       Document 0442
 DOCN  M9630442
 TI    [Medical costs associated with the risk of maternal-fetal contamination
       by HIV. Results of a prospective survey]
 DT    9603
 AU    Seror V; Le Gales C; Courpotin C; Centre de recherche en economie de la
       sante, Inserm unite 357,; CNRS UMR 9932, hopital de Bicetre, Le
       Kremlin-Bicetre, France.
 SO    Arch Pediatr. 1995 Oct;2(10):957-64. Unique Identifier : AIDSLINE
       MED/96099575
 AB    BACKGROUND--Assessment of economic implications of pediatric HIV
       infection allows to document efforts which are devoted by health care
       system to the care of children born to HIV infected women. This paper
       presents the results of the first analysis, in the French health care
       context, of direct medical costs related to HIV mother-to-child risk of
       transmission. MATERIAL AND METHODS--Statistical prospective analysis was
       performed on 853 files concerning 152 children followed in three medical
       centers. Because the medical consumptions data were linked to clinical
       status, average direct medical costs per medical contact could be
       defined for each center. RESULTS--Results were consistent with the
       hypothesis that more medical care is necessary when the clinical picture
       is uncertain (indeterminate status) or reflects health state
       deterioration. However, results are very different according to HIV
       clinical status and disparities may be so large that costs per clinical
       status hierarchy may be disrupted. Explicative factors for these
       variabilities are expressed in terms of patient recruitment, medical
       uncertainty management and resources disponibility.
 DE    Child, Preschool  English Abstract  Female  France/EPIDEMIOLOGY  Health
       Care Costs  Human  HIV Infections/*ECONOMICS/*EPIDEMIOLOGY/TRANSMISSION
       Infant  Pregnancy  Pregnancy Complications,
       Infectious/*ECONOMICS/*EPIDEMIOLOGY  Prospective Studies  Risk
       Assessment  JOURNAL ARTICLE

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

