Economic and epidemiological evaluation of text message-based interventions in patients with the Human Immunodeficiency Virus.
Rev Lat Am Enfermagem
; 28: e3365, 2020.
Article
en En, Pt, Es
| MEDLINE
| ID: mdl-33027403
OBJECTIVE: to evaluate the cost-effectiveness ratio and the budget impact of sending text messages associated with medical consultations in order to reduce the viral load of patients infected with the Human Immunodeficiency Virus. METHOD: a randomized clinical trial, basis for the development of a dynamic cohort model with Markov states in order to compare medical appointments for adults infected with the Human Immunodeficiency Virus versus the alternative strategy that associated medical consultations to sending text messages through telephone. RESULTS: 156 adults participated in the study. As for the viral load, it was verified that in the control group there was an increase, in the intervention group A (weekly messages) there was a reduction (p = 0.002) and in group B (biweekly messages) there was no statistically significant difference. Sending text messages would prevent 286,538 new infections by the Human Immunodeficiency Virus and 282 deaths in the 20-year period, compared to the standard treatment. The alternative strategy would result in saving R$ 14 billion in treatment costs. CONCLUSION: weekly sending messages in association with the standard treatment can reduce the circulating viral load due to its effect in decreasing new infections, in addition to reducing health costs.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones por VIH
/
Envío de Mensajes de Texto
Tipo de estudio:
Clinical_trials
/
Health_economic_evaluation
Límite:
Adult
/
Humans
Idioma:
En
/
Es
/
Pt
Revista:
Rev Lat Am Enfermagem
Asunto de la revista:
ENFERMAGEM
Año:
2020
Tipo del documento:
Article
País de afiliación:
Brasil
Pais de publicación:
Brasil