Geographic variation in the costs of medical care for people living with HIV in British Columbia, Canada.

ABSTRACT:

Background

Regional variation in medical care costs can indicate heterogeneity in clinical practice, inequities in access, or inefficiencies in service delivery. We aimed to estimate regional variation in medical costs for people living with HIV (PLHIV), adjusting for demographics and case-mix.

Methods

We conducted a retrospective cohort study using linked health administrative databases of PLHIV, from 2010 to 2014, in British Columbia (BC), Canada. Quarterly health care costs (2018 CAD) were derived from inpatient, outpatient, prescription drugs, antiretroviral therapy (ART), and HIV diagnostics. We used a two-part model with a logit link for the probability of incurring costs, and a log link and gamma distribution for observations with positive costs. We also estimated qua

SUBMITTER: Enns B 

PROVIDER: S-EPMC6724338 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature