Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia
Objective. We estimated time to initiation, outpatient resource use, and costs of outpatient care during the 6 months prior to ART initiation for HIV-infected pediatric patients in Zambia. Methods. We enrolled 1,102 children who initiated ART at <15 years of age between 2006 and 2011 at 5 study...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2014/235483 |
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| author | Hari S. Iyer Callie A. Scott Deophine Lembela Bwalya Gesine Meyer-Rath Crispin Moyo Carolyn Bolton Moore Bruce A. Larson Sydney Rosen |
| author_facet | Hari S. Iyer Callie A. Scott Deophine Lembela Bwalya Gesine Meyer-Rath Crispin Moyo Carolyn Bolton Moore Bruce A. Larson Sydney Rosen |
| author_sort | Hari S. Iyer |
| collection | DOAJ |
| description | Objective. We estimated time to initiation, outpatient resource use, and costs of outpatient care during the 6 months prior to ART initiation for HIV-infected pediatric patients in Zambia.
Methods. We enrolled 1,102 children who initiated ART at <15 years of age between 2006 and 2011 at 5 study sites. Of these, 832 initiated ART ≤6 months after first presenting to care at the study sites. Data on time in care and resources utilized during the 6 months prior to ART initiation were extracted from patient medical records. Costs were estimated from the provider’s perspective and are reported in 2011 USD. Results. For the patients who initiated ART ≤6 months after presenting to care, median age at presentation to care was 3.9 years; median CD4 percentage was 13%. Median time to ART initiation was 26 days. Patients made, on average, 2.38 clinic visits prior to ART initiation and received 0.81 CD4 tests, 0.74 full blood count tests, and 0.49 blood chemistry tests. The mean cost of pre-ART care was $20 per patient. Conclusions. Zambian pediatric patients initiating ART ≤6 months after presenting to care do so quickly, utilize fewer resources than mandated by national guidelines, and accrue low costs. |
| format | Article |
| id | doaj-art-ab9d85a33b7546a58ecc7e0c52ffca35 |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-ab9d85a33b7546a58ecc7e0c52ffca352025-02-03T06:42:18ZengWileyAIDS Research and Treatment2090-12402090-12592014-01-01201410.1155/2014/235483235483Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in ZambiaHari S. Iyer0Callie A. Scott1Deophine Lembela Bwalya2Gesine Meyer-Rath3Crispin Moyo4Carolyn Bolton Moore5Bruce A. Larson6Sydney Rosen7Zambia Center for Applied Health Research and Development, 10100 Lusaka, ZambiaZambia Center for Applied Health Research and Development, 10100 Lusaka, ZambiaZambia Center for Applied Health Research and Development, 10100 Lusaka, ZambiaCenter for Global Health and Development, Boston University, Boston, MA 02118, USAZambian Ministry of Health, 10100 Lusaka, ZambiaDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USACenter for Global Health and Development, Boston University, Boston, MA 02118, USACenter for Global Health and Development, Boston University, Boston, MA 02118, USAObjective. We estimated time to initiation, outpatient resource use, and costs of outpatient care during the 6 months prior to ART initiation for HIV-infected pediatric patients in Zambia. Methods. We enrolled 1,102 children who initiated ART at <15 years of age between 2006 and 2011 at 5 study sites. Of these, 832 initiated ART ≤6 months after first presenting to care at the study sites. Data on time in care and resources utilized during the 6 months prior to ART initiation were extracted from patient medical records. Costs were estimated from the provider’s perspective and are reported in 2011 USD. Results. For the patients who initiated ART ≤6 months after presenting to care, median age at presentation to care was 3.9 years; median CD4 percentage was 13%. Median time to ART initiation was 26 days. Patients made, on average, 2.38 clinic visits prior to ART initiation and received 0.81 CD4 tests, 0.74 full blood count tests, and 0.49 blood chemistry tests. The mean cost of pre-ART care was $20 per patient. Conclusions. Zambian pediatric patients initiating ART ≤6 months after presenting to care do so quickly, utilize fewer resources than mandated by national guidelines, and accrue low costs.http://dx.doi.org/10.1155/2014/235483 |
| spellingShingle | Hari S. Iyer Callie A. Scott Deophine Lembela Bwalya Gesine Meyer-Rath Crispin Moyo Carolyn Bolton Moore Bruce A. Larson Sydney Rosen Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia AIDS Research and Treatment |
| title | Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia |
| title_full | Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia |
| title_fullStr | Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia |
| title_full_unstemmed | Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia |
| title_short | Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia |
| title_sort | resource utilization and costs of care prior to art initiation for pediatric patients in zambia |
| url | http://dx.doi.org/10.1155/2014/235483 |
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