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  1. Pediatric human immunodeficiency virus infection : recent evidence on the utilization and costs of health services.

    Article - En anglais

    Objective 

    To measure the utilization and costs of pediatric human immunodeficiency virus (HIV) - related health care services.

    Design 

    Cohort survey.

    Setting 

    Eight outpatient departments serving large numbers of HIV-infected children in five standard metropolitan areas with high prevalence of HIV-infected children.

    Patients 

    One hundred forty-one HIV-seropositive children older than 15 months of age or children whose clinical conditions meet the definition of acquired immunodeficiency syndrome (AIDS) at any age who visited the selected providers during the second quarter of 1991.

    Interventions 

    None.

    Main Outcome Measures 

    Quarterly interview survey (via adult proxies) of health care services utilization during each preceding 3-month period, repeated six times between March 1991 and August 1992.

    Charge data were abstracted from inpatient, outpatient, home health care, and pharmacy bills.

    Results 

    Children with AIDS averaged 1.4 hospitalizations, 16 inpatient days, two emergency department visits, 18 ambulatory care visits, 15 professional home health care visits, and one dental visit per year, generating an estimated $37 928 in annual charges.

    The HIV-infected children used fewer services, with annual charges of $9382.

    Conclusions 

    We found lower utilization than reported in prior research on pediatric HIV and similar unit costs after inflation adjustment.

    Mots-clés Pascal : SIDA, Virose, Infection, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Utilisation, Service santé, Analyse coût, Economie santé, Evaluation, Nourrisson, Nouveau né, Immunopathologie, Immunodéficit

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Child, Human, United States, North America, America, Use, Health service, Cost analysis, Health economy, Evaluation, Infant, Newborn, Immunopathology, Immune deficiency

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0319252

    Code Inist : 002B06D01. Création : 01/03/1996.