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Updated forecasts of the costs of medical care for persons with AIDS, 1989-93.
  • Published Date:
    1990 Jan-Feb
  • Source:
    Public Health Rep. 105(1):1-12
  • Language:
    English
Filetype[PDF-2.23 MB]


Details:
  • Personal Authors:
    Hellinger, F J
  • Keywords:
  • Pubmed ID:
    2106697
  • Pubmed Central ID:
    PMCnull
  • Description:
    Data on the number of AIDS cases reported to the Centers for Disease Control (CDC) from January 1984 to June 1989 are used to predict the number of AIDS cases that will be diagnosed during the years 1989 through 1993. Using quadratic and linear models with the most recent data, it is projected that about 44,000 cases will be diagnosed in 1989, 56,000 in 1990, 70,000 in 1991, 87,000 in 1992, and 104,000 in 1993. These projections are lower than estimates derived using data from January 1984 to June 1988, and they are similar to estimates derived by the CDC. The lifetime medical care cost of treating a person with AIDS is estimated to be about $75,000 (all estimates are in 1988 dollars) assuming that the average length of survival is 15 months and that the intensity of care (that is, the cost of medical care per month) does not fall as longevity rises. This total, $75,000, reflects recent increases in the length of survival and the diffusion of costly drug therapies (for example, AZT and aerosol pentamidine). This study forecasts that the cumulative lifetime medical care costs of treating all people diagnosed with AIDS during a given year to be about $3.3 billion in 1989, $4.3 billion in 1990, $5.3 billion in 1991, $6.5 billion in 1992, and $7.8 billion in 1993.

  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. Broadening the perspective of pica: literature review.
      Personal Author:
      Lacey, E P
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):29-35
      Description:
      Pica is an eating disorder that is manifested by a craving for oral ingestion of a given substance that is unusual in kind and or quantity. It is a long-standing practice that has far reaching implications for prevention and treatment--implications f...
      File Type:
      Filetype[PDF - 1.23 MB]
    2. Public Health Rep ; v. 105, no. 1 : table of contents
      Published:
      Jan-Feb 1990
      Source:
      Public Health Rep. 105(1)
      File Type:
      Filetype[PDF - 358.23 KB]
    3. Prevalence of Giardia lamblia and risk factors for infection among children attending day-care facilities in Denver.
      Personal Author:
      Novotny, Thomas E.; Hopkins, Richard S.; Shillam, Pamela; Janoff, Edward N.;
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):72-75
      Description:
      A sample of children in the toddler age group was surveyed in Denver, CO, to determine the prevalence of Giardia lamblia and to identify risk factors for the intestinal disease. The sample consisted of 236 children attending day-care centers (DCC) an...
      File Type:
      Filetype[PDF - 862.05 KB]
    4. Public Health Rep ; v. 105, no. 1 : Masthead
      Published:
      Jan-Feb 1990
      Source:
      Public Health Rep. 105(1)
      File Type:
      Filetype[PDF - 1.90 MB]
    5. Ischemic heart disease and hypertension: effect of disease coding on epidemiologic assessment.
      Personal Author:
      Rothenberg, Richard B.; Aubert, Ronald E.;
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):47-52
      Description:
      During the changeover from the eighth to the ninth revision of the "International Classification of Diseases: Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death" (ICD), there were several major alteratio...
      File Type:
      Filetype[PDF - 1.62 MB]
    6. Report of a special panel on desired prenatal weight gains for underweight and normal weight women.
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):24-28
      Description:
      A major challenge facing the health care system is to improve the distribution of infant birth weights. Prenatal weight gain and prepregnancy weight status are two of the major factors that influence infant birth weight. These are independently and l...
      File Type:
      Filetype[PDF - 976.47 KB]
    7. Awareness and use of hepatitis B vaccine among homosexual male clients of a Boston community health center.
      Personal Author:
      McCusker, J; Hill, E M; Mayer, K H;
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):59-64
      Description:
      Factors associated with awareness and acceptance of hepatitis B vaccine were identified among 150 homosexual male clients of a Boston community health center. Five percent of the subjects were unaware of hepatitis B and 25 percent had a history of he...
      File Type:
      Filetype[PDF - 1.17 MB]
    8. "Race-ethnicity": a dubious scientific concept.
      Personal Author:
      Weissman, A
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):102-103
      File Type:
      Filetype[PDF - 342.40 KB]
    9. State level expert review committees--are they protected?
      Personal Author:
      Wright, Ronald F.; Smith, Jack C.;
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):13-23
      Description:
      Recently, the functioning of State-level expert review committees, operating under the auspices of professional medical societies, has become problematic. In particular, an increased number of State maternal mortality review committees have become in...
      File Type:
      Filetype[PDF - 2.15 MB]
    10. Operation Sunday School--educating caring hearts to be healthy hearts.
      Personal Author:
      Jackson, A L
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):85-88
      Description:
      This project seeks to improve traditional hypertension screening of the black population by developing a community oriented approach that can increase knowledge and involve a new target group--black children--in preventive techniques. To help achieve...
      File Type:
      Filetype[PDF - 901.19 KB]
    11. Report on the International Conference on Emergency Health Care Development.
      Personal Author:
      Dines, G B
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):76-79
      Description:
      Emergency medical services (EMS) provide rescue, field stabilization, transportation to medical facilities, and definitive care for persons experiencing medical emergencies. In order to advance worldwide development and refinement of EMS systems, and...
      File Type:
      Filetype[PDF - 935.06 KB]
    12. Estimating cancer mortality rates from SEER incidence and survival data.
      Personal Author:
      Chu, K C; Horm, J W; Smart, C R;
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):36-46
      Description:
      A method to estimate site-specific cancer mortality rates using Surveillance, Epidemiology, and End Results (SEER) Program incidence and survival data is proposed, calculated, and validated. This measure, the life table-derived mortality rate (LTM), ...
      File Type:
      Filetype[PDF - 4.33 MB]
    13. Volunteer peer support therapy for abusive and neglectful families.
      Personal Author:
      Upsal, M S
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):80-84
      Description:
      This project is designed to provide tertiary prevention services to physically abusive and physically neglectful families. The prevention service described, Volunteer Peer Support Therapy, is expected to significantly improve parenting skills and par...
      File Type:
      Filetype[PDF - 1.04 MB]
    14. Career paths of geriatric nurse practitioners employed in nursing homes.
      Personal Author:
      Radosevich, D M; Kane, R L; Garrard, J; Skay, C L; McDermott, S; Kepferle, L; Buchanan, J; Arnold, S;
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):65-71
      Description:
      The career paths of geriatric nurse practitioners (GNPs) trained with support from the W. K. Kellogg Foundation through the Mountain States Health Corporation (MSHC) were studied. Under this program, GNPs were recruited from sponsoring nursing homes ...
      File Type:
      Filetype[PDF - 1.58 MB]
    15. A proposal for a foster grandmother intervention program to prevent child abuse.
      Personal Author:
      Neergaard, J A
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):89-93
      Description:
      The incidence of child abuse and neglect is epidemic. Many abused children have sustained lifelong injuries. Often they become perpetrators of abuse, continuing the cycle into future generations. Studies have indicated that mothers who are likely to ...
      File Type:
      Filetype[PDF - 1.00 MB]
    16. Public Health Rep
      Published:
      Jan-Feb 1990
      File Type:
      Filetype[PDF - 521.40 KB]
    17. PROGRAMS, PRACTICES, PEOPLE
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):106-111
      File Type:
      Filetype[PDF - 1.14 MB]
    18. Efficacy of an intervention to promote use of hearing protection devices by firefighters.
      Personal Author:
      Ewigman, B G; Kivlahan, C H; Hosokawa, M C; Horman, D;
      Published:
      1990 Jan-Feb
      Source:
      Public Health Rep. 105(1):53-59
      Description:
      Numerous cases of hearing loss consistent with noise-induced damage were noted among firefighters in the city of Columbia, MO. A survey of firefighting vehicles in operation showed that the firefighters were exposed to excessive noise levels and put ...
      File Type:
      Filetype[PDF - 1.16 MB]
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