Skip to main content
Log in

Changing Trends of HIV-Related Hospitalizations: A Small Area Analysis in Illinois, 1994–2000

  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

This paper describes the characteristics of HIV-related hospitalizations in Illinois and compares these to nationally available data. We used HIV-related hospitalization data abstracted from an administrative dataset maintained by state mandate. Overall, HIV-related hospitalizations decreased in Illinois between 1996 and 2000. The proportion of hospitalizations for infants also decreased. However, trend analyses indicated that both the proportion of hospitalizations involving females and the mean age of hospitalized patients increased while the proportion of hospitalizations ending in mortality and the average charge per hospitalization decreased during the observation period. Small area analyses found significant regional variations in the proportion of hospitalizations ending in in-hospital mortality, costs of a hospitalization and rate of decline in the percent of hospitalization over time. Compared to national data, HIV-related hospitalizations in Illinois were more expensive, less likely to end in mortality and less likely to involve females. These results indicate that evaluation of data at several geographic levels can provide healthcare policy makers with essential information at each level of analysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  1. Bentham WDL, Cai L and Schulman K. “Characteristics of hospitalizations of HIV-Infected patients: An analysis of data from the 1994 healthcare cost and utilization project” J Acquir Immune Defic Syndr 1999;22:503-504.

    Google Scholar 

  2. Bozzette SA, Berry SH, Duan N et al. “The care of HIV-infected adults in the United States”. N Engl J Med 1998;339:1897-1904.

    Google Scholar 

  3. Bozette SA, Joyce G, McCaffrey DF et al. “Expenditures for the care of HIV-Infected patients in the era of highly active antiretroviral therapy' N Engl J Med 2001;344:817-823.

    Google Scholar 

  4. Niemcryk SJ, Bedros A, Marconi K, and O'Neill JF. Consistency in maintaining contact with HIV-related service providers: An analysis of the AIDS cost and services utilization study. J Community Health 1998;23:137-152.

    Google Scholar 

  5. Shenassa E, Catlin S, and Buka S. Lethality of firearms relative to suicide methods: A populationbased study. J Epidemiol Community Health 2003;57:120-124.

    Google Scholar 

  6. Illinois Health Financing Reform Act. Public Act 83-1243.

  7. International Classification of Diseases: Ninth Revision; 2001.

  8. Jonckheere, AR. ‘A Distribution-free k-sample test against ordered alternatives’. Biometrika 1954; 41:133-145.

    Google Scholar 

  9. Andrulis DP, Beers VA, Bentley JD, Gage LS. The provision and financing of medical care for patients with AIDS in the US public and private teaching hospitals. JAMA 1987;285:1343-1346.

    Google Scholar 

  10. Torres RA, Impact of combination therapy for HIV infection on inpatient census. N Engl J Med 1997;336:1531-1533.

    Google Scholar 

  11. Bureau of Labor Statistics, US Department of Labor, Consumer Price Index-All Urban Counties. website: www.data.bls.gove/cgi-bin/surveymost accessed March 12, 2002.

  12. Haddix A, Teutsch S, Shaffer P and Dunet D. Prevention Effectiveness: A guide to Decision Analysis and Economic Evaluation. Oxford Press: Oxford, England; 1996.

    Google Scholar 

  13. Illinois Health Care Cost Containment Council. Illinois Hospital Price Survey Report, 1998. Website: www.il.us/agency/hcccc accessed May 8, 2002.

  14. Benbow N, Wang Y and Whitman S. ‘The big cities health inventory, 1997’. J Community Health 1998;23:471-489.

    Google Scholar 

  15. Shenassa, E. ‘Delivering the goods: The relevance of classification accuracy to the design ofcommunity intervention and prevention programs.’ J Community Psychol 2002; 30:197-210.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brown, M.J., Eastman, M. & Shenassa, E.D. Changing Trends of HIV-Related Hospitalizations: A Small Area Analysis in Illinois, 1994–2000. Journal of Community Health 28, 247–255 (2003). https://doi.org/10.1023/A:1023934008080

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1023934008080

Navigation