在COVID-19大流行之前和期间,估计农村注射器服务计划的成本节约门
Sean T Allen1, Brian W Weir2, Molly Reid2
1Department of Health, Behavior and Society , Bloomberg School of Public Health, Johns Hopkins University, 624 N. Broadway, Hampton House 184, Baltimore, MD, 21205, USA. sallen63@jhu.edu.
AIDS and behavior
|January 20, 2025
概括
注射器服务计划 (SSP) 仍然节省成本,即使在COVID-19期间服务减少. 投资减少危害对于预防艾滋病毒传播和节省医疗保健成本至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 注射器服务计划 (SSP) 对于减少伤害和预防传染病传播至关重要.
- COVID-19大流行影响了包括SSP在内的医疗保健业务,需要对其成本效益进行评估.
- 了解SSP的经济影响对于持续融资和公共卫生政策至关重要.
研究的目的:
- 检查COVID-19流行病鉴定后12个月内农村SSP的成本节约门的变化.
- 为了比较SSP的运营成本和成本节约指标,在疫情爆发之前和之后.
- 评估减少伤害服务在预防艾滋病毒感染方面的经济价值.
主要方法:
- 从Cabell-Huntington减少伤害计划 (CHHRP) 的行政数据进行比较分析,在COVID-19流行病识别之前和之后.
- 每月收集客户接触,无菌注射器分配和艾滋病毒检测的数据.
- 进行了成本节约值分析,以估计计划节约成本所需的避免艾滋病毒感染.
主要成果:
- 在大流行后,CHHRP的客户接触减少了13.6%,艾滋病毒检测减少了69.3%.
- 运营成本从每年190,151美元降至116,727美元.
- 为了使CHHRP节省成本,所需的避免艾滋病毒感染的数量在两个时期都不到一个.
结论:
- 尽管在COVID-19大流行期间发生了运营转变,但CHHRP仍然非常节省成本.
- 减少伤害服务的成本明显低于艾滋病毒治疗的终身成本.
- 增加对减少伤害计划的投资对于消除艾滋病毒传播至关重要.
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