Hospital admissions of HIV-infected patients from 1988 to 1992 in Maryland

Article Abstract:

The length of stay and the costs associated with hospitalization for HIV-infected patients appear to have decreased between 1988 and 1992 in Maryland. Data on hospital charges, length of stay and costs of care were obtained from the Maryland Health Services Cost Review Commission for all HIV-associated hospitalizations in 1988, 1990 and 1992. The prevalence of HIV-associated hospital discharges in Maryland increased from 0.42% of all hospital admissions in 1988 to 1.1% in 1992. Slightly more than 50% of all HIV-associated hospital discharges in 1988 were paid for by public assistance compared with 66.6% in 1992. The average length of hospital stays dropped from 11.7 days in 1988 to 9.5 days in 1992. This represents a 19% decrease overall. In comparison, there was only an 8% decrease during this same time for all hospital discharges in Maryland. The costs associated with hospital stays for HIV-positive patients also dropped: from an average of $11,634 in 1988 to $8,618 in 1992. This represents a 26% decline. In comparison, the costs associated with all Maryland hospital discharges only decreased by 7% during this same time.

AIDS patients, Hospitals, Hospital admission and discharge

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Effects of an incentive and education program on return rates for PPD test reading in patients with HIV infection

Article Abstract:

A food voucher supplemented by encouragement on the part of clinic staff can increase the number of HIV-infected patients who return to have their tuberculin test read. The tuberculin test involves inoculating a person with purified protein derivative (PPD) and asking them to return between 48 and 72 hours to have the injection site examined. Researchers used two interventions to increase the likelihood that HIV-positive people would return to have their PPD read: an inexpensive food voucher that could be redeemed at a fast food restaurant and a voucher plus a brief message from the nurse about the importance of returning. A total of 229 people got the voucher alone, 158 got the voucher plus the message and 272 got neither. Sixty-one percent of those who received both the voucher and message returned, compared to 48% of those who got the voucher alone and 35% of those who got neither. Men and those who lived in the same city as the clinic were more likely to return.

Analysis, Tuberculin test

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Cost-utility analysis of prophylactic treatment with oral ganciclovir for cytomegalovirus retinitis

Article Abstract:

Ganciclovir for the prevention of cytomegalovirus retinitis in HIV patients is expensive, and only moderately effective. A cost-benefit analysis for the prevention of the opportunistic eye infection is presented.

United States, Statistical Data Included, Evaluation, Prevention, Complications and side effects, HIV infection, HIV infections, Cytomegalovirus infections, Ganciclovir, Opportunistic infections

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