Economic evaluation of alternative testing regimes and settings to detect undiagnosed HIV in Australia

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Williams, O.D., Dean, J.A., Crothers, A. et al.

Economic evaluation of alternative testing regimes and settings to detect undiagnosed HIV in Australia. 

BMC Health Serv Res 21, 30 (2021)

Background: The study aimed to estimate the comparative costs per positive diagnosis of previously undetected HIV in three testing regimes: conventional; parallel and point of care (POC) testing. The regimes are analysed in six testing settings in Australia where infection is concentrated but with low prevalence.

Conclusions:  This study illustrates the trade-offs between economic and test efficiency and their interactions with population(s) prevalence. The efficient testing regimes and settings are presently under or not funded in Australia. Home Self Testing has the potential to dramatically increase testing rates at very little cost.

By J Pope

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