The Impact of State AIDS Drug Assistance Policies on Clinical and Economic Outcomes of People With HIV

被引：3

作者：

Snider, Julia Thornton ^{[1
]}

Goldman, Dana P. ^{[2
]}

Rosenblatt, Lisa ^{[3
]}

Seekins, Daniel ^{[3
]}

Juday, Timothy ^{[4
]}

Sanchez, Yuri ^{[4
]}

Wu, Yanyu ^{[1
]}

Peneva, Desi ^{[1
]}

Romley, John A. ^{[2
]}

机构：

[1] Precis Hlth Econ, 11100 Santa Monica Blvd,Suite 500, Los Angeles, CA 90025 USA

[2] Univ So Calif, Los Angeles, CA USA

[3] Bristol Myers Squibb, Plainsboro, NJ USA

[4] AbbVie, Chicago, IL USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2016年 / 73卷 / 03期

关键词：

HIV and AIDS; access to care; state policy; government policy; low income; ADJUSTED LIFE-YEAR; ANTIRETROVIRAL THERAPY; COST-EFFECTIVENESS; PRIVATE INSURANCE; CARE; INFECTION; HIV/AIDS; MEDICAID; PROGRAM; HEALTH;

D O I：

10.1177/1077558715614479

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We investigated the effect of changes to state AIDS Drug Assistance Programs (ADAP) policies, which govern access to antiretroviral therapy (ART), on clinical and economic outcomes among low-income people living with HIV/AIDS. Retrospective analyses of ART access were conducted on state ADAP policies, using data from ADAP Monitoring Reports and Kaiser Family Foundation from 2006 to 2010. We found stricter eligibility requirements reduce the number of HIV-positive individuals with ART access through ADAP, and decreased ART use increases mortality by 2.67 quality-adjusted life years (QALYs) per beneficiary. If the ADAP income eligibility cutoff were decreased by 50 percentage points in each state, 4,626 individuals would lose ART access nationwide. Based on a $22,143 cost/QALY, this policy would save $274 million in health care expenditures (2012 dollars), but result in 12,352 QALYs lost, valued at $1.2 billion. Therefore, states should exercise caution in restricting programs that increase ART access for low-income people living with HIV/AIDS.

引用

页码：329 / 348

页数：20

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