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NLM AIDSLINE
Hospital resource consumption of adult and adolescent PWA by risk factor and payer.
Coye MJ; Conviser R; Grant C; Johns Hopkins University, Baltimore, MD,
December 30, 1990
Int Conf AIDS. 1990 Jun 20-23;6(2):287 (abstract no. F.D.821). Unique

OBJECTIVE: To examine differences in hospital resource consumption by risk factor and payer of all PWA over 12 hospitalized in New Jersey during 1987. METHOD: All 1987 New Jersey hospital discharge abstracts from 1987 were scanned for AIDS diagnoses and matched to the state AIDS Registry to find those corresponding to adults and adolescents with AIDS. Matches were found for 3,153 admissions corresponding to 1,619 PWA. Lengths of stay and costs per visit and per year were analyzed by demographic variables, risk factor, and payer. RESULTS: Patients averaged 18.46 days and $10,929 per stay, 1.95 admissions per year, and 36.25 days and $21,269 per year. Those infected through heterosexual contact had the longest average stays (21.54 days) and costs ($13,286); intravenous drug users also had significantly longer average stays (19.27 days) than gay men (16.23 days) but not significantly different costs. Medicaid patients had the highest average number of admissions (2.44), total days of hospitalization (44.84), and total hospital costs ($24,780). CONCLUSION: As HIV positive drug users and Medicaid recipients increase, federal policy must change to improve access to reimbursable ambulatory services.

Adolescence Adult Demography Homosexuality Hospitalization/*ECONOMICS Human Length of Stay/ECONOMICS New Jersey Risk Factors Substance Abuse, Intravenous ABSTRACT

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