Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Hennepin County Public Health, Minneapolis, MN, USA.
AIDS Care. 2023 Aug;35(8):1083-1090. doi: 10.1080/09540121.2023.2179593. Epub 2023 Feb 20.
Experiencing housing instability, food insecurity, and financial stress can negatively impact retention in care and treatment adherence for people living with HIV. Expanding services that support socioeconomic needs could help improve HIV outcomes. Our objective was to investigate barriers, opportunities, and costs of expanding socioeconomic support programs. Semi-structured interviews were conducted with organizations serving U.S. Ryan White HIV/AIDS Program clients. Costs were estimated from interviews, organization documents, and city-specific wages. Organizations reported complex patient, organization, program, and system challenges as well as several opportunities for expansion. The average one-year per-person cost for engaging new clients was $196 for transportation, $612 for financial aid, $650 for food aid, and $2498 for short-term housing (2020 USD). Understanding potential expansion costs is important for funders and local stakeholders. This study provides a sense of magnitude for costs to scale-up programs to better meet socioeconomic needs of low-income patients living with HIV.
住房不稳定、食物无保障和经济压力会对艾滋病毒感染者的护理保留率和治疗依从性产生负面影响。扩大满足社会经济需求的服务可以帮助改善艾滋病毒的治疗效果。我们的目的是调查扩大社会经济支持计划的障碍、机会和成本。我们对为美国 Ryan White HIV/AIDS 计划客户提供服务的组织进行了半结构化访谈。成本是根据访谈、组织文件和特定城市的工资估算的。组织报告了复杂的患者、组织、计划和系统挑战，以及一些扩展机会。每吸纳一名新客户的一年人均成本为交通费用 196 美元、经济援助 612 美元、食品援助 650 美元和短期住房费用 2498 美元（2020 年美元）。了解潜在的扩展成本对于资助者和当地利益相关者非常重要。本研究提供了扩大项目规模以更好地满足低收入艾滋病毒感染者的社会经济需求的成本的大致概念。
