AEGiS-09IAC: The HIV positive patients ability to support health care cost and the impact on the hospital.

9th International AIDS Conference

Berlin, Germany — June 6-11, 1993

The HIV positive patients ability to support health care cost and the impact on the hospital.

Int Conf AIDS 1993 Jun 6-11; 9:126 (abstract no. WS-D23-6)
Mposo N, Mpoke N, Fumunzanza; Projet Sida, Zaire

OBJECTIVES: To estimate the HIV(+) patients' ability to pay the prescribed health care.

METHODS: Patients admitted in internal medicine ward in 3 public hospitals in Kinshasa were tested at ELISA for anti-HIV antibodies until we had a total of 50 HIV(+) patients by hospital. A control cohort had an HIV(-) related diagnosis. For each patient, we collected the length of stay (LOS), hypothetical prescribed cost (HPC), total paid charges (TPC), source of funds (grande entreprise GE; petite et moyenne entreprise PME; fond personnel FP; famille elargie FE), and the non-consumer medicines (NCM). For the hospital, we calculated the bed-day costs.

RESULTS: The average HPC was $107 for cases and $25 for controls (p(.05). An average TPC was $65 for cases and $20 for controls (p(.05). An average NCM was $10 for cases and $5 for controls (p(.05). An average paid bed-day was $0.20 for cases and $0.35 for cases, when a bed-day costs $0.4.

CONCLUSION: HIV(+) patients are not able to finance almost the half of health care cost. This may largely contribute to the high HIV(+) mortality in Zaire. As a large number of Zairean hospitals are self-financed, many of them will financially be in difficulty.

Keywords: AEGIS, HIV Infections, Costs and Cost Analysis, Delivery of Health Care, Hospitals, Public, HIV Seropositivity, Hospital Charges, Democratic Republic of the Congo, Human, economics, ICA9
930606
WSD236