       Document 0976
 DOCN  M9620976
 TI    In-patient care for symptomatic, HIV-infected persons: a longitudinal
       study of hospitalizations, in-patient drug use, and related costs.
 DT    9602
 AU    Dijkgraaf MG; Luijben AH; Jager JC; Schrijvers AJ; Borleffs JC;
       Department of Internal Medicine, University Hospital Utrecht, The;
       Netherlands.
 SO    AIDS Care. 1995;7(3):321-36. Unique Identifier : AIDSLINE MED/96068000
 AB    Patterns in the costs of hospital in-patient care and in-patient drug
       treatment of 121 symptomatic, HIV-infected patients are described for a
       university hospital between 1987 and 1991. Trend analyses have been
       performed on quarterly and yearly data using parametric and
       non-parametric statistical techniques. During the 5-year study period
       the demand for hospital beds almost quadrupled despite a constant number
       of admissions per person-year and a 40% decrease in the average length
       of stay. The demand for beds was highest in the autumn and winter
       months. The impact of female and/or heterosexual subgroups on the yearly
       utilization of resources increased and reasons for hospitalization
       became more diverse; there were fewer hospitalizations for Pneumocystis
       carinii pneumonia infection. Antimicrobial drug treatment accounted for
       the increased drug treatment costs. The implications for AIDS-treating
       specialists, hospital managers, and scenario analysts are discussed.
 DE    Adult  Antibiotics/*ECONOMICS/THERAPEUTIC USE  AIDS-Related
       Opportunistic Infections/DRUG THERAPY/*ECONOMICS  Cohort Studies  Costs
       and Cost Analysis  Female  Hospitals, University/ECONOMICS  Human  HIV
       Infections/DRUG THERAPY/*ECONOMICS  Length of Stay  Longitudinal Studies
       Male  Middle Age  Netherlands  Patient Admission/*ECONOMICS  Patient
       Care Team/ECONOMICS  Patient Readmission/ECONOMICS  Pneumonia,
       Pneumocystis carinii/DRUG THERAPY/ECONOMICS  Support, Non-U.S. Gov't
       Utilization Review  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

