Pinkerton S D, Holtgrave D R
Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, USA.
J Public Health Manag Pract. 1998 Jan;4(1):59-66. doi: 10.1097/00124784-199801000-00011.
This article offers a preliminary examination of the intersection of managed care, HIV prevention, and economic considerations. After introducing a basic framework for evaluating the cost-effectiveness of HIV prevention interventions, it reviews the cost-effectiveness literature. The article also examines how the concerns of managed care organizations impact the cost-effectiveness of HIV prevention efforts, including counseling and HIV antibody testing, small group cognitive-behavioral interventions, and community-level interventions. The article closes with a discussion of non-financial incentives for promoting HIV prevention within a managed care framework.
本文对管理式医疗、艾滋病病毒预防与经济考量之间的交叉领域进行了初步探讨。在介绍了评估艾滋病病毒预防干预措施成本效益的基本框架后，回顾了成本效益相关文献。本文还研究了管理式医疗组织的关注点如何影响艾滋病病毒预防工作的成本效益，包括咨询与艾滋病病毒抗体检测、小组认知行为干预以及社区层面的干预。文章最后讨论了在管理式医疗框架内促进艾滋病病毒预防的非财务激励措施。
