European Journal of Medical Research - Deutsche AIDS ...

June 27, 2007 EUROPEAN JOURNAL OF MEDICAL RESEARCH
11
fection. Therefore increasing efforts are necessary for a rational
allocation of resources in this field.
Objective: To evaluate direct costs of HAART in patients
treated at specialised institutions by a follow-up until 2006.
Methods: Analysis of the complete HAART documentation
from 22 centers of the German ClinSurv cohort. HAART-regimens
were calculated on a daily base using documented start
and stop dates for each ARV. Direct costs of HAART were
taken as office based sales prices (including taxes).
Results: From 1996 to 2006 overall 3755 individuals have
been evaluated quarterly exclusively for those quarters they
are on HAART or STI. Thus in an average of 94% of the observed
days patients have been treated with HAART. Mean
observed duration under HAART was 1309 days. 4.617.366
treatment days generated actual costs of € 178.504.116,--.
Average costs of an entire regimen were € 38,85 per day.
Costs increased by +162% from 1996 to 2006, which would
be fourfold more as expected in the case that office based
prices have been discounted with 4% annually. NNRTI-based
HAART (48%) was used in similar frequency as PI based
(46%) and most regimens (97%) contain n-RTIs. Calculating
a cost-index for each single drug class within a HAART regimen
this is highest for fusion inhibitors (FI) with 141 and
lowest for n-RTIs with 28. Like n-RTIs also NNRTIs had a
relatively constant index (36) over time, whereas the more expensive
group of PIs had a higher index of 60, which was
highest in the era before boosting came up (1996: 91),
dropped to 48 in 2000, and since then increased to 73.
that for many HIV-positive persons these images are not congruent
with the every day life experiences. AIDS service organisations
are getting more and more involved into the fight
against poverty. To suceed with this effort one has to analyse
the reality of the actual life circumstances of those in need.
Aids Hilfe Wien therefor conducts regular a survey of the accurate
life circumstances - personal as well as concerning the
social surrounding - and the social situation of our HIV-positive
clients. The latest edidtion was performed in January
2007.
Method:
a. Evaluation of app. 500 anonymized client files
b. descriptive statistic of a data base
c. correlation and correlative deduction
Results: This newest survey shows that the financial situation
remains the main problem. The picture of poverty that was
framed in the first edition of this survey (eg. _ of our clients
are indebted) is even more enhanced. Furthermore the increase
of the aged population in the sample shows even more
challenges of multi-problematic circumstances, psychological
or psychiatrical and alcohol abuse.
Conclusion: The latest survey of the circumstances of our
clients in social work draws once again a picture of
HIV/AIDS that is dominated by poverty. Within a needed lobbying
for reintegration of HIV-infected persons into the
labour market we have to accept also that for many people
this will not be a realistic perspective and poverty is the dominating
reality of their lifes.
A.ER.31
Controlling and AIDS NPOs: Implementation of a
standardized controlling system for all
AIDS-Hilfen in Austria
Dax S. 1
1 Aids Hilfe Wien, Kaufmännische Abteilung, Wien, Austria
[Costs for HAART]
Conclusions: Direct costs for HAART regimens increased inflation-adjusted
from 1996 to 2006. This could be explained
by (a) use of intensified regimens, (b) a slight decrease in use
of NNRTIs, (c) licensing of more expensive new ARVs, and
(d) increasing prices of licensed ARVs.
A.ER.30
Poverty: The other sight of HIV/AIDS
Kuderna C. 1 , Amort F.M. 1
1 Aids Hilfe Wien, Wien, Austria
Objective: An HIV-diagnosis is no longer a death sentence.
Optimistic representations and positive images dominate the
general view of ones life with HIV. However it is also a fact
Background: At present current statistics reporting aggregate
numbers of specific contacts etc. on the one hand, accounting
on the other hand, are separate fields of documentation in
NPOs. Cost accounting is widely seen as a treasury business
with no link to the real poduct sphere. On the whole, Controlling
is a rather young tool in AIDS sector. Nevertheless, the
relevant environment of an NPO is more and more interested
in NPO Controlling.
Objectives: The aim of controlling processes is to link cost
data and statistic figures by means of ratios and indices. The
quality level of production needs to be compiled into the model
on all levels of aggregation. Later, these ratios should become
the basis of management instruments.
Results/problems arising: In the process one has to face
problems of
a) the classic stochastics
b) direct costing and dealing with overheads
c) the algorithm of the relation of a) to b) or vice versa considering
quality factors.
Conclusion: Beside an intelligent design of the controlling
model, one has to plan, test, execute, and control cost-effective
and time-thrifty strategies of realization. In this part,
practical experience in Aids Hilfe Wien will be delivered.
Dealing with the fit or lack of fit into general trends of NPO
Controlling regarding this specific project is meant to give a
further outlook as a resumee.