Document 3157 DOCN M94A3157 TI Why isn't increased survival enough? DT 9412 AU Wilson AD; Wellcome Foundation Ltd, Beckenham, Kent. SO Int Conf AIDS. 1994 Aug 7-12;10(1):14 (abstract no. 030D). Unique Identifier : AIDSLINE ICA10/94369418 AB This presentation will review the four main reasons for applying economic analyses to the field of HIV and AIDS healthcare. These are: 1. Current projections of the growing number of people who may be affected by HIV/AIDS worldwide. 2. The predicted large degree of dependence on healthcare systems of people with HIV/AIDS who will require prolonged treatment, nursing and terminal care. 3. The impact on healthcare budgets of providing care to people with HIV/AIDS. 4. The current focus, by many industrialised countries, on containing the costs of healthcare. The presentation will examine the meaning of cost effectiveness in a healthcare setting. Cost-effectiveness is one of a family of methods for assessing costs and benefits in terms of efficacy or value for money. Currently, cost-effectiveness data exists only for Zidovudine (Retrovir, AZT) monotherapy and the focus of this presentation will be a review of the existing literature. Recently completed work including the results of the economic evaluation from the Cost-Effectiveness of AIDS Therapy (CEAT) Study is discussed. The potential of these studies to contribute to the information available for decision-makers is assessed. Also, using gap analysis, we will identify the future direction of economic evaluation work required, with consideration for different therapeutic options such as combination therapy. DE *Cost of Illness Cost-Benefit Analysis Drug Costs Health Services/*ECONOMICS/SUPPLY & DISTRIBUTION/UTILIZATION Human HIV Infections/DRUG THERAPY/*ECONOMICS Zidovudine/THERAPEUTIC USE MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).