• Login
    View Item 
    •   Home
    • UMass Chan Departments, Programs and Centers
    • Population and Quantitative Health Sciences
    • Population and Quantitative Health Sciences Publications
    • View Item
    •   Home
    • UMass Chan Departments, Programs and Centers
    • Population and Quantitative Health Sciences
    • Population and Quantitative Health Sciences Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Distribution of health care expenditures for HIV-infected patients

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Clinical_infectious_diseases_2 ...
    Size:
    291.3Kb
    Format:
    PDF
    Download
    Authors
    Chen, Ray Y.
    Accortt, Neil A.
    Westfall, Andrew O.
    Mugavero, Michael J.
    Raper, James L
    Cloud, Gretchen A.
    Stone, Beth K.
    Carter, Jerome
    Call, Stephanie
    Pisu, Maria
    Allison, Jeroan J.
    Saag, Michael S.
    Show allShow less
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2006-03-03
    Keywords
    Adolescent
    Adult
    Aged
    CD4 Lymphocyte Count
    Female
    HIV Infections
    *Health Expenditures
    Humans
    Male
    Middle Aged
    Viral Load
    Bioinformatics
    Biostatistics
    Epidemiology
    Health Services Research
    Show allShow less
    
    Metadata
    Show full item record
    Abstract
    BACKGROUND: Health care expenditures for persons infected with human immunodeficiency virus (HIV) in the United State determined on the basis of actual health care use have not been reported in the era of highly active antiretroviral therapy. METHODS: Patients receiving primary care at the University of Alabama at Birmingham HIV clinic were included in the study. All encounters (except emergency room visits) that occurred within the University of Alabama at Birmingham Hospital System from 1 March 2000 to 1 March 2001 were analyzed. Medication expenditures were determined on the basis of 2001 average wholesale price. Hospitalization expenditures were determined on the basis of 2001 Medicare diagnostic related group reimbursement rates. Clinic expenditures were determined on the basis of 2001 Medicare current procedural terminology reimbursement rates. RESULTS: Among the 635 patients, total annual expenditures for patients with CD4+ cell counts <50 cells/microL (36,533 dollars per patient) were 2.6-times greater than total annual expenditures for patients with CD4+ cell counts > or =350 cells/microL (13,885 dollars per patient), primarily because of increased expenditures for nonantiretroviral medication and hospitalization. Expenditures for highly active antiretroviral therapy were relatively constant at approximately 10,500 dollars per patient per year across CD4+ cell count strata. Outpatient expenditures were 1558 dollars per patient per year; however, the clinic and physician component of these expenditures represented only 359 dollars per patient per year, or 2% of annual expenses. Health care expenditures for patients with HIV infection increased substantially for those with more-advanced disease and were driven predominantly by medication costs (which accounted for 71%-84% of annual expenses). CONCLUSIONS: Physician reimbursements, even with 100% billing and collections, are inadequate to support the activities of most clinics providing HIV care. These findings have important implications for the continued support of HIV treatment programs in the United States.
    Source
    Clin Infect Dis. 2006 Apr 1;42(7):1003-10. Epub 2006 Feb 22. Link to article on publisher's site
    DOI
    10.1086/500453
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47672
    PubMed ID
    16511767
    Related Resources
    Link to Article in PubMed
    Rights
    © 2006 by the Infectious Diseases Society of America.
    ae974a485f413a2113503eed53cd6c53
    10.1086/500453
    Scopus Count
    Collections
    Population and Quantitative Health Sciences Publications

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.