Expenditures for the care of HIV-infected patients in the era of highly active antiretroviral therapy

Article Abstract:

The cost of treating HIV infection has decreased since the use of highly active antiretroviral therapy (HAART). Between 1996 and 1998, the annual cost per patient dropped from $20,300 to $18, 300. Although the drugs are expensive, a reduction in hospital costs produced a net savings.

Analysis, Anti-HIV agents

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The care of HIV-infected adults in the United States

Article Abstract:

The treatment of HIV infection is not excessively expensive but many patients are poor and cannot afford health insurance. Based on a survey of 3,072 HIV patients, an estimated 231,400 HIV patients received care in the US in the first two months of 1996. Half were gay men and 46% had incomes less than $10,000 per year. Almost 70% had no insurance or were on Medicaid or Medicare. For the estimated 335,000 HIV patients who received care at least every six months, the total annual cost was $6.7 billion. This is less than 1% of the $700 billion that was spent on medical care in 1996.

Statistics

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Variations in the Care of HIV-Infected Adults in the United States: Results From the HIV Cost and Services Utilization Study

Article Abstract:

Many HIV patients are not receiving adequate care. Researchers surveyed 2,864 HIV patients to determine how often an emergency room visit led to hospitalization and whether the patient received antiretroviral therapy. About one-fourth had an emergency room visit that did not lead to hospitalization. Half of the patients with CD4 cell counts below 500 were not taking antiretroviral therapy. One-third with CD4 cell counts below 200 did not receive drugs to prevent Pneumocystis carinii pneumonia. Blacks, Latinos, women, the uninsured, and Medicaid-insured all received sub-optimal patterns of care.

Care and treatment, Medical care, HIV patients, Medical care utilization

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