Costs of hospital care for HIV-positive and HIV-negative patients at Kenyatta National Hospital, Nairobi, Kenya

AIDS
Lorna GuinnessC F Gilks

Abstract

To record the costs of hospital care for HIV-positive and -negative patients in Nairobi, and identify costs paid by patients per admission. Cost data were collected on inpatients enrolled in a linked clinical study using standardized costing methods. Kenyatta National Hospital, Nairobi's main district hospital. Consecutive adult medical admissions to one ward over 14 weeks who consented to enrollment; tertiary referrals were excluded. Average length of stay and cost per patient admission. The hospital costs of 398 patients (163 HIV positive; 33 with clinical AIDS) were analysed. The mean length of stay was 9.3 days and the mean cost per patient admission was US$163. There was no significant difference in costs or mean lengths of stay between HIV-positive and -negative groups, nor were the costs and lengths of stay for clinical AIDS patients significantly different to those for HIV-positive patients without AIDS. The patient charges paid to the hospital per admission, recorded for 344 patients, were on average US$61; and did not differ by HIV status. The similar cost patterns for inpatient care irrespective of HIV status or clinical AIDS probably reflects the limited provision of care beyond basic clinical services. Length of st...Continue Reading

References

Feb 1, 1997·Tropical Medicine & International Health : TM & IH·A Buvé
Jul 17, 1998·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·C F GilksD A Warrell
Jan 1, 2001·Health Policy and Planning·K HansenG Mwaluko
Jun 22, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·G ArthurC F Gilks

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Citations

Jan 17, 2008·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Paul Marschall, Steffen Flessa
Mar 20, 2003·Health Policy·Charles O Oyaya, Susan B Rifkin
Dec 17, 2009·BMC Infectious Diseases·Teresa K Smith de CherifGary Maartens
Mar 22, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Nina Veenstra, Alan Whiteside
Sep 6, 2007·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Leena S ThomasNeil A Martinson
Feb 20, 2016·Cost Effectiveness and Resource Allocation : C/E·Effua UsufChutima Suraratdecha
Dec 22, 2015·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Jason KesslerScott Braithwaite
Aug 30, 2008·Tropical Medicine & International Health : TM & IH·Wilm QuentinAndreas Kalk
Jan 1, 2011·The International Journal of Health Planning and Management·Inke Mathauer
Jul 4, 2006·Health & Place·Alan G Ferguson, Chester N Morris
Jul 29, 2016·BMC Health Services Research·Fiammetta Maria BozzaniJolene Skordis-Worrall
Mar 1, 2012·African Journal of AIDS Research : AJAR·Ann Neville MillerGeorge Musambira
Oct 11, 2005·Transactions of the Royal Society of Tropical Medicine and Hygiene·M TaegtmeyerS Theobald
Nov 8, 2018·American Journal of Public Health·Julia L MarcusKenneth H Mayer
Oct 23, 2003·AIDS·Tsutomu KitajimaRuengsin Thuennadee

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