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

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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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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AU - Maulsby, Cathy

AU - Kim, Jeeyon Janet

AU - Charles, Vignetta

AU - Riordan, Maura

AU - Holtgrave, David

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