗和咨询避免的直接成本和间接成本的信息。这项研究利用了2017年7月至2020年6月为期三年的研究期间，一家综合性青年寄养医疗中心的数据。衣原体、淋病和梅毒的检测和治疗以及艾滋病毒检测和咨询所避免的直接和间接成本是根据疾病控制和预防中心（CDC）开发的公式计算的，并根据通货膨胀进行了调整。在此期间接受医疗服务的316名青年中，有206人性活跃，并接受了性传播感染和/或艾滋病毒检测。在121例STI阳性者中，衣原体阳性78例（64.5%），淋病阳性37例（30.6%），梅毒阳性6例（5.0%）。向所有人提供了治疗。总体而言，避免了60 049.68美元的直接医疗费用和73 956.36美元的间接费用。鉴于这一人群中性传播感染的发病率以及性传播感染治疗的经济效益，必须继续为寄养青年提供密集、全面、个性化的性保健。传统的护理管理可能会错过预防、识别和治疗综合性综合护理所能实现的性传播感染的机会。这项研究表明，全面的环绕式护理是一种具有成本效益的方式来识别，治疗和预防性传播感染的寄养青年。一项对密苏里州圣路易斯市206名性活跃寄养青年的研究计算出，在一家综合诊所进行性传播感染检测和治疗可节省134 006.04美元的直接和间接费用。
Sexually transmitted infection (STI) prevention programs can decrease the economic burden of STIs. Foster youth have higher rates of STIs compared to their peers; however, information on direct costs and indirect costs averted by STI testing, treatment, and counseling among foster youth is lacking. This study utilized data from a comprehensive medical center for foster youth over a three-year study period from July 2017 to June 2020. Direct and indirect costs averted by testing and treatment of chlamydia, gonorrhea, and syphilis, as well as HIV testing and counseling, were calculated based on formulas developed by the Centers for Disease Control and Prevention (CDC) and adjusted for inflation. Among the 316 youth who received medical services during this time, 206 were sexually active and tested for STIs and/or HIV. Among 121 positive STI tests, 64.5% (n = 78) were positive for chlamydia, 30.6% (n = 37) were positive for gonorrhea, and 5.0% (n = 6) were positive for syphilis. Treatment was provided to all. Overall, $60,049.68 in direct medical costs and $73,956.36 in indirect costs were averted. Given the rates of STIs among this population as well as the economic benefit of STI treatment, it is imperative to continue to provide intensive and comprehensive, individualized sexual healthcare for foster youth. Traditional care management may miss the opportunity to prevent, identify, and treat STIs that comprehensive wraparound care can achieve. This study suggests that comprehensive wraparound care is a cost-effective way to identify, treat, and prevent STIs among foster youth. A study of 206 sexually active foster youth in St. Louis, MO calculated $134,006.04 in direct and indirect cost savings from STI testing and treatment at a comprehensive medical clinic.