Drummond M, Davies L
Health Policy. 1988 Aug;10(1):1-19. doi: 10.1016/0168-8510(88)90083-8.
It is now clear that AIDS is not only a disease of great social concern, but also has major resource implications. A number of analyses of the costs of caring for AIDS sufferers have already been published, relating mainly to the U.S.A. These present a confusing picture to the policy maker as the estimates vary greatly. In addition, treatment patterns are changing rapidly, with consequent impact on costs. Therefore this paper reviews the evidence on the costs of treating AIDS, comparing European data with those from the U.S.A. It also investigates the reasons for variations in cost estimates, the likely impact of changing treatment patterns and the relative 'value for money' from treatment of AIDS, compared with other health care interventions.
现在很清楚,艾滋病不仅是一个备受社会关注的疾病,而且还涉及重大的资源问题。已经发表了一些关于照顾艾滋病患者成本的分析,主要涉及美国。这些分析给政策制定者呈现出一幅令人困惑的画面,因为估计数字差异很大。此外,治疗模式正在迅速变化,从而对成本产生影响。因此,本文回顾了有关治疗艾滋病成本的证据,将欧洲的数据与美国的数据进行比较。它还调查了成本估计差异的原因、治疗模式变化可能产生的影响,以及与其他医疗保健干预措施相比,艾滋病治疗的相对“性价比”。