Robacio JC, Azserzon A, Hirsch R, Perez B; International Conference on AIDS.
Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. ThPeC5423.
J.C. Robacio, Serrano 699, (1663) Mu+/-iz, Bs. As., Argentina, Tel.: +54 11 4451 8383 or 54 11 445, Fax: +54 11 4451 6178, E-mail: kvbravo@sinectis.com.ar
Issues: For almost 20 years this disease has been destroying lives despite our attempts to control it, which have not been truly effective. We are part of the legion of people who daily fight this scourge. From our workplaces at Hospital of Infectious Diseases "Fco. J. Mu+/-iz", we want to provide the data which is the result of our experience. Among the many questions which remain to be asked, it is not less important the one related to the economic impact of paedriatic aids, from its beginning to its gloomy and onerous end. Description: Our work will focus on the diagnosis and treatment of 150 children with HIV, who were treated by us from 1995 to 1999 and who were between 1 and 17 years old. They passed through different phases which varied from negativization to death, experiencing all along the process the giving up of the treatment or home-based care or multiple hospitalizations. We consider each hospitalization as an independent unit, no matter who is being hospitalized. We take into account: days of hospitalization, electricity, telephone and gas services, cleaning, maids, nursing care, maintenance, security, medical care, specialties, attention in ER, social service counseling, nutritionists, psychologists, psychiatrists, personnel, general medication, antiretrovirals, oxygen, laboratory, images, high complexity studies, kinesitherapy, food and necessary inputs. The social impact is devastating. This pandemic disease leaves widows and helpless orphans behind, both physically and economically. It destroys destinies, projects and hopes. Conclusions: We observe important variations in the costs of the treatments depending on how they are afforded: particularly, with Health Insurance or with the National Plan of Struggle against AIDS. This disease requires institutions with trained personnel, specific inputs and logistic support. Investment in these treatments is ineludible; support, needed not only for the patient but also relatives and friends; and surveillance, in order to detect errors or abandonment of the treatment, to control the actors or to start off protective mechanisms of the patient's rights and needs. This surveillance is made, being an inpatient, by physicians, paramedics and specialized personnel; being an outpatient, by a trained healthcare staff.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Child
- Costs and Cost Analysis
- Counseling
- Delivery of Health Care
- HIV Infections
- HIV Seropositivity
- Health Planning
- Health Services
- Health Services Needs and Demand
- Hospitalization
- Humans
- Research
- economics
- education
- organization & administration
- therapy
Other ID:
UI: 102241964
From Meeting Abstracts