The cost-effectiveness of expanded HIV counselling and testing in primary care settings: a first look

Abstract

Routine testing is the most cost-effective approach to identifying new HIV infections. However, using risk histories may be similarly cost-effective under various assumptions. Both routine testing and using risk histories are more cost-effective than current practices.

Cost-Effectiveness of Screening for HIV in the Era of Highly Active Antiretroviral Therapy

“…7,8 Although we and others previously evaluated the cost-effectiveness of screening, [9][10][11][12] these analyses were performed before HAART became available. Because both the costs and the benefits of screening have changed since these analyses were published, the current cost-effectiveness of screening and the settings in which screening is economically attractive remain uncertain.…”

“…n engl j med 352;6 www.nejm.org february 10,2005 cost-effectiveness of screening for hiv n engl j med 352;6 www.nejm.org february 10,2005 The new england journal of medicine n engl j med 352;6 www.nejm.org february 10,2005 cost-effectiveness of screening for hiv…”

HIV Infection among Low-Risk First Lifetime Testers in Rome, 1990?2000

“…Such persisting levels of HIV infection suggest, as recently debated [28][29][30], the need of adopting routine HIV screening strategies -instead of risk-based testing policies -in the low-risk heterosexual population.…”

Testing for HIV infection in the United States

“…Studies have further demonstrated that expanded HIV counseling, testing, and referral in the primary care setting has a projected incremental cost of $4200 per infection identified and potential for cost savings over the long-term [38]. Estimates of unmet prevention needs in the United States suggest additional investments of $817 million to over $1.85 billion will be needed and will be overwhelmingly offset by the averted costs of medical care [39].…”