PMID: 8607724Feb 26, 1996Paper

Cost-effectiveness of HIV screening in acute care settings

Archives of Internal Medicine
Douglas K OwensR A Harris

Abstract

Although screening inpatients for human immunodeficiency virus (HIV) in acute care hospital settings has been recommended, the cost-effectiveness of screening is not known. To estimate the cost-effectiveness of a voluntary screening program in acute care hospitals and associated clinics. During the first year, an HIV screening program implemented in acute care hospital settings in which the seroprevalence of HIV infection is 1% or more would result in the identification of approximately 110,000 undetected cases of HIV infection. The program would result in expenditures of approximately $171 million for testing and counseling, and expenditures of approximately $2 billion for incremental medical care for the patients identified as having HIV infection during the first year of screening. When the seroprevalence of HIV is 1%, the cost-effectiveness of screening is $47,200 per year of life saved. When the effect of early identification of HIV infection on the patient's quality of life also is considered, screening is less cost-effective. Screening-induced reductions in risk behavior improve the cost-effectiveness of screening by preventing the transmission of HIV.

Citations

Aug 1, 1997·Genitourinary Medicine·L SherrM Johnson
Feb 8, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Rochelle P WalenskyA David Paltiel
Jun 19, 2008·Annals of Internal Medicine·Gillian D SandersDouglas K Owens
Dec 24, 2008·International Journal of STD & AIDS·S P ToleD K Owens
Jun 5, 1998·Annual Review of Public Health·J D GrahamM C Weinstein
Mar 5, 2005·The American Journal of Medicine·Rochelle P WalenskyA David Paltiel
May 7, 1999·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A RichterD K Owens
Oct 9, 2002·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Douglas K Owens
Oct 31, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·D K Owens, R F Nease
Jul 1, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·D K OwensR F Nease
Dec 7, 2007·Medical Decision Making : an International Journal of the Society for Medical Decision Making·John HornbergerEric Verhulst
Aug 8, 2001·Journal of Evaluation in Clinical Practice·G D SandersD K Owens
Oct 18, 2006·Journal of Lower Genital Tract Disease·J J FolkJ J Bander
Jan 18, 2006·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Shyoko HonidenDouglas K Owens
Jan 27, 2007·Current Infectious Disease Reports·Lindsey L Wolf, Rochelle P Walensky
Jan 27, 2005·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Stephen ReschA David Paltiel

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