Cost-Utility Analysis of Three U.S. HIV Linkage and Re-engagement in Care Programs from Positive Charge

The PC Intervention Team

doi:10.1007/s10461-015-1243-3

Cost-Utility Analysis of Three U.S. HIV Linkage and Re-engagement in Care Programs from Positive Charge

The PC Intervention Team

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Linking and retaining people living with HIV in ongoing, HIV medical care is vital for ending the U.S. HIV epidemic. Yet, 41–44 % of HIV+ individuals are out of care. In response, AIDS United initiated Positive Charge, a series of five HIV linkage and re-engagement projects around the U.S. This paper investigates whether three Positive Charge programs were cost effective and calculates a return on investment for each program. It uses standard methods of cost utility analysis and WHO-CHOICE thresholds. All three projects were found to be cost effective, and two were highly cost effective. Cost utility ratios ranged from $4439 to $137,271. These results suggest that HIV linkage to care programs are a productive and efficient use of public health funds.

Original language	English (US)
Pages (from-to)	973-976
Number of pages	4
Journal	AIDS and behavior
Volume	20
Issue number	5
DOIs	https://doi.org/10.1007/s10461-015-1243-3
State	Published - May 1 2016

Keywords

Cost effective
Cost saving
Cost utility analysis
HIV
Linkage to care
Retention in care

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-015-1243-3

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title = "Cost-Utility Analysis of Three U.S. HIV Linkage and Re-engagement in Care Programs from Positive Charge",

abstract = "Linking and retaining people living with HIV in ongoing, HIV medical care is vital for ending the U.S. HIV epidemic. Yet, 41–44 % of HIV+ individuals are out of care. In response, AIDS United initiated Positive Charge, a series of five HIV linkage and re-engagement projects around the U.S. This paper investigates whether three Positive Charge programs were cost effective and calculates a return on investment for each program. It uses standard methods of cost utility analysis and WHO-CHOICE thresholds. All three projects were found to be cost effective, and two were highly cost effective. Cost utility ratios ranged from $4439 to $137,271. These results suggest that HIV linkage to care programs are a productive and efficient use of public health funds.",

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author = "{The PC Intervention Team} and Jain, {Kriti M.} and Rose Zulliger and Cathy Maulsby and Kim, {Jeeyon Janet} and Vignetta Charles and Maura Riordan and David Holtgrave",

note = "Funding Information: This evaluation project is supported by a grant from AIDS United to the Johns Hopkins Bloomberg School of Public Health. The overall Positive Charge Project was supported by a grant from Bristol-Myers Squibb (BMS) to AIDS United. Johns Hopkins Bloomberg School of Public Health only had a relationship with AIDS United (not BMS). The authors do not have any conflicts of interest to report at this time. K. Jain was supported by the National Institute of Allergy and Infectious Disease (T32 A1050056-12). Publisher Copyright: {\textcopyright} 2015, Springer Science+Business Media New York.",

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AU - Charles, Vignetta

AU - Riordan, Maura

AU - Holtgrave, David

N1 - Funding Information: This evaluation project is supported by a grant from AIDS United to the Johns Hopkins Bloomberg School of Public Health. The overall Positive Charge Project was supported by a grant from Bristol-Myers Squibb (BMS) to AIDS United. Johns Hopkins Bloomberg School of Public Health only had a relationship with AIDS United (not BMS). The authors do not have any conflicts of interest to report at this time. K. Jain was supported by the National Institute of Allergy and Infectious Disease (T32 A1050056-12). Publisher Copyright: © 2015, Springer Science+Business Media New York.

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Cost-Utility Analysis of Three U.S. HIV Linkage and Re-engagement in Care Programs from Positive Charge

Abstract

Keywords

ASJC Scopus subject areas

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