FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3147385657> ?p ?o ?g. }

• W3147385657 endingPage "e1003389" @default.
• W3147385657 startingPage "e1003389" @default.
• W3147385657 abstract "Background The US National HIV/AIDS Strategy (NHAS) emphasizes the use of technology to facilitate coordination of comprehensive care for people with HIV. We examined cost-effectiveness from the health system perspective of 6 health information technology (HIT) interventions implemented during 2008 to 2012 in a Ryan White HIV/AIDS Program (RWHAP) Special Projects of National Significance (SPNS) Program demonstration project. Methods/findings HIT interventions were implemented at 6 sites: Bronx, New York; Durham, North Carolina; Long Beach, California; New Orleans, Louisiana; New York, New York (2 sites); and Paterson, New Jersey. These interventions included: (1) use of HIV surveillance data to identify out-of-care individuals; (2) extension of access to electronic health records (EHRs) to support service providers; (3) use of electronic laboratory ordering and prescribing; and (4) development of a patient portal. We employed standard microcosting techniques to estimate costs (in 2018 US dollars) associated with intervention implementation. Data from a sample of electronic patient records from each demonstration site were analyzed to compare prescription of antiretroviral therapy (ART), CD4 cell counts, and suppression of viral load, before and after implementation of interventions. Markov models were used to estimate additional healthcare costs and quality-adjusted life-years saved as a result of each intervention. Overall, demonstration site interventions cost $3,913,313 (range = $287,682 to $998,201) among 3,110 individuals (range = 258 to 1,181) over 3 years. Changes in the proportion of patients prescribed ART ranged from a decrease from 87.0% to 72.7% at Site 4 to an increase from 74.6% to 94.2% at Site 6; changes in the proportion of patients with 0 to 200 CD4 cells/mm 3 ranged from a decrease from 20.2% to 11.0% in Site 6 to an increase from 16.7% to 30.2% in Site 2; and changes in the proportion of patients with undetectable viral load ranged from a decrease from 84.6% to 46.0% in Site 1 to an increase from 67.0% to 69.9% in Site 5. Four of the 6 interventions—including use of HIV surveillance data to identify out-of-care individuals, use of electronic laboratory ordering and prescribing, and development of a patient portal—were not only cost-effective but also cost saving ($6.87 to $14.91 saved per dollar invested). In contrast, the 2 interventions that extended access to EHRs to support service providers were not effective and, therefore, not cost-effective. Most interventions remained either cost-saving or not cost-effective under all sensitivity analysis scenarios. The intervention that used HIV surveillance data to identify out-of-care individuals was no longer cost-saving when the effect of HIV on an individual’s health status was reduced and when the natural progression of HIV was increased. The results of this study are limited in that we did not have contemporaneous controls for each intervention; thus, we are only able to assess sites against themselves at baseline and not against standard of care during the same time period. Conclusions These results provide additional support for the use of HIT as a tool to enhance rapid and effective treatment of HIV to achieve sustained viral suppression. HIT has the potential to increase utilization of services, improve health outcomes, and reduce subsequent transmission of HIV." @default.
• W3147385657 created "2021-04-13" @default.
• W3147385657 creator A5010247183 @default.
• W3147385657 creator A5010600625 @default.
• W3147385657 creator A5015173112 @default.
• W3147385657 creator A5045000681 @default.
• W3147385657 creator A5054870873 @default.
• W3147385657 creator A5057936565 @default.
• W3147385657 creator A5064358682 @default.
• W3147385657 creator A5076882317 @default.
• W3147385657 date "2021-04-07" @default.
• W3147385657 modified "2023-10-12" @default.
• W3147385657 title "Health information technology interventions and engagement in HIV care and achievement of viral suppression in publicly funded settings in the US: A cost-effectiveness analysis" @default.
• W3147385657 cites W1963570721 @default.
• W3147385657 cites W1974932748 @default.
• W3147385657 cites W1976839886 @default.
• W3147385657 cites W1979653387 @default.
• W3147385657 cites W1981900224 @default.
• W3147385657 cites W1990667465 @default.
• W3147385657 cites W2000905688 @default.
• W3147385657 cites W2003262039 @default.
• W3147385657 cites W2004707127 @default.
• W3147385657 cites W2011201985 @default.
• W3147385657 cites W2019334884 @default.
• W3147385657 cites W2020573416 @default.
• W3147385657 cites W2020753809 @default.
• W3147385657 cites W2021484232 @default.
• W3147385657 cites W2021989490 @default.
• W3147385657 cites W2023624761 @default.
• W3147385657 cites W2024888854 @default.
• W3147385657 cites W2027423999 @default.
• W3147385657 cites W2036526415 @default.
• W3147385657 cites W2039617800 @default.
• W3147385657 cites W2047058534 @default.
• W3147385657 cites W2051810414 @default.
• W3147385657 cites W2052163426 @default.
• W3147385657 cites W2056151201 @default.
• W3147385657 cites W2057516639 @default.
• W3147385657 cites W2060057531 @default.
• W3147385657 cites W2061263216 @default.
• W3147385657 cites W2062056136 @default.
• W3147385657 cites W2062939266 @default.
• W3147385657 cites W2068125111 @default.
• W3147385657 cites W2068729701 @default.
• W3147385657 cites W2072824446 @default.
• W3147385657 cites W2073038519 @default.
• W3147385657 cites W2075796489 @default.
• W3147385657 cites W2080807877 @default.
• W3147385657 cites W2081979411 @default.
• W3147385657 cites W2090669065 @default.
• W3147385657 cites W2100711705 @default.
• W3147385657 cites W2108312475 @default.
• W3147385657 cites W2108396907 @default.
• W3147385657 cites W2117988532 @default.
• W3147385657 cites W2122585157 @default.
• W3147385657 cites W2127280664 @default.
• W3147385657 cites W2133437290 @default.
• W3147385657 cites W2147462315 @default.
• W3147385657 cites W2150596136 @default.
• W3147385657 cites W2151969385 @default.
• W3147385657 cites W2170641720 @default.
• W3147385657 cites W2211648215 @default.
• W3147385657 cites W2339708760 @default.
• W3147385657 cites W2410044656 @default.
• W3147385657 cites W2619155572 @default.
• W3147385657 cites W2743298989 @default.
• W3147385657 cites W2800886885 @default.
• W3147385657 cites W4250190857 @default.
• W3147385657 doi "https://doi.org/10.1371/journal.pmed.1003389" @default.
• W3147385657 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8059802" @default.
• W3147385657 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33826617" @default.
• W3147385657 hasPublicationYear "2021" @default.
• W3147385657 type Work @default.
• W3147385657 sameAs 3147385657 @default.
• W3147385657 citedByCount "1" @default.
• W3147385657 countsByYear W31473856572023 @default.
• W3147385657 crossrefType "journal-article" @default.
• W3147385657 hasAuthorship W3147385657A5010247183 @default.
• W3147385657 hasAuthorship W3147385657A5010600625 @default.
• W3147385657 hasAuthorship W3147385657A5015173112 @default.
• W3147385657 hasAuthorship W3147385657A5045000681 @default.
• W3147385657 hasAuthorship W3147385657A5054870873 @default.
• W3147385657 hasAuthorship W3147385657A5057936565 @default.
• W3147385657 hasAuthorship W3147385657A5064358682 @default.
• W3147385657 hasAuthorship W3147385657A5076882317 @default.
• W3147385657 hasBestOaLocation W31473856571 @default.
• W3147385657 hasConcept C15716912 @default.
• W3147385657 hasConcept C159110408 @default.
• W3147385657 hasConcept C160735492 @default.
• W3147385657 hasConcept C162324750 @default.
• W3147385657 hasConcept C2426938 @default.
• W3147385657 hasConcept C27415008 @default.
• W3147385657 hasConcept C2776354556 @default.
• W3147385657 hasConcept C41008148 @default.
• W3147385657 hasConcept C50522688 @default.
• W3147385657 hasConcept C512399662 @default.
• W3147385657 hasConcept C71924100 @default.
• W3147385657 hasConcept C74909509 @default.

• next