The economic burden of home care for children with HIV and other chronic illnesses

Title

The economic burden of home care for children with HIV and other chronic illnesses

Creator

Wilson L; Moskowitz JT; Acree M; Heyman MB; Harmatz P; Ferrando SJ; Folkman S

Publisher

American Journal Of Public Health

Date

2005

Subject

Child; Female; Humans; Male; Interviews as Topic; California; Cost of Illness; Health Care Costs; Chronic Disease/economics; disabled children; San Francisco; New York City; Home Care Services/economics; Caregivers/economics; HIV Infections/economics/nursing; Home Nursing/economics

Description

OBJECTIVES: We compared types, amounts, and costs of home care for children with HIV and chronic illnesses, controlling for the basic care needs of healthy children to determine the economic burden of caring for and home care of chronically ill children. METHODS: Caregivers of 97 HIV-positive children, 101 children with a chronic illness, and 102 healthy children were surveyed regarding amounts of paid and unpaid care provided. Caregiving value was determined according to national hourly earnings and a market replacement method. RESULTS: Chronically ill children required significantly more care time than HIV-positive children (7.8 vs 3.9 hours per day). Paid care accounted for 8% to 16% of care time. Annual costs were $9300 per HIV-positive child and $25,900 per chronically ill child. Estimated national annual costs are $86.5 million for HIV-positive children and $155 to $279 billion for chronically ill children. CONCLUSIONS: Informal caregiving represents a substantial economic value to society. The total care burden among chronically ill children is higher than that among children with HIV.
2005

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

1445-1452

Issue

8

Volume

95

Citation

Wilson L; Moskowitz JT; Acree M; Heyman MB; Harmatz P; Ferrando SJ; Folkman S, “The economic burden of home care for children with HIV and other chronic illnesses,” Pediatric Palliative Care Library, accessed October 20, 2021, https://pedpalascnetlibrary.omeka.net/items/show/13273.

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