IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v15y1995i4p311-317.html
   My bibliography  Save this article

Threshold Analysis and Programs for Prevention of HIV Infection

Author

Listed:
  • David R. Holtgrave
  • Noreen L. Qualls

Abstract

Background. Measuring the economic effectiveness of HIV-infection prevention activities poses special challenges in terms of behavioral change and health outcomes assessment. Methods. One way to address this difficulty is to employ threshold analysis to determine a level of cost per HIV infection averted above which society would seem unwilling to pay. The authors employ a cost-utility analytic framework to determine a monetary threshold for HIV prevention programs, subject base-case results to sensitivity analyses, and apply these results to the Centers for Disease Control and Prevention's fiscal year 1993 budget for extramural HIV prevention programs. Results. The monetary threshold for cost per HIV infection averted was calculated to be $417,000 in 1993 dollars, and ranged from $185,000 to $648,000 depending upon the dollar amount society would be willing to pay per quality- adjusted life year gained. Conclusions. Economic evaluations of particular HIV-infection prevention activities at least can begin by determining whether their levels of effectiveness are above or below this derived monetary threshold, and refinements beyond this dichoto mous evaluation can proceed as further data become available. Key words: HIV; AIDS; prevention; threshold analysis; cost-utility analysis. (Med Decis Making 1995;15:311-317)

Suggested Citation

  • David R. Holtgrave & Noreen L. Qualls, 1995. "Threshold Analysis and Programs for Prevention of HIV Infection," Medical Decision Making, , vol. 15(4), pages 311-317, October.
    • Handle: RePEc:sae:medema:v:15:y:1995:i:4:p:311-317
    DOI: 10.1177/0272989X9501500402
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X9501500402
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X9501500402?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Edward H. Kaplan & Ron Brookmeyer, 1999. "Snapshot Estimators of Recent HIV Incidence Rates," Operations Research, INFORMS, vol. 47(1), pages 29-37, February.
    2. Afschin Gandjour & Amiram Gafni, 2013. "Internal validation of models with several interventions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(6), pages 901-909, December.
    3. Margaret Brandeau & Gregory Zaric, 2009. "Optimal investment in HIV prevention programs: more is not always better," Health Care Management Science, Springer, vol. 12(1), pages 27-37, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:15:y:1995:i:4:p:311-317. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.