Jacobs P, Calder P, Taylor M, Houston S, Saunders L D, Albert T
Department of Public Health Sciences, University of Alberta, Edmonton.
Can J Public Health. 1999 May-Jun;90(3):168-71. doi: 10.1007/BF03404500.
To conduct a cost-effectiveness analysis of the Edmonton Streetworks needle exchange program, in terms of the additional cost per HIV infection averted. The main outcome measures were needle use with and without Streetworks, HIV cases averted, and program costs.
We conducted interviews and HIV saliva tests on a sample of street-involved intravenous drug users (IDU) who are regular Streetworks' clients. Outcomes were used in a cost-effectiveness model.
It is projected that the program has a cost-effectiveness of $9,500 (Canadian) per HIV infection delayed for one year.
The discounted cost per case averted is less than the cost of a case of AIDS. Continuing the program is a dominant strategy.
就每避免一例艾滋病毒感染所产生的额外成本，对埃德蒙顿街头工程针头交换项目进行成本效益分析。主要结果指标为有或无街头工程情况下的针头使用情况、避免的艾滋病毒病例数以及项目成本。
我们对作为街头工程常客的参与街头活动的静脉注射吸毒者样本进行了访谈和艾滋病毒唾液检测。结果被用于成本效益模型。
预计该项目每将一例艾滋病毒感染的发生推迟一年，成本效益为9500加元（加拿大）。
每避免一例病例的贴现成本低于一例艾滋病病例的成本。继续实施该项目是一项占优策略。
