Indirect costs in ambulatory patients with HIV/AIDS in Spain: a pilot study

Oliva, Juan; Roa, César; del Llano, Juan; Roa, César
August 2003
PharmacoEconomics;2003, Vol. 21 Issue 15, p1113
Academic Journal
journal article
Objective: To estimate indirect costs in Spanish ambulatory patients with HIV/AIDS and to identify changes in employment status and their current QOL.Method: Information was obtained through 32 interviews/enquiries carried out with ambulatory patients receiving medical attention at Gregorio Marañón and Puerta de Hierro hospitals in Madrid, Spain. The study variables included information on sociodemographics, economics, and clinical and QOL (EuroQol instrument; EQ-5D) parameters of these patients.Results: Our main result showed the existence of high indirect costs (lost income and lost wages; 2002 values) at the individual level. We identified a strong effect in terms of income loss (the annual loss of income ranged between Euro 5271 and Euro 6150 per patient) and lost wages (the annual loss of wages ranged between Euro 7537 and Euro 8793 per patient). We also observed a strong impact on household income (the annual loss of household income ranged between Euro 6693 and Euro 7813). There was a great variability in these costs among the patients depending on their QOL, gender and education. We detected a statistically significant and positive correlation between QOL and having a job.Conclusions: We observed a high level of QOL among the patients, which reflects the potential benefits of pharmacological treatment. We found that the better the QOL, the higher the probability of being employed. However, indirect costs were high among patients despite their good QOL.


Related Articles

  • Editorial Commentary: Viva No Différence! Saag, Michael S. // Clinical Infectious Diseases;Nov2012, Vol. 55 Issue 9, p1252 

    An introduction is presented in which the editor discusses the article related to the outcomes measures among the patients suffering from HIV infection who are receiving outpatient care in the clinic of East Baltimore, Maryland.

  • Informal Health workers -- to be encouraged or condemned. Omaswa, Francis // Bulletin of the World Health Organization;Feb2006, Vol. 84 Issue 2, p83 

    The article discusses the importance of the home-based care of patients when health facilities are overwhelmed by AIDS/HIV cases and when patients are returned to their homes to be cared for or to await death. The role of informal health workers in determining the health outcomes of populations...

  • People with AIDS: For the Record. Helquist, Michael // Advocate;2/14/89, Issue 518, p24 

    Explains the importance of gay people's views on issues relevant to HIV-infected persons and AIDS patients.

  • Keeping Our History. Helquist, Michael // Advocate;2/14/89, Issue 518, p24 

    Comments on the importance for persons with AIDS in campaigns to combat the disease. Representation of the patients in signifying developments in the history of the disease; Significance of campaigns such as candle light marches.

  • PLWA.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1809 

    A definition of the medical abbreviation "PLWA," which refers to people living with HIV/AIDS, is presented.

  • Health. Headley, Sue // Youth Studies Australia;Mar2000, Vol. 19 Issue 1, p61 

    Presents an abstract of the study `Antiretroviral Adherence Issues Among HIV-Positive Adolescents and Young Adults,' which appeared in the `Journal of Adolescent Health.'

  • Speaking Of People.  // Ebony;Apr1986, Vol. 41 Issue 6, p6 

    The article features several African Americans in their respective fields including United Way of Chicago president Virgil H. Carr, Metropolitan Police Department deputy chief Joyce F. Leland and United Artists Corp. senior vice president William Allen Jones.

  • Law of the land. Heil, Matthew // Echo Magazine;11/6/2003, Vol. 15 Issue 4, p45 

    Provides information on the legal protection provided by the U.S. Americans with Disabilities Act of 1990 to people with HIV. Areas in which the act protects HIV patients from discrimination; Definition of a disabled person under the act; Groups which can also help people with disabilities...

  • Richard's Place to provide home for PWAs. Bone, Travis D. // Gay & Lesbian Times;8/28/2003, Issue 818, p16 

    Announces the opening of a home for people living with HIV and AIDS in the Barrio Logan/Sherman Heights community in San Diego, California. Funding source; Management of the home by executive director Charles Williams; Goal of the home.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics