Herlitz C, Brorsson B
Dalarna Research Council, Falun, Sweden.
Scand J Soc Med. 1989;17(1):39-48. doi: 10.1177/140349488901700108.
This study calculates the cost of medical care during the different stages of HIV infection, from the asymptomatic period to a confirmed AIDS diagnosis. Also, we have estimated the total cost of taking specimens and performing tests related to HIV infection, and the cost of information, research, etc. Medical costs were based on estimates of the average cost per day and the total number of days at the various stages of HIV infection. The cost estimates for testing include costs related to taking specimens, analysing samples, managing test results, etc. The cost outlook until 1990 is discussed using different assumptions concerning incidence, survival and the level of preventive efforts. The total estimated costs for medical care, HIV tests, information, etc. doubled between 1986 and 1987. During 1987, costs totaled 313 million Swedish kronor (SEK). The costs for specimens and tests totaled SEK 124 million, medical costs for HIV positives who had not developed AIDS totaled SEK 31 million, and medical costs for AIDS patients totaled SEK 26 million. The costs discussed in this study will probably increase by at least 50% by 1990.
本研究计算了从无症状期到确诊为艾滋病期间HIV感染不同阶段的医疗费用。此外，我们还估算了采集与HIV感染相关标本及进行检测的总费用，以及信息、研究等方面的费用。医疗费用基于HIV感染各阶段每日平均费用及总天数的估算。检测费用估算包括与采集标本、分析样本、管理检测结果等相关的费用。利用关于发病率、生存率和预防工作水平的不同假设，讨论了到1990年的费用前景。1986年至1987年间，医疗护理、HIV检测、信息等方面的总估算费用翻了一番。1987年，费用总计3.13亿瑞典克朗（SEK）。标本和检测费用总计1.24亿瑞典克朗，未发展为艾滋病的HIV阳性者的医疗费用总计3100万瑞典克朗，艾滋病患者的医疗费用总计2600万瑞典克朗。本研究中讨论的费用到1990年可能至少会增加50%。
