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  1. The usage and costs and health services for HIV infection in Australia.

    Article - En anglais

    Objective 

    To describe patterns of health-service usage and the resulting costs in 1992-1993 for Australian men.

    Design 

    A prospective survey, stratified by phase of illness.

    Setting 

    Hospital and community-based care.

    Patients 

    A total of 128 homosexual men : 20 in phase 1 (CD4+count =500x106/l), 31 in phase 2 (CD4+count<500 and =200x106/l), 30 in phase 3 (CD4+count<200x106/l), and 47 in phase 4 (AIDS).

    Main outcome measures 

    Mean monthly service usage rates and costs.

    Results 

    Health-service utilization increased and became more hospital-based as illness worsened ; the main exception was use of antiretroviral drugs, which peaked in phases 2 and 3. Hospital admission was rare before diagnosis of AIDS.

    Hospital bed-days per patient per month averaged 3.3 for AIDS patients until the final 3 months of life increasing to 15.8 in the 3 months before death.

    Mean monthly costs (in 1992-1993 Australian dollars) were $331 [95% confidence interval (Cl), 218-455] in phase 1, $677 (95% Cl, 540-836) in phase 2, $1372 (95% Cl, 1044-1776) in phase 3, and $4615 (95% Cl, 3456-5985) for AIDS patients until the last 3 months of life and $13 308 (95% CI, 10 538-16 516) in the 3 months before death.

    Conclusions 

    Health-care utilization and resulting costs increased with severity of illness, and were particularly high for AIDS patients in the 3 months before death.

    Service-utilization patterns and components of costs varied between each phase.

    Mots-clés Pascal : SIDA, Virose, Infection, Soin, Santé, Coût, Homme, Australie, Océanie, Immunopathologie, Immunodéficit, Economie santé

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Care, Health, Costs, Human, Australia, Oceania, Immunopathology, Immune deficiency, Health economy

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

    Cote : 95-0416085

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