The usage and costs and health services for HIV infection in Australia.
To describe patterns of health-service usage and the resulting costs in 1992-1993 for Australian men.
A prospective survey, stratified by phase of illness.
Hospital and community-based care.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0416085
Code Inist : 002B06D01. Création : 01/03/1996.