Table.
ED-based HIV testing programs reporting economic outcomes, 1996–present.
| Testing |
||||||
|---|---|---|---|---|---|---|
| Ref | Site; Study Period | Strategy | Type | Tested, No. (% Positive) |
Costs Reported, Type |
Economic Outcomes, 2009 US$ |
| [12] | Urban teaching hospital, Midwest; July 1998–June 2002 | Risk-targeted | Conventional | 5,504 (0.71) | Budget | 4,088/HIV-infected person |
| [8] | University hospital, Cincinnati; January 1999–December 2002 | Risk-targeted | Conventional | 5,232 (0.86) | Total program | 3,507/positive test |
| [15] | Four urgent care centers, Massachusetts; January–September 2002 | Routine | Conventional | 2,444 (2.0) | Program components | 6,370/positive test |
| 7,223/HIV-infected person linked to care | ||||||
| [14] | Mt. Sinai Hospital, Chicago; April 2003–August 2004 | Routine | Fingerstick rapid | 1,428 (0.6) | Program components and time-motion data | 11,000/HIV-infected person |
| 29,400/HIV-infected person linked to care | ||||||
| [10] | George Washington University Medical Center, District of Columbia; September–December 2006 | Routine | Oral rapid | 2,486 (1.1) (preliminary positive tests) | Total program, based on cost of test and hourly wage for screeners | 1,900/preliminary positive test |
| 5,500/person with confirmed HIV-infection | ||||||
| [11] | Various CDC-funded HIV counseling and testing sites; N/A | Routine |
Fingerstick or oral rapid |
NA (1) | Model-based cost analysis; data derived from the literature and various CDC-funded HIV counseling and testing projects | 2,000/HIV-infected person receiving results |
| Conventional | NA (1) | Same as above | 2,200/HIV-infected person receiving results | |||
| [13] | Medical center ED, Boston; September 2003–May 2004 | Routine | Oral rapid | 1,427 (0.6) | Personnel only | $11,800/HIV-infected person |
*
Adjusted by using the consumer price index for medical services. For studies in which the dollar year was not reported, the currency was adjusted using the dollar year from the end date of the study.