南非约翰内斯堡城市医院HIV阳性住院患者高昂费用数据集

数据集获取（Figshare）

• 源站标题：The High Cost of HIV-Positive Inpatient Care at an Urban Hospital in Johannesburg, South Africa
• DOI：10.1371/journal.pone.0148546
• 发布日期：2016-02-17
• 文件数：2 个
• 文件总体积：384.07 KB
• 源站页面：https://plos.figshare.com/articles/dataset/The_High_Cost_of_HIV_Positive_Inpatient_Care_at_an_Urban_Hospital_in_Johannesburg_South_Africa/2357299

命令行下载

curl -L -o "S1 Fig.tif" "https://ndownloader.figshare.com/files/3996226"
curl -L -o "S1 File.docx" "https://ndownloader.figshare.com/files/3996238"

文件清单

• S1 Fig.tif（324.51 KB）
• S1 File.docx（59.56 KB）

文件总体积 384.07 KB（源站 API 实测）。

数据说明

Background
While most HIV care is provided on an outpatient basis, hospitals continue to treat serious HIV-related admissions, which is relatively resource-intensive and expensive. This study reports the primary reasons for HIV-related admission at a regional, urban hospital in Johannesburg, South Africa and estimates the associated lengths of stay and costs.
Methods and Findings
A retrospective cohort study of adult, medical admissions was conducted. Each admission was assigned a reason for admission and an outcome. The length of stay was calculated for all patients (N = 1,041) and for HIV-positive patients (n = 469), actual utilization and associated costs were also estimated. Just under half were known to be HIV-positive admissions. Deaths and transfers were proportionately higher amongst HIV-positive admissions compared to HIV-negative and unknown. The three most common reasons for admission were tuberculosis and other mycobacterial infections (18%, n = 187), cardiovascular disorders (12%, n = 127) and bacterial infections (12%, n = 121). The study sample utilized a total of 7,733 bed days of those, 55% (4,259/7,733) were for HIV-positive patients. The average cost per admission amongst confirmed HIV-positive patients, which was an average of 9.3 days in length, was $1,783 (United States Dollars).
Conclusions
Even in the era of large-scale antiretroviral treatment, inpatient facilities in South Africa shoulder a significant HIV burden. The majority of this burden is related to patients not on ART (298/469, 64%), and accounts for more than half of all inpatient resources. Reducing the costs of inpatient care is thus another important benefit of expanding access to ART, promoting earlier ART initiation, and achieving rates of ART retention and adherence.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0148546（source: https://plos.figshare.com/articles/dataset/The_High_Cost_of_HIV_Positive_Inpatient_Care_at_an_Urban_Hospital_in_Johannesburg_South_Africa/2357299）。