Álvarez Cabo Daniel, Alemany Antonio, Martínez Sesmero José Manuel, Moreno Guillén Santiago
Dirección General, Fundación de la Clínica Universitaria, Universidad Rey Juan Carlos, Alcorcón, Madrid, España.
Gerencia, Hospital Clínico San Carlos, Madrid, España.
Enferm Infecc Microbiol Clin (Engl Ed). 2018 Sep;36 Suppl 1:19-25. doi: 10.1016/S0213-005X(18)30242-8.
This chapter reviews the current model of HIV patient care and its economic impact. There are clinical and geographical differences in the care HIV patients receive and a need to develop new models of comprehen-sive HIV care has been identified. HIV infection in Spain is an important and expensive public health problem. The main costs are due to an-tiretroviral therapy, indirect costs and the cost of admission, consultation and diagnostic testing. A strong correlation between severity and cost has been identified. Patients diagnosed late have a poorer clinical course, increased mortality and require more medical and therapeutic resources. Early detection of the disease significantly improves the clinical outcomes of patients. The increased number of patients receiving treatment and their progressive ageing will increase costs of HIV healthcare in the coming years.
本章回顾了当前的艾滋病毒患者护理模式及其经济影响。艾滋病毒患者接受的护理存在临床和地理差异，并且已经确定需要开发新的全面艾滋病毒护理模式。在西班牙，艾滋病毒感染是一个重要且昂贵的公共卫生问题。主要成本归因于抗逆转录病毒疗法、间接成本以及住院、咨询和诊断检测的费用。已确定严重程度与成本之间存在密切关联。诊断较晚的患者临床病程较差，死亡率增加，并且需要更多的医疗和治疗资源。疾病的早期检测可显著改善患者的临床结局。未来几年，接受治疗的患者数量增加及其逐渐老龄化将增加艾滋病毒医疗保健的成本。
