Primary care consultations and costs among HIV-positive individuals in UK primary care 1995-2005: A cohort study

H. E.R. Evans, A. Tsourapas, C. H. Mercer, G. Rait, S. Bryan, Matthew Hamill, V. Delpech, G. Hughes, G. Brook, T. Williams, A. M. Johnson, S. Singh, I. Petersen, T. Chadborn, J. A. Cassell

Research output: Contribution to journalArticle

Abstract

Objectives: To investigate the role of primary care in the management of HIV and estimate primary care-associated costs at a time of rising prevalence. Methods: Retrospective cohort study between 1995 and 2005, using data from general practices contributing data to the UK General Practice Research Database. Patterns of consultation and morbidity and associated consultation costs were analysed among all practice-registered patients for whom HIV-positive status was recorded in the general practice record. Results: 348 practices yielded 5504 person-years (py) of follow-up for known HIV-positive patients, who consult in general practice frequently (4.2 consultations/py by men, 5.2 consultations/py by women, in 2005) for a range of conditions. Consultation rates declined in the late 1990s from 5.0 and 7.3 consultations/py in 1995 in men and women, respectively, converging to rates similar to the wider population. Costs of consultation (general practitioner and nurse, combined) reflect these changes, at £100.27 for male patients and £117.08 for female patients in 2005. Approximately one in six medications prescribed in primary care for HIV-positive individuals has the potential for major interaction with antiretroviral medications. Conclusion: HIV-positive individuals known in general practice now consult on a similar scale to the wider population. Further research should be undertaken to explore how primary care can best contribute to improving the health outcomes of this group with chronic illness. Their substantial use of primary care suggests there may be potential to develop effective integrated care pathways.

Original languageEnglish (US)
Pages (from-to)543-549
Number of pages7
JournalSexually Transmitted Infections
Volume85
Issue number7
DOIs
StatePublished - Dec 1 2009
Externally publishedYes

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Primary Health Care
Cohort Studies
Referral and Consultation
HIV
General Practice
Costs and Cost Analysis
Research
General Practitioners
Population
Chronic Disease
Retrospective Studies
Nurses
Databases
Morbidity
Health

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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Primary care consultations and costs among HIV-positive individuals in UK primary care 1995-2005 : A cohort study. / Evans, H. E.R.; Tsourapas, A.; Mercer, C. H.; Rait, G.; Bryan, S.; Hamill, Matthew; Delpech, V.; Hughes, G.; Brook, G.; Williams, T.; Johnson, A. M.; Singh, S.; Petersen, I.; Chadborn, T.; Cassell, J. A.

In: Sexually Transmitted Infections, Vol. 85, No. 7, 01.12.2009, p. 543-549.

Research output: Contribution to journalArticle

Evans, HER, Tsourapas, A, Mercer, CH, Rait, G, Bryan, S, Hamill, M, Delpech, V, Hughes, G, Brook, G, Williams, T, Johnson, AM, Singh, S, Petersen, I, Chadborn, T & Cassell, JA 2009, 'Primary care consultations and costs among HIV-positive individuals in UK primary care 1995-2005: A cohort study', Sexually Transmitted Infections, vol. 85, no. 7, pp. 543-549. https://doi.org/10.1136/sti.2009.035865
Evans, H. E.R. ; Tsourapas, A. ; Mercer, C. H. ; Rait, G. ; Bryan, S. ; Hamill, Matthew ; Delpech, V. ; Hughes, G. ; Brook, G. ; Williams, T. ; Johnson, A. M. ; Singh, S. ; Petersen, I. ; Chadborn, T. ; Cassell, J. A. / Primary care consultations and costs among HIV-positive individuals in UK primary care 1995-2005 : A cohort study. In: Sexually Transmitted Infections. 2009 ; Vol. 85, No. 7. pp. 543-549.
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