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The 1987 US hospital AIDS survey.

D P Andrulis1, V B Weslowski, L S Gage

  • 1National Public Health and Hospital Institute, Washington, DC 20004.

JAMA
|August 11, 1989
PubMed
Summary

Hospitals treating acquired immunodeficiency syndrome (AIDS) patients faced significant financial losses in 1987, primarily due to reimbursement issues and lack of insurance. This financial strain may hinder efforts to secure adequate treatment support.

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AIDS in the developed world: implications for the provision and financing of care.

AIDS (London, England)·1997

Area of Science:

  • Public Health
  • Health Economics
  • Hospital Administration

Background:

  • In 1987, a national survey assessed inpatient and outpatient care for acquired immunodeficiency syndrome (AIDS) patients.
  • Data was collected from 623 acute-care hospitals regarding AIDS patient treatment.

Purpose of the Study:

  • To gather information on inpatient and outpatient care for persons with AIDS.
  • To analyze financial aspects, including costs, revenues, and payer sources for AIDS care.
  • To identify regional and ownership-based differences in AIDS patient care and financing.

Main Methods:

  • A national survey of 623 acute-care hospitals was conducted.
  • Data on patient care, length of stay, costs, revenues, and payers were collected.
  • Comparisons were made for 1987 and between 1985 and 1987, analyzing regional and ownership factors.
Keywords:
Empirical ApproachHealth Care and Public HealthMedicaidNational Public Health and Hospital Institute

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Main Results:

  • 276 hospitals reported treating AIDS patients, with an average length of stay of 16.8 days.
  • Average daily costs were $681, with revenues at $545, resulting in a per-patient annual cost of $17,910.
  • Estimated inpatient AIDS care cost $486 million in 1987, with Medicaid as the primary payer. Significant financial shortfalls were noted for hospitals serving low-income AIDS populations.

Conclusions:

  • Reimbursement issues and lack of insurance led to substantial financial losses for hospitals treating AIDS patients.
  • Hospitals concentrating on AIDS care, especially in large cities, faced moderate to severe financial difficulties.
  • The concentration of AIDS patients in fewer hospitals may impede the formation of a strong political base for securing adequate treatment funding.