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An alternative analysis was performed to consider the costs of the extra follow-up visit (consultation and clinical tests) that was required for patients who changed their antiretroviral therapy.
Our estimated requirement of 46 minutes per first visit consultation matches well with the WHO estimate of 40 minutes.
During the same period, the mean cost of an office visit, consultation, and serologic tests also decreased 20%, 15%, and 4%, respectively.
A cost minimization analysis was undertaken to compare these three possible approaches: A. HTP consultation (intervention) B. Home visit consultation (usual care) C. OPD consultations (usual care) The fixed and variable costs for all three approaches were determined.
While nearly all of both populations experienced at least 1 office visit consultation, Medicare patients were significantly more likely to have been hospitalized for any reason than commercial patients.
Data was obtained for the comparator groups by estimating the costs that would have been incurred by the health service, based on the resource implications of an OPD appointment or home visit consultation.
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The sensitivity analysis identified the effect of reducing the variable costs associated with OPD and home visit consultations.
Of the 5 h CHWs spent on MNCH activities, 70% was indirectly related to client care (supervision meetings 40%, travel 23%, and registers 7% and 300% on home visit consultations.
Direct medical costs of LD included costs of physician visits, consultation, serologic testing, procedure, therapy, hospitalization/ER, and other relevant costs.
Direct medical costs of LD included costs (charges) of physician visits, consultation, serology, procedure, therapy, hospitalization/emergency room (ER), and other related costs (Appendix 2).
At 12 minutes for first visits and 6.5 minutes for return visits, consultation times were short and differed significantly from the required time anticipated according to the FANC guidelines (42 minutes and 32 minutes respectively) [ 18].
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