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Economic impact of HIV/AIDS: a systematic review in five European countries

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dc.contributor.author Trapero-Bertran, Marta
dc.contributor.author Oliva Moreno, Juan
dc.date.accessioned 2015-03-24T12:06:36Z
dc.date.available 2015-03-24T12:06:36Z
dc.date.issued 2014
dc.identifier.citation Trapero-Bertran M, Juan Oliva-Moreno J. Economic impact of HIV/AIDS: a systematic review in five European countries. Health Economics Review. 2014;4:15. DOI 10.1186/s13561-014-0015-5
dc.identifier.issn 2191-1991
dc.identifier.uri http://hdl.handle.net/10230/23257
dc.description.abstract The HIV/AIDS disease represent a priority for all health authorities in all countries and it also represents serious added socioeconomic problems for societies over the world. The aim of this paper is to analize the economic impact associated to the HIV/AIDS in an European context. We conducted a systematic literature review for five different countries (France, Germany, Italy, Spain and United Kingdom) and searched five databases. Three types of analyses were undertaken: descriptive statistics; quantitative analysis to calculate mean costs; and comparison across countries. 26 papers were included in this study containing seventy-six cost estimates. Most of the studies analyzed the health care cost of treatment of HIV/AIDS. Only 50% of the cost estimates provided mean lymphocyte count describing the patients¿ disease stage. Approximately thirty percent of cost estimates did not indicate the developmental stage of the illness in the patients included. There is a high degree of variability in the estimated annual cost per patient of the treatments across countries. There is also a great disparity in total healh care costs for patients with lymphocyte counts between 200CD4+/mm3 and 500 CD4/mm3, although the reason of variation is unclear. In spite of the potential economic impact in terms of productivity losses and cost of formal and informal care, few studies have set out to estimate the non-medical costs of HIV/AIDS in the countries selected. Another important result is that, despite the low HIV/AIDS prevalence, its economic burden is very relevant in terms of the total health care costs in this five countries. This study also shows that there are relatively few studies of HIV costs in European countries compared to other diseases. Finally, we conclude that the methodology used in many of the studies carried out leaves ample room for improvement and that there is a need for these studies to reflect the economic impact of HIV/AIDS beyond health care including other components of social burden.
dc.description.sponsorship The authors would like to acknowledge the support received from the research project ECON2013-48217-C2-2-R -Impacto económico, sanitario y social de las enfermedades y los problemas de salud: información y herramientas para la evaluacion de políticas públicas
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher SpringerOpen
dc.relation.ispartof Health Economics Review. 2014;4:15
dc.rights © 2014 Trapero-Bertran and Oliva-Moreno; licensee Springer. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
dc.rights.uri http://creativecommons.org/licenses/by/4.0
dc.subject.other VIH (Virus)
dc.subject.other Salut pública -- Aspectes econòmics -- Europa
dc.title Economic impact of HIV/AIDS: a systematic review in five European countries
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1186/s13561-014-0015-5
dc.subject.keyword Economic impact
dc.subject.keyword Costs
dc.subject.keyword VIH/AIDS
dc.relation.projectID info:eu-repo/grantAgreement/ES/3PN/ECON2013-48217
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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