估计美国艾滋病毒感染者保险人员的终身成本
Joshua P Cohen1, Vamshi Ruthwik Anupindi2, Riddhi Doshi3
1Independent Healthcare Analyst (Former Research Associate Professor, Tufts University), Boston, MA, USA.
PharmacoEconomics - open
|June 9, 2025
概括
与没有艾滋病毒的人相比,艾滋病毒感染者 (PWH) 的终身成本 (LTC) 和年度医疗费用显著更高. 这项研究量化了与美国艾滋病毒管理相关的大量经济负担.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 艾滋病毒管理的进步需要了解经济影响.
- 艾滋病毒感染者 (PWH) 的终身成本 (LTC) 和医疗资源利用率 (HCRU) 需要评估.
研究的目的:
- 评估PWH中的全因LTC,年度成本和HCRU与美国匹配的非艾滋病毒队列相比.
- 量化艾滋病毒在一生中增加的经济负担.
主要方法:
- 使用美国商业索赔数据库 (2018-2023) 进行的观察性研究.
- 匹配的队列 (1:3) 的PWH (在ART) 和非HIV个体.
- 计算了18-75岁的未折扣和折扣的LTC,年费和HCRU.
主要成果:
- 非折扣的LTC为PWH约为290万美元,而非HIV为50万美元,增量差异超过240万美元.
- 折扣的LTC为PWH约为130万美元,而非HIV为180万美元,增量差异超过110万美元.
- 对于PWH的年度成本是非艾滋病毒队列的6-7倍;HCRU也更高.
结论:
- 艾滋病毒与超过240万美元 (未折扣) 和110万美元 (折扣) 的实质性增量终身成本有关.
- 每年PWH的医疗保健费用显著更高,强调了艾滋病毒的经济影响.
- 调查结果强调了美国商业保险成年人中艾滋病毒的经济负担.
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