Table 1.
Annual service utilization and program cost of providing preexposure prophylaxis to SHIPP study participants aged ≥18 years at Howard Brown Health, Chicago, Illinois, and Whitman-Walker Health, Washington, DC, 2014-2018 a
| PrEP-related item | Services utilization |
Program cost, $
b
|
||
|---|---|---|---|---|
| Total no. | Mean no. (95% CI) per patient | Total | Mean cost (95% CI) per patient | |
| Howard Brown Health (n = 482 patients) | ||||
| Clinic visit | 2476 | 5.1 (4.9-5.3) | 281 231 | 583 (562-605) |
| Laboratory testing | 12 134 | 25.2 (25.0-25.3) | 515 633 | 1070 (1059-1080) |
| Total | 14 610 | 30.3 (30.1-30.5) | 796 863 | 1653 (1639-1668) |
| Whitman-Walker Health (n = 56 patients) | ||||
| Clinic visit c | 300 | 5.4 (5.0-5.7) | 51 677 | 923 (826-1020) |
| Laboratory testing | 1391 | 24.8 (23.2-26.5) | 57 026 | 1018 (946-1091) |
| Total | 1691 | 30.2 (28.5-31.9) | 108 703 | 1941 (1811-2071) |
Abbreviations: PrEP, preexposure prophylaxis; SHIPP, Sustainable Health Center Implementation PrEP Pilot.
a
The SHIPP study is an observational cohort of people receiving daily oral PrEP at participating federally qualified health centers and other community health centers.
b
Annual costs estimated following each patient for 12 months since first PrEP prescription (in 2017 US dollars).
c
Included some payments related to prescribing or administering laboratory screens during the clinic visit.