IC 077 Guide to Texas Medical Center Historical Resources Project Records

The Medical World News Photograph Collection (IC 077) predominantly consists of photographic prints, negatives, and transparencies that document the production of a premiere medical news magazine. The collection contains most of the images published in the magazine from 1967-1985. See more at https://archives.library.tmc.edu/ic-077

Expenditures for the care of HIV-infected patients in rural areas in China's antiretroviral therapy programs

<p>Abstract</p> <p>Background</p> <p>The Chinese government has provided health services to those infected by the human immunodeficiency virus (HIV) under the acquired immunodeficiency syndrome (AIDS) care policy since 2003. Detailed research on the actual expenditures and costs for providing care to patients with AIDS is needed for future financial planning of AIDS health care services and possible reform of HIV/AIDS-related policy. The purpose of the current study was to determine the actual expenditures and factors influencing costs for untreated AIDS patients in a rural area of China after initiating highly active antiretroviral therapy (HAART) under the national Free Care Program (China CARES).</p> <p>Methods</p> <p>A retrospective cohort study was conducted in Yunnan and Shanxi Provinces, where HAART and all medical care are provided free to HIV-positive patients. Health expenditures and costs in the first treatment year were collected from medical records and prescriptions at local hospitals between January and June 2007. Multivariate linear regression was used to determine the factors associated with the actual expenditures in the first antiretroviral (ARV) treatment year.</p> <p>Results</p> <p>Five ARV regimens are commonly used in China CARES: zidovudine (AZT) + lamivudine (3TC) + nevirapine (NVP), stavudine (D4T) + 3TC + efavirenz (EFV), D4T + 3TC + NVP, didanosine (DDI) + 3TC + NVP and combivir + EFV. The mean annual expenditure per person for ARV medications was US$2,242 (US$1 = 7 Chinese Yuan (CNY)) among 276 participants. The total costs for treating all adverse drug events (ADEs) and opportunistic infections (OIs) were US$29,703 and US$23,031, respectively. The expenses for treatment of peripheral neuritis and cytomegalovirus (CMV) infections were the highest among those patients with ADEs and OIs, respectively. On the basis of multivariate linear regression, CD4 cell counts (100-199 cells/μL versus <100 cells/μL, <it>P </it>= 0.02; and ≥200 cells/μL versus <100 cells/μL, <it>P </it>< 0.004), residence in Mangshi County (<it>P </it>< 0.0001), ADEs (<it>P </it>= 0.04) and OIs (<it>P </it>= 0.02) were significantly associated with total expenditures in the first ARV treatment year.</p> <p>Conclusions</p> <p>This is the first study to determine the actual costs of HIV treatment in rural areas of China. Costs for ARV drugs represented the major portion of HIV medical expenditures. Initiating HAART in patients with higher CD4 cell count levels is likely to reduce treatment expenses for ADEs and OIs in patients with AIDS.</p

Medical World News, Vol. 2 (20), Table of Contents

Image shows the designated issue with its affiliated page. File contains selected pages from approximately 12 issues of the Medical World News from 1961. Pages for each issue typically include cover, masthead, table of contents, acknowledgements (photographer credits), and advertisement index. See more at Medical World News Photograph Collection and its finding aid.https://digitalcommons.library.tmc.edu/medicalworldnewspub/1153/thumbnail.jp

Medical World News, Vol. 21 (10), Table of Contents

Image shows the designated issue with its affiliated page. File contains selected pages from approximately 12 issues of the Medical World News from 1980. Pages for each issue typically include cover, masthead, table of contents, acknowledgements (photographer credits), and advertisement index. See more at Medical World News Photograph Collection and its finding aid.https://digitalcommons.library.tmc.edu/medicalworldnewspub/4250/thumbnail.jp

Medical World News, Vol. 23 (2), Table of Contents

Image shows the designated issue with its affiliated page. File contains selected pages from approximately 12 issues of the Medical World News from 1982. Pages for each issue typically include cover, masthead, table of contents, acknowledgements (photographer credits), and advertisement index. See more at Medical World News Photograph Collection and its finding aid.https://digitalcommons.library.tmc.edu/medicalworldnewspub/4422/thumbnail.jp

Medical World News, Vol. 34 (10), Front Cover

Image shows the designated issue with its affiliated page. File contains selected pages from approximately 12 issues of the Medical World News from 1993. Pages for each issue typically include cover, masthead, table of contents, acknowledgements (photographer credits), and advertisement index. See more at Medical World News Photograph Collection and its finding aid.https://digitalcommons.library.tmc.edu/medicalworldnewspub/5473/thumbnail.jp

Medical World News, Vol. 35 (1), Letters

Image shows the designated issue with its affiliated page. File contains selected pages from approximately 12 issues of the Medical World News from 1994. Pages for each issue typically include cover, masthead, table of contents, acknowledgements (photographer credits), and advertisement index. See more at Medical World News Photograph Collection and its finding aid.https://digitalcommons.library.tmc.edu/medicalworldnewspub/5490/thumbnail.jp

Medical World News, Vol. 33 (10), Table of Contents

Image shows the designated issue with its affiliated page. File contains selected pages from approximately 12 issues of the Medical World News from 1992. Pages for each issue typically include cover, masthead, table of contents, acknowledgements (photographer credits), and advertisement index. See more at Medical World News Photograph Collection and its finding aid.https://digitalcommons.library.tmc.edu/medicalworldnewspub/5419/thumbnail.jp

Medical World News, Vol. 15 (6), Front Cover

Image shows the designated issue with its affiliated page. File contains selected pages from approximately 12 issues of the Medical World News from 1974. Pages for each issue typically include cover, masthead, table of contents, acknowledgements (photographer credits), and advertisement index. See more at Medical World News Photograph Collection and its finding aid.https://digitalcommons.library.tmc.edu/medicalworldnewspub/3508/thumbnail.jp