Economic and Policy Implications of Early Intervention in HIV Disease
Arno, Peter S.
Siegel, Naomi F.
Lee, Phillip R.
JAMA. 1989 Sep 15; 262(11): 1493-1498.
The promise of early intervention in the course of human immunodeficiency virus (HIV) disease to slow or prevent its progression to AIDS has far-reaching implications for health care in the United States. Medical advances could bring tens of thousands of asymptomatic seropositive individuals into the health care system. The demand for HIV testing, counseling, laboratory monitoring, medications, and overall primary health care will be great, particularly among previously underserved groups such as intravenous drug users and the urban poor. Treatment of HIV positive patients could cost as much as $5 billion per year, and would require a major financial commitment from all levels of government as well as from the private sector. The authors call for rational planning for early intervention in HIV disease to avoid the crisis-driven policy making that has characterized the AIDS epidemic until now. (KIE abstract)
Aids; Aids Serodiagnosis; Chronically Ill; Counseling; Disease; Drugs; Economics; Epidemiology; Federal Government; Financial Support; Government; Health; Health Care; Health Facilities; Health Personnel; HIV Seropositivity; Indigents; Mass Screening; Medicine; Patient Care; Patients; Policy Making; Preventive Medicine; Primary Health Care; Private Sector; Prognosis; Public Health; Public Policy; Resource Allocation; Statistics;
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