INPATIENT CARE FOR SYMPTOMATIC, HIV-INFECTED PERSONS - A LONGITUDINAL-STUDY OF HOSPITALIZATIONS, INPATIENT DRUG-USE, AND RELATED COSTS

MGW DIJKGRAAF*, AHP LUIJBEN, JC JAGER, AJP SCHRIJVERS, JCC BORLEFFS

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Scopus)

Abstract

Patterns in the costs of hospital in-patient care and in-patient drug treatment of 121 symptomatic, HIV-infected patients ave described for a university hospital between 1987 and 1991. Trend analyses have been performed on quarterly and yearly data using parametric and non-parametric statistical techniques. During the 5-year study period the demand for hospital beds almost quadrupled despite a constant number of admissions per person-year and a 40% decrease in the average length of stay. The demand for beds was highest in the autumn and winter months. The impact of female and/or heterosexual subgroups on the yearly utilization of resources increased and reasons for hospitalization became more diverse; there were fewer hospitalizations for Pneumocystis carinii pneumonia infection. Antimicrobial drug treatment accounted for the increased drug treatment costs. The implications for AIDS-treating specialists, hospital managers, and scenario analysts are discussed.

Original languageEnglish
Pages (from-to)321-336
Number of pages16
JournalAids care : Psychological and socio-Medical aspects of aids/hiv
Volume7
Issue number3
DOIs
Publication statusPublished - 1995
Externally publishedYes

Keywords

  • ACQUIRED-IMMUNODEFICIENCY-SYNDROME
  • UNITED-STATES
  • AIDS
  • FLUCONAZOLE
  • EPIDEMIC
  • DURATION
  • SURVIVAL
  • IMPACT

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