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A comparative analysis of outpatient costs in HIV treatment programs

Flavia Mori Sarti1, Marislei Nishijima, Antonio Carlos Coelho Campino

  • 1Faculdade de Economia, Administração e Contabilidade da Universidade de São Paulo (FEA-USP), São Paulo, SP, Brazil. flamori@usp.br

Revista Da Associacao Medica Brasileira (1992)
|October 24, 2012
PubMed

Insights

The cost of human immunodeficiency virus (HIV) outpatient treatment in Brazil

Area of Science:

  • Health Economics
  • Public Health Policy
  • Infectious Disease Management

Background:

  • Human immunodeficiency virus (HIV) treatment costs vary significantly across healthcare systems.
  • Understanding cost drivers is crucial for efficient resource allocation in public health programs.

Purpose of the Study:

  • To analyze the outpatient treatment costs for HIV in Brazil's public health system, stratified by CD4 cell counts.
  • To compare these costs with those in other national health systems globally.

Main Methods:

  • A retrospective survey of five public HIV outpatient clinics in São Paulo, Brazil.
  • Data collection from medical records for one year of HIV outpatient treatment.
  • Market research and public databases for input prices; literature review for international cost data.

Main Results:

  • The average annual cost of HIV outpatient treatment in Brazil was US$2,572.92 (2006).
  • Costs ranged from US$1,726.19 (CD4 > 500) to US$3,693.28 (51 < CD4 < 200).
  • Antiretrovirals (ARVs) constituted 62% of annual costs; private sector treatment was more expensive internationally.

Conclusions:

  • Key cost drivers include ARVs, other medications, professional services, and diagnostic exams.
  • Health system efficiency influences the magnitude of cost drivers.
  • Findings offer valuable insights for evaluating global HIV treatment programs and informing public policy.
Abstract

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