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Pregled bibliografske jedinice broj: 1093826

Ensuring continuity of care for people living with HIV in five European countries: the efficiency of the EmERGE platform


(NPMS-HHC CIC/LSHTM. London, UK) Beck, E; Mandalia, S; Yfantopoulos, P; Leon, A; Merino, M; Garcia, F; Wittevronge, M; Apers, L; Benković, Ivana; Zekan, Šime et al.
Ensuring continuity of care for people living with HIV in five European countries: the efficiency of the EmERGE platform // Journal of the International AIDS Society, 23 (2020), Suppl. 7; 99-99 (međunarodna recenzija, ostalo, znanstveni)


CROSBI ID: 1093826 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Ensuring continuity of care for people living with HIV in five European countries: the efficiency of the EmERGE platform

Autori
Beck, E ; Mandalia, S ; Yfantopoulos, P ; Leon, A ; Merino, M ; Garcia, F ; Wittevronge, M ; Apers, L ; Benković, Ivana ; Zekan, Šime ; Begovac, Josip ; Cunha, A ; Teofilo, E ; Rodrigues, G ; Borges, M ; Fatz, D ; Vera, J ; Whetham, J

Kolaboracija
NPMS-HHC CIC/LSHTM. London, UK

Izvornik
Journal of the International AIDS Society (1758-2652) 23 (2020), Suppl. 7; 99-99

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, ostalo, znanstveni

Ključne riječi
HIV ; Europe ; EmERGE platform

Sažetak
Background: Calculate the efficiency of the EmERGE Pathway of Care for medically stable people living with HIV managed at five European HIV clinics (Table 1). The Pathway allows for EmERGE participants to communicate virtually with their caregivers. Methods: EmERGE participants, followed up between 2016 and 2019, mainly used HIV outpatient services. Micro-costing studies were performed at each site. Unit and annual costs were calculated in national currencies and converted to US$ 2018 OECD purchasing parity prices (PPPs). Costs were linked to mean per patient year (MPPY) use of outpatient services. Data on use of services were collected retrospectively one year before and prospectively one year after the introduction of EmERGE. Annual costs of HIV outpatient services were combined with primary outcome measures (CD4 count, viral load) to assess efficiency. Out-of- pocket expenditure data were also collected. Results: Two thousand, two hundred and fifty-one participants recruited: 87% to 93% men, mean age at recruitment 41 to 47 years ; 70% to 84% had full-time employment, median 37.5 hours/week and monthly income $1580 ; 5% to 16% participants received social services support, median $318 to 1558/month. Median sick days three months before enrolment was zero days (IQR 0 to 1) ; 50% to 82% participants did not take days off to visit clinic and the return trip took a median 1.5 to 2.0 hours at a median cost $5 to 41. MPPY outpatient visits decreased in four sites from 9% to 31% and associated costs from 5% to 33% (Table 1) ; use and costs increased by 8% in one site. Cost of ARVs comprised 83% to 91% annual outpatient costs. Annual costs of use of HIV services was similar across four clinics, but one site, located in one of the least affluent countries, had higher ARV costs. Primary outcome measures of participants did not change substantially during the study. Conclusions: Implementation of the EmERGE Pathway was efficient in all sites. ARVs were the main cost drivers ; a country’s national socio-economic situation should be considered when setting ARV prices. Other structural changes also affect costs, as demonstrated in two clinics, where changes resulted in reductions and increases of annual costs respectively. Future efficiencies can be anticipated by the introduction of the Pathway for all people living with HIV or those with other chronic diseases as has been demonstrated during the Covid-19 pandemic.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Projekti:
MZOS-108-1080116-0098 - Epidemiološka i klinička obilježja zaraze HIV-om u Hrvatskoj (Begovac, Josip, MZOS ) ( POIROT)

Ustanove:
Klinika za infektivne bolesti "Dr Fran Mihaljević"

Profili:

Avatar Url Josip Begovac (autor)

Avatar Url Šime Zekan (autor)

Avatar Url Ivana Benković (autor)

Poveznice na cjeloviti tekst rada:

onlinelibrary.wiley.com

Citiraj ovu publikaciju:

(NPMS-HHC CIC/LSHTM. London, UK) Beck, E; Mandalia, S; Yfantopoulos, P; Leon, A; Merino, M; Garcia, F; Wittevronge, M; Apers, L; Benković, Ivana; Zekan, Šime et al.
Ensuring continuity of care for people living with HIV in five European countries: the efficiency of the EmERGE platform // Journal of the International AIDS Society, 23 (2020), Suppl. 7; 99-99 (međunarodna recenzija, ostalo, znanstveni)
(NPMS-HHC CIC/LSHTM. London, UK) (NPMS-HHC CIC/LSHTM. London, UK) Beck, E, Mandalia, S., Yfantopoulos, P., Leon, A., Merino, M., Garcia, F., Wittevronge, M., Apers, L., Benković, I. & Zekan, Š. (2020) Ensuring continuity of care for people living with HIV in five European countries: the efficiency of the EmERGE platform. Journal of the International AIDS Society, 23 (Suppl. 7), 99-99.
@article{article, author = {Beck, E and Mandalia, S and Yfantopoulos, P and Leon, A and Merino, M and Garcia, F and Wittevronge, M and Apers, L and Benkovi\'{c}, Ivana and Zekan, \v{S}ime and Begovac, Josip and Cunha, A and Teofilo, E and Rodrigues, G and Borges, M and Fatz, D and Vera, J and Whetham, J}, year = {2020}, pages = {99-99}, keywords = {HIV, Europe, EmERGE platform}, journal = {Journal of the International AIDS Society}, volume = {23}, number = {Suppl. 7}, issn = {1758-2652}, title = {Ensuring continuity of care for people living with HIV in five European countries: the efficiency of the EmERGE platform}, keyword = {HIV, Europe, EmERGE platform} }
@article{article, author = {Beck, E and Mandalia, S and Yfantopoulos, P and Leon, A and Merino, M and Garcia, F and Wittevronge, M and Apers, L and Benkovi\'{c}, Ivana and Zekan, \v{S}ime and Begovac, Josip and Cunha, A and Teofilo, E and Rodrigues, G and Borges, M and Fatz, D and Vera, J and Whetham, J}, year = {2020}, pages = {99-99}, keywords = {HIV, Europe, EmERGE platform}, journal = {Journal of the International AIDS Society}, volume = {23}, number = {Suppl. 7}, issn = {1758-2652}, title = {Ensuring continuity of care for people living with HIV in five European countries: the efficiency of the EmERGE platform}, keyword = {HIV, Europe, EmERGE platform} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE





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