Economic evaluations of HIV treatment and health research with people diagnosed with HIV infection and co-occurring mental health and substance use disorders

This paper describes the research challenges involved in measuring costs in economic evaluations of patients who are coping simultaneously with HIV/AIDS and co-occurring mental health and substance abuse disorders-especially in multi-site studies. We describe the general issues that arise in measuri...

Full description

Saved in:
Bibliographic Details
Published in:AIDS care 2004-01, Vol.16 (sup1), p.121-136
Main Authors: Conover, C. J., Ettner, S. L., Weaver, M., Flynn, P. M., Porto, J. V., For The Hiv/aids Treatment Adherence, Health Outcomes And Cost Study Group
Format: Article
Language:English
Subjects:
Cost-Benefit Analysis
Diagnosis, Dual (Psychiatry)
Economic analysis
Female
Health Care Costs
HIV
HIV Infections - economics
HIV Infections - therapy
Human immunodeficiency virus
Humans
Male
Mental Disorders - economics
Multicenter Studies as Topic
Patients
Psychiatric disorders
Substance abuse
Substance-Related Disorders - economics
Treatment
USA
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This paper describes the research challenges involved in measuring costs in economic evaluations of patients who are coping simultaneously with HIV/AIDS and co-occurring mental health and substance abuse disorders-especially in multi-site studies. We describe the general issues that arise in measuring costs for this population and suggest some operational solutions for their resolution, drawing from our experience in a recent multi-site health services research study focused on this population. We show that while reliance on patient self-report data may be unavoidable to provide a common denominator in multi-site studies, there are also some practical ways of improving the accuracy of such data and the cost estimates that result from them. We also provide readers with a means for securing the data collection instruments developed for the cost component of this study in the hope that these may serve as templates for researchers doing similar work.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120412331315268