[Management of patients with HIV infection: utilization of hospital structures and cost]

Important note: Information in this article was accurate in 1990. The state of the art may have changed since the publication date.

[Management of patients with HIV infection: utilization of hospital structures and cost]

Cah Sociol Demogr Med. 1989 Apr-Jun;29(2):107-35. Unique Identifier : AIDSLINE MED/90002411
Bez G

Abstract: This pilot survey covers 2,772 stays of AIDS-related patients in 13 French public hospitals over 3 months (August, September and October 1988). The public sector in France accounts for two thirds of all hospital beds but it is likely to be responsible for the hospitalization of nearly all AIDS-related patients. Of these 2,772 stays, 62% last less than 24 hours: indeed, 22% occur in day-care hospitals and about 40% in conventional hospitals (Fig. 3). These percentages evidence the need for steady expansion of the day-care facilities which were created some years ago. Among the patients experiencing a stay of more than 24 hours, the average length of stay varies from 7.5 days (asymptomatic HIV+ patients) to 15.5 days (confirmed AIDS patients). If all stays are taken into account (Fig. 4), the average length decreases, naturally, to lower levels, 2.8 days (HIV+) and 8.1 days (AIDS). Of course, a patient may have several stays during a single year, plus a number of consultations in the out-patient department. Direct medical expenditures per stay, including only diagnostic and care (excluding accommodation, staff wages and other recurrent expenditures of the hospital) increase from 1,960 French Francs for an asymptomatic HIV+ patient to 4,160 French Francs for a confirmed AIDS patient. Average expenditures per day of stay understandably show a reverse trend, from 715 French Francs for HIV+ to 510 French Francs for AIDS patients. Broad deviation from these averages is observed: for a confirmed AIDS patient stay, the extreme values are 580 FF and 38,000 FF (Table VIII). Such a large variation is partially caused by the state of the illness specific to each individual patient. But its main factor is possibly the lack of standardization in diagnostic and therapeutic procedures, accompanied by unawareness of the cost problem among medical doctors.

Keywords: Acquired Immunodeficiency Syndrome/ECONOMICS/THERAPY Adolescence Adult Day Care/ECONOMICS/UTILIZATION Drug Utilization/ECONOMICS English Abstract Female France Hospitalization/*ECONOMICS Hospitals, Public/ECONOMICS/MANPOWER/*UTILIZATION Human HIV Infections/*ECONOMICS/THERAPY HIV Seropositivity/ECONOMICS/THERAPY Infant Length of Stay/ECONOMICS Male Middle Age JOURNAL ARTICLE
900130
M9010502

AEGiS is a 501(c)3, not-for-profit, tax-exempt, educational corporation. AEGiS is made possible through unrestricted funding from Boehringer Ingelheim, Bridgestone/Firestone Charitable Trust, Bristol-Myers Squibb Company, Elton John AIDS Foundation, Gill Foundation, the National Library of Medicine, Quest Diagnostics, Roche and Trimeris, and donations from users like you. Always watch for outdated information. This article first appeared in 1990. This material is designed to support, not replace, the relationship that exists between you and your doctor.

AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.

Copyright ©1980, 1990. AEGiS. All materials appearing on AEGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of AEGiS, or the party credited as the provider of the content. .