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治疗艾滋病:经济问题。

Treating AIDS: the economic issues.

作者信息

Drummond M, Davies L

出版信息

Health Policy. 1988 Aug;10(1):1-19. doi: 10.1016/0168-8510(88)90083-8.

DOI:10.1016/0168-8510(88)90083-8
PMID:10312592
Abstract

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.

摘要

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”。

相似文献

1
Treating AIDS: the economic issues.治疗艾滋病:经济问题。
Health Policy. 1988 Aug;10(1):1-19. doi: 10.1016/0168-8510(88)90083-8.
2
AIDS: what does economics have to offer?艾滋病:经济学能提供什么?
Health Policy Plan. 1992 Dec;7(4):315-28. doi: 10.1093/heapol/7.4.315.
3
The $147,000 misunderstanding: repercussions of overestimating the cost of AIDS.
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Economic impact of the AIDS epidemic in the European Community: towards multinational scenarios on hospital care and costs.欧洲共同体艾滋病流行的经济影响:关于医院护理和费用的跨国情景分析
AIDS. 1993 Apr;7(4):541-53. doi: 10.1097/00002030-199304000-00014.
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Preliminary cost-effectiveness analysis of an AIDS vaccine in Abidjan, Ivory Coast.科特迪瓦阿比让一种艾滋病疫苗的初步成本效益分析。
Health Policy. 1993 May;24(2):145-53. doi: 10.1016/0168-8510(93)90031-j.
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State AIDS Drug Assistance Programs: equity and efficiency in an era of rapidly changing treatment standards.州艾滋病药物援助计划:在治疗标准迅速变化的时代中的公平与效率
Med Care. 2002 May;40(5):429-41. doi: 10.1097/00005650-200205000-00008.
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The provision and financing of medical care for AIDS patients in US public and private teaching hospitals.美国公立和私立教学医院为艾滋病患者提供医疗服务及资金支持的情况。
JAMA. 1987 Sep 11;258(10):1343-6.
8
The acquired immune deficiency syndrome and epidemic of infection with human immunodeficiency virus: costs of care and prevention in an inner London district.获得性免疫缺陷综合征与人类免疫缺陷病毒感染流行:伦敦市中心区的护理与预防成本
Br Med J (Clin Res Ed). 1986 Aug 23;293(6545):489-92. doi: 10.1136/bmj.293.6545.489.
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Some economic implications of AIDS.艾滋病的一些经济影响。
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10
Statistical lives and the principle of maximum benefit.统计生命与最大利益原则。
J Med Ethics. 1979 Dec;5(4):185-95. doi: 10.1136/jme.5.4.185.

引用本文的文献

1
Health economics in HIV disease. A review of the European literature.艾滋病的健康经济学。欧洲文献综述。
Pharmacoeconomics. 1999;15 Suppl 1:1-12. doi: 10.2165/00019053-199915001-00001.
2
The economic costs of caring for people with HIV infection and AIDS in England and Wales.在英格兰和威尔士照顾艾滋病毒感染者及艾滋病患者的经济成本。
Pharmacoeconomics. 1996 Apr;9(4):332-40. doi: 10.2165/00019053-199609040-00006.
3
Cost effectiveness of antiviral treatment with zalcitabine plus zidovudine for AIDS patients with CD4+ counts less than 300/microliters in 5 European countries.
在5个欧洲国家,对CD4 + 细胞计数低于300/微升的艾滋病患者使用扎西他滨加齐多夫定进行抗病毒治疗的成本效益。
Pharmacoeconomics. 1994 Dec;6(6):553-62. doi: 10.2165/00019053-199406060-00008.
4
Universal precautions to prevent HIV transmission to health care workers: an economic analysis.预防医护人员感染艾滋病毒的通用预防措施:一项经济分析。
CMAJ. 1990 May 1;142(9):937-46.