Lopez-Bastida Julio, Oliva-Moreno Juan, Perestelo-Perez Lilisbeth, Serrano-Aguilar Pedro
Evaluation and Planning Unit, Canary Island Health Service, Spain.
BMC Health Serv Res. 2009 Mar 30;9:55. doi: 10.1186/1472-6963-9-55.
The objective was to determine the economic burden, as well as the impact on HRQOL for people with HIV/AIDS in Spain in 2003.
A cross-sectional study of 572 people with HIV were recruited from outpatient clinics in the Canary Islands, Spain. Demographic, health resources utilization, indirect costs and quality of life data were collected through medical records and questionnaires filled out by people with HIV. HRQOL was measured with two generic questionnaires: SF-36 and EQ-5D.
In 2003 annual costs of caring for patients with asymptomatic HIV, symptomatic HIV and AIDS were euro10,351, euro14,489 and euro15,750, respectively. The HRQOL with the EQ-5D was 0.78. SF-36 summary results for physical and mental health were 48.30 and 38.80, respectively.
HIV/AIDS represent a high economic impact from society point of view. the structure of health care costs have changed due to these new drugs, increasing the weight of pharmaceutical treatment over total costs and decreasing the importance of inpatient care costs. In spite of the therapeutic improvements, labour losses/indirect costs still represent a high cost. Costs and HRQOL were strongly associated with severity. Although the latest drug developments have not yet been able to find the definitive cure, they have allowed an improvement in expectancy of life and in the HRQOL of the patients.
目的是确定2003年西班牙艾滋病毒/艾滋病患者的经济负担以及对其健康相关生活质量的影响。
从西班牙加那利群岛的门诊诊所招募了572名艾滋病毒感染者进行横断面研究。通过病历以及艾滋病毒感染者填写的问卷收集人口统计学、卫生资源利用、间接成本和生活质量数据。使用两种通用问卷测量健康相关生活质量：SF-36和EQ-5D。
2003年，无症状艾滋病毒感染者、有症状艾滋病毒感染者和艾滋病患者的年度护理成本分别为10351欧元、14489欧元和15750欧元。EQ-5D得出的健康相关生活质量为0.78。SF-36身体和心理健康的汇总结果分别为48.30和38.80。
从社会角度来看，艾滋病毒/艾滋病造成了很高的经济影响。由于这些新药，医疗保健成本结构发生了变化，药物治疗在总成本中的比重增加，住院护理成本的重要性降低。尽管治疗有所改善，但劳动力损失/间接成本仍然很高。成本和健康相关生活质量与疾病严重程度密切相关。尽管最新的药物研发尚未找到根治方法，但它们提高了患者的预期寿命和健康相关生活质量。
