Cost-effectiveness of HIV screening in STD clinics, emergency departments, and inpatient units: a model-based analysis.

ABSTRACT:

Background

Identifying and treating persons with human immunodeficiency virus (HIV) infection early in their disease stage is considered an effective means of reducing the impact of the disease. We compared the cost-effectiveness of HIV screening in three settings, sexually transmitted disease (STD) clinics serving men who have sex with men, hospital emergency departments (EDs), settings where patients are likely to be diagnosed early, and inpatient diagnosis based on clinical manifestations.

Methods and findings

We developed the Progression and Transmission of HIV/AIDS model, a health state transition model that tracks index patients and their infected partners from HIV infection to death. We used program characteristics for each setting to compare the incremental cost per

SUBMITTER: Prabhu VS 

PROVIDER: S-EPMC3098845 | biostudies-literature | 2011

REPOSITORIES: biostudies-literature