Details:

Alternative Title:
Sex Transm Dis
Publisher's site:
http://dx.doi.org/10.1097/OLQ.0000000000001691
Personal Author:
Williams, Austin M. ; Jamison, Kelly ; Eppink, Samuel T. ; Pathela, Preeti ; Blank, Susan ; ... More +
Williams, Austin M. ; Jamison, Kelly ; Eppink, Samuel T. ; Pathela, Preeti ; Blank, Susan ; Peters, Dana ; Gift, Thomas L. ; Berruti, Andrés A. Less -
Description:
Background:

As part of New York State’s Ending the Epidemic (EtE) initiative, Sexual Health Clinics (SHCs) in New York City (NYC) invested in clinic enhancements and expanded their HIV-related services to increase access to HIV prevention interventions and treatment. The objective of this study was to estimate and describe the change in SHC operating costs related to clinic enhancements and expanded patient services implemented as part of the EtE initiative.

Methods:

A comprehensive micro-costing approach was used to collect retrospective cost information from SHCs, broken down by category and programmatic activity. Cost information was collected from eight clinics across NYC during two 6-month time periods before (2015) and during (2018 – 2019) EtE.

Results:

Eight SHCs reported comprehensive cost data. Costs increased by $800,000 on average per clinic during the 6-month EtE period. The cost per visit at a SHC increased by $120 on average to $381 (ranging from $302–$464) during the EtE period. Personnel costs accounted for 69.9% of EtE costs and HIV-related medications accounted for 8.9% of costs. Employment of social workers and patient navigators increased costs by approximately $150,000 on average per clinic. Post-exposure prophylaxis was the costliest medication with average expenditures of $103,800 per clinic.

Conclusions:

This study demonstrates the key drivers of cost increases when offering enhanced HIV services in SHCs. Documenting the changes in resources necessary to implement these services and their costs can inform other health departments on the viability of offering enhanced HIV services within their own clinics.


Subjects:
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Article Ending The HIV Epidemic Epidemics HIV HIV Infections Humans Micro-costing New York City Retrospective Studies Sexual Health STD Clinics
Source:
Sex Transm Dis. 49(11):771-777
Pubmed ID:
35948304
Pubmed Central ID:
PMC9561010
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:a420f02d0e53ee502044d40fb38fad6014469125216a224a9f04ab53d1023b7d
File Type:

• Supporting Files:
  No Additional Files

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