Comparison of HIV-infected patients' characteristics, healthcare resources use and cost between native and migrant patients

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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_2D83C77475F8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparison of HIV-infected patients' characteristics, healthcare resources use and cost between native and migrant patients
Journal
International Journal of Public Health
Author(s)
Wasserfallen Jean-Blaise, Hyjazi Alexandre, Cavassini Matthias
ISSN
1661-8564
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
54
Number
1
Pages
5-10
Language
english
Abstract
OBJECTIVES: To assess whether patients' characteristics and healthcare resources consumption and costs were different between native and migrant populations in Switzerland. METHODS: All adult patients followed-up in the Swiss HIV-cohort study in our institution during 2000-2003 were considered. Patients' characteristics were retrieved from the cohort database. Hospital and outpatient resource use were extracted from individual charts and valued with 2002 tariffs. RESULTS: The 66 migrants were younger (29 +/- 8 years versus 37 +/- 11, p < 0.001), less often of male gender (38 % versus 70 %, p < 0.001), predominantly infected via heterosexual contact (87 % versus 52 %, p < 0.01), with lower mean CD4 level at enrollment (326 +/- 235 versus 437 +/- 305, p = 0.002) than their 200 native counterparts. Migrants had fewer hospitalizations, more frequent outpatient visits, laboratory tests, and lower total cost of care per year of follow-up (<euro> 2'215 +/- 4'206 versus 4'155 +/- 12'304, p = 0.037). Resource use and costs were significantly higher in people with < 200 CD4 cell counts in both groups. CONCLUSIONS: Migrant population had more advanced disease, more outpatient visits but less hospitalizations, resulting in lower costs of care when compared with native population.
Pubmed
Web of science
Open Access
Yes
Create date
05/03/2009 13:29
Last modification date
01/10/2019 6:17
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