We examined the influence of demographic, social and economic background of people with HIV/AIDS in London on total community and hospital services costs.
This was a retrospective study of community and hospital service use, needs and costs based on structured questionnaires administered by trained interviewers and costing information obtained from the service purchasers and providers, based on two Genito-urinary Medicine clinics in London : the Jefferiss Wing at St.
Mary's Hospital and Patric Clements at the Central Middlesex Hospital, London, England.
The subjects were 225 HIV infected patients (105 asymptomatic, 59 symptomatic non-AIDS and 61 AIDS).
We found that over and above well established determinants of health care costs for HIV infected people such as disease stage and transmission category, social and economic factors such as employment and support of a living-in partner significantly reduced community services costs.
Private health insurance had a similar effect, though only a small proportion of HIV people had such cover.
The cost of community services for HIV infected non-European Union nationals, mainly of African origin, was one quarter that for the European Union nationals.
Community services costs were highest for heterosexually infected women and lowest for heterosexually infected men after adjusting for other factors.
Hospital services costs were significantly higher for HIV infected people lacking educational qualifications and employment. (...)
Mots-clés Pascal : Economie santé, SIDA, Virose, Infection, Equité, Analyse coût, Facteur sociodémographique, Homme, Ethnie, Service santé, Angleterre, Grande Bretagne, Royaume Uni, Europe, Accessibilité, Soin, Santé communautaire, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Health economy, AIDS, Viral disease, Infection, Equity, Cost analysis, Sociodemographic factor, Human, Ethnic group, Health service, England, Great Britain, United Kingdom, Europe, Accessibility, Care, Community health, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0299339
Code Inist : 002B30A04B. Création : 16/11/1999.