COST OF TREATMENT OF IV DRUG USERS WITH AIDS

患有艾滋病的静脉注射毒品使用者的治疗费用

• 批准号: 3427343
• 负责人: JULIA A HIDALGO
• 金额: $ 6.02万
• 依托单位: HEALTH, MARYLAND DEPARTMENT OF
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-01-01 至 1990-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3427343
• 关键词: AIDS; Medicare /Medicaid; community health services; health care cost /financing; health care service planning; health care service utilization; hospital patient care; intravenous drug abuse

Although it is recognized that services must be developed for IV drug users (IVDUs) with AIDS, little is known about the costs and financing of their use of inpatient and community-based services. Whereas it is assumed that most IVDUs with AIDS are eligible for Medicaid and other public programs, it is unclear what proportion actually enroll. And, while significant levels of uncompensated services are reported by hospitals serving IVDUs wit AIDS, their fiscal impact has yet to be measured. Since it is expected that the treatment needs of IVDUs with AIDS will have an even greater impact on delivery and financing of AIDS- related services in the future, several policy questions must be addressed, including: Who are IVDUs with AIDS? What resources do they use and what factors impact on their use? What does it cost to care for them? And, what is the fiscal impact of this group on public payers and hospitals? The proposed research uses a state AIDS information system developed in Maryland, to: 1) identify socio-demographic and clinical characteristics of IVDUs with AIDS; 2) measure their use of inpatient and community-based services during the course of their illness and identify factors related to use and direct costs; 3) evaluate the fiscal impact of IVDUs with AIDS borne by Medicaid and other public programs; and 4) measure the level of uncompensated inpatient costs incurred by IVDUs with AIDS. The results of this research are expected to be useful to states in developing similar AIDS information systems, to policy makers in planning and financing programs required to meet future needs of IVDUs with AIDs, and for researcher concerned with socio- demographic, clinical, and service profiles of IVDUs.

尽管人们认识到必须为 IV 开发服务 患有艾滋病的吸毒者 (IVDU) 的成本和费用知之甚少 为他们使用住院和社区服务提供资金。 鉴于假设大多数患有艾滋病的 IVDU 有资格获得 医疗补助和其他公共计划，目前还不清楚比例是多少 实际报名。 而且，虽然大量未得到补偿的 据为患有艾滋病的 IVDU 服务的医院报告，他们的服务 财政影响尚未衡量。 由于预计患有艾滋病的 IVDU 的治疗需求 将对艾滋病的实施和融资产生更大的影响 未来相关服务，几个政策问题必须解决 解决的问题，包括：谁是患有艾滋病的 IVDU？ 资源有什么作用 他们使用什么以及哪些因素影响他们的使用？ 费用是多少 照顾他们？ 该群体的财政影响是什么？ 公共付款人和医院？ 拟议的研究使用国家艾滋病信息系统 在马里兰州开发，目的是：1）确定社会人口统计和 艾滋病 IVDU 的临床特征； 2）衡量它们的使用 住院期间和以社区为基础的服务 他们的疾病并确定与使用和直接成本相关的因素； 3) 评估由医疗补助承担的艾滋病 IVDU 的财政影响 和其他公共计划； 4) 测量水平 患有艾滋病的 IVDU 产生的无偿住院费用。 这项研究的结果预计对各国有用 为政策制定者开发类似的艾滋病信息系统 规划和资助满足未来需求所需的计划 患有艾滋病的 IVDU 以及关注社会问题的研究人员 IVDU 的人口统计、临床和服务概况。