Hospital Resource Use by HIV-Infected Females

摘要

Inpatient mortality and resource use for hospitalizations of women infected withHIV (human immunodeficiency virus) were compared with those of HIV-infected females from the same time period (October 1, 1986, through December 31, 1987). The data for this analysis came from the large sample of hospitals participating in the Hospital Cost and Utilization Project, 1980-87 (HCUP-2). Few differences in resource use and outcomes were found between HIV-infected women and men. However, the expected source of payment for inpatient stays differed significantly by gender, with discharges of HIV-infected men more often indicating some form of private insurance and inpatient care for HIV-infected women disproportionately financed through public sources. Differences in resource use and outcomes between HIV-infected women and a random sample of discharges of non-HIV-infected women were striking. HIV-infected women had longer average lengths of stay as well as higher total hospital charges. Among women hospitalized for deliveries, the average length of stay, total charges, and charges per day were significantly higher for HIV-positive women than for the random sample.