柬埔寨卫生机构HIV服务成本

数据集获取（Figshare）

• 源站标题：The cost of HIV services at health facilities in Cambodia
• DOI：10.1371/journal.pone.0216774
• 发布日期：2019-05-29
• 文件数：3 个
• 文件总体积：183.90 KB
• 源站页面：https://plos.figshare.com/articles/dataset/The_cost_of_HIV_services_at_health_facilities_in_Cambodia/8200031

命令行下载

curl -L -o "pone.0216774.s001.docx" "https://ndownloader.figshare.com/files/15282338"
curl -L -o "pone.0216774.s002.docx" "https://ndownloader.figshare.com/files/15282341"
curl -L -o "pone.0216774.s003.docx" "https://ndownloader.figshare.com/files/15282344"

文件清单

• pone.0216774.s001.docx（54.84 KB）
• pone.0216774.s002.docx（54.20 KB）
• pone.0216774.s003.docx（74.85 KB）

文件总体积 183.90 KB（源站 API 实测）。

数据说明

Background
Donor funding for HIV/AIDS services is declining in Cambodia, and domestic resources need to be mobilized to sustain and expand these services. However, the cost of delivering HIV/AIDS services is not well studied in Cambodia. This study aims to assess the costs of delivering HIV/AIDS services, identify the major components of costs, and sources of funding.
Methods
Four of the six highest HIV burden provinces were selected at random for this study. Within each province, four health centers and two hospitals were selected for detailed data collection. A mix of top-down and bottom-up methods were used to assess the costs for HIV testing and antiretroviral therapy (ART) from the provider perspective. We assessed the differences in the quantity and prices of inputs between health facilities of the same type to identify cost-drivers.
Results
The average cost per visit for HIV testing was $8.92 at health centers and $14.03 at referral hospitals. Differences in the number of visits per staff were the primary determinant of differences in the cost per visit. First-line ART costed about $250 per patient per year, and the number of patients per staff was an important cost driver. Second-line ART costed from $500 to $716 per patient per year, on average, across the types of facilities, with the quantity and mix of second-line antiretroviral drugs being an important cost driver. Inpatient care at referral and provincial hospitals in total represented less than 2 percent of costs of outpatient ART.
Discussion
Costs are similar to neighboring countries, but over 50% of the costs of ART are financed by donors. Cambodia now is scaling up social health insurance coverage; the data from this study could serve as one input when setting reimbursement rates for HIV/AIDS services to help ensure that providers are adequately reimbursed for their services.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0216774（source: https://plos.figshare.com/articles/dataset/The_cost_of_HIV_services_at_health_facilities_in_Cambodia/8200031）。