title: Costs of care provided in a university hospital for children exposed to or infected with the HIV/AIDS.
abstract: The objective of this study was to estimate and analyze the costs of treating children with HIV/AIDS at a university hospital in São Paulo, Brazil. The study collected and analyzed data from 291 medical records of children treated at the hospital as of March 2002. The costs of treatment were estimated for each category of patient (exposed and infected) and severity, based on the quantity of inputs and procedures used in treating each child, based on the cost accounting system used at the hospital. The total cost of treatment for children exposed to the HIV was R$ 956.41 and for those infected with HIV R$ 8,092.71 per year. The mean cost of ambulatory care was R$ 6,047.28 for children with severe conditions, R$ 3,714.45 for those with light/moderate conditions, and R$ 948.63 for the exposed. Hospitalized children had annual costs of R$ 19,353.34, R$ 18,823.16, and R$ 871.03, respectively. The medication was a major factor in the cost of treatment. Our estimates are comparable to the findings from other studies, but lower than corresponding findings from the international literature.
authors.affiliation: Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. heloisahsm@icr.hcnet.usp.br
authors.forename: Heloisa Helena de Sousa
authors.initials: HH
authors.lastname: Marques
authors.forename: Bernard François
authors.initials: BF
authors.lastname: Couttolenc
authors.forename: Maria do Rosário Dias de Oliveira
authors.initials: Mdo R
authors.lastname: Latorre
authors.forename: Maria Zilda de
authors.initials: MZ
authors.lastname: Aquino
authors.forename: Maria Ignez Garcia
authors.initials: MI
authors.lastname: Aveiro
authors.forename: Ana Maria Aratangy
authors.initials: AM
authors.lastname: Pluciennik
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000191:economics; D000553:Ambulatory Care / Q000191:economics; D023241:Antiretroviral Therapy, Highly Active / Q000191:economics*; D001938:Brazil; D002648:Child; D003362:Cost-Benefit Analysis; D015658:HIV Infections / Q000191:economics*; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics*; D006785:Hospitals, University / Q000191:economics; D006801:Humans; D012720:Severity of Illness Index