Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Sex Transm Dis. 2009 Oct;36(10):637-41. doi: 10.1097/OLQ.0b013e3181a96d3d.
Health departments offer partner counseling and referral services (PCRS) to HIV-infected index patients and their partners. Point-of-care rapid HIV testing makes it possible for partners of index patients to learn their HIV serostatus in nonclinical settings.
We assessed costs and effectiveness of PCRS with rapid HIV testing in Colorado and Louisiana (April 2004-January 2006). Colorado provided PCRS to the index patients and partners statewide; Louisiana provided PCRS to those in Baton Rouge and New Orleans. The key effectiveness measures were number of partners tested and number of partners informed of a new HIV diagnosis after rapid testing. We obtained program costs for personnel, travel, utilities, supplies, equipment, and facility space.
Colorado identified a yearly average of 328 index patients and 253 partners and tested 43 partners. Louisiana identified a yearly average of 81 index patients and 138 partners and tested 83 partners. The rates of previously undiagnosed HIV infection among partners tested were 6.6% in Colorado and 9.9% in Louisiana. The average costs per partner tested and per partner informed of a new HIV diagnosis were $1459 and $22,243 in Colorado and $714 and $7231 in Louisiana.
Program costs varied substantially by location. Our analysis helps program managers and health care providers to understand the resources needed for implementing the PCRS in diverse settings.
卫生部门向感染艾滋病毒的患者及其伴侣提供伴侣咨询和转介服务（PCRS）。即时检测使得患者的伴侣有可能在非临床环境中了解自己的艾滋病毒血清状况。
我们评估了科罗拉多州和路易斯安那州（2004 年 4 月至 2006 年 1 月）快速艾滋病毒检测下的 PCRS 的成本和效果。科罗拉多州为全州的患者和伴侣提供 PCRS；路易斯安那州仅在巴吞鲁日和新奥尔良提供 PCRS。关键的有效性指标是接受检测的伴侣数量和接受快速检测后得知新的艾滋病毒诊断的伴侣数量。我们获得了人员、差旅、水电费、用品、设备和设施空间等项目成本。
科罗拉多州每年平均确定 328 名患者和 253 名伴侣，并检测了 43 名伴侣。路易斯安那州每年平均确定 81 名患者和 138 名伴侣，并检测了 83 名伴侣。接受检测的伴侣中先前未被诊断出的艾滋病毒感染率分别为科罗拉多州的 6.6%和路易斯安那州的 9.9%。科罗拉多州每检测一名伴侣和每告知一名伴侣新的艾滋病毒诊断的平均成本分别为 1459 美元和 22243 美元，路易斯安那州分别为 714 美元和 7231 美元。
项目成本因地点而异。我们的分析有助于项目管理者和医疗保健提供者了解在不同环境下实施 PCRS 所需的资源。
