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Letters |15 November 1995

Screening Surgeons for HIV Infection

Douglas K. Owens, MD, MSc; Ryan A. Harris, MSc; Robert F. Nease, PhD

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Author, Article, and Disclosure Information
  • Veterans Affairs Medical Center, Palo Alto, CA 94304; Washington University St. Louis, MO 63110
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Drs. Burke and Brown suggest that test costs may be lower than the estimates we used and that geographically targeted screening may be more cost-effective than screening all surgeons. We agree that some purchasers will be able to negotiate for relatively low-cost HIV tests. The military HIV screening program is particularly efficient [1]. Our estimate of $57, however, represents the total cost per patient screened and includes the cost of the enzyme immunoassay and any necessary confirmatory tests, counseling before and after the test, and administrative overhead. The cost of the tests alone is a minor component of the overall expenditures per person screened. Our costs reflected those paid by a large purchaser of health care. If, however, the total cost per person screened could be reduced from $57 to $10, the cost-effectiveness of one-time screening program improves from $458000 to $402000 per year of life saved.
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Owens DK, Harris, MSc RA, Nease RF. Screening Surgeons for HIV Infection. Ann Intern Med. ;123:812–813. doi: 10.7326/0003-4819-123-10-199511150-00029

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Published: Ann Intern Med. 1995;123(10):812-813.

DOI: 10.7326/0003-4819-123-10-199511150-00029

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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