The outcomes and outpatient costs of different models of antiretroviral treatment delivery in South Africa.

摘要: OBJECTIVE Estimate the average outpatient cost per patient in care and responding to treatment 1 year after initiation of antiretroviral therapy (ART) under different models delivery South Africa. METHODS At each site, medical records for a sample patients were reviewed ART initiation. Each subject was assigned one outcome category: (IC); but not (NR); or no longer at study site (NIC). Average outcomes category estimated based on resource utilisation. RESULTS Site an urban public hospital; 2 programme that contracts private general practitioners; 3 rural non-governmental (NGO) AIDS clinic; 4 peri-urban NGO primary clinic. month 12, IC, NR NIC rates 67%, 7% 26% (Site 1); 52%, 3%, 45% 2); 63%, 9% 28% 3); 76%, 11%, 13% 4). The initiated $756 1), $896 2), $932 3) $1,126 When all costs taken into account, produce IC $1,128 $1,723 $1,480 3), $1,482 CONCLUSION If remain responding, total will increase fall. treated varies moderately among sites. Cost differences markedly when are account.