The efficiency of the EmERGE pathway of care for people living with HIV in England

Beck, E J, Mandalia, S, Yfantopoulos, P, Jones, C I, Bremner, S, Fatz, D, Vera, J and Whetham, J (2022) The efficiency of the EmERGE pathway of care for people living with HIV in England. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV. pp. 1-10. ISSN 0954-0121

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This study estimated the efficiency of implementing the EmERGE Pathway of Care for people living with medically stable HIV in Brighton, UK; an App enables individuals to communicate with caregivers via their smart-phone. Individual data on the use of HIV outpatient services were collected one-year pre- and post-implementation of EmERGE. Unit costs of HIV outpatient services were calculated and linked with mean use of services per patient year. Primary outcomes were CD4 count and viral load; patient activation and quality-of-life measures were secondary outcomes. 565 participants were followed up April 2017 - October 2018: 93% men, mean age at recruitment 47.0 years (95%CI:46.2-47.8). Outpatient visits decreased by 9% from 5.6 (95%CI:5.4-5.8) to 5.1 (95%CI:4.9-5.3). Face-to-face visits decreased and virtual visits increased. Annual costs decreased by 9% from £751 (95%CI: £722-£780) to £678 (95%CI: £653-£705). Including anti-retroviral drugs, total annual cost decreased from £7,343 (95%CI: £7,314-7,372) to £7,270 (95%CI: £7,245-7,297): ARVs costs comprised 90%. EmERGE was a cost-saving intervention, patients remained engaged and clinically stable. Annual costs were reduced, but ARVs continue to dominate costs. Extension of EmERGE to other people with chronic conditions, could produce greater efficiencies but these needs to be evaluated and monitored over time.

Item Type: Article
Keywords: EmERGE pathway, England, PLHIV, cost & efficiency HIV outpatient services, mHealth
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
Brighton and Sussex Medical School > Primary Care and Public Health
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 04 Apr 2022 07:01
Last Modified: 10 Jun 2022 09:36
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