Cost Analysis and Performance Assessment of Partner Services for Human Immunodeficiency Virus and Sexually Transmitted Diseases, New York State, 2014

Health Serv Res. 2017 Dec;52 Suppl 2(Suppl 2):2331-2342. doi: 10.1111/1475-6773.12748. Epub 2017 Aug 11.

Abstract

Objective: To estimate the programmatic costs of partner services for HIV, syphilis, gonorrhea, and chlamydial infection.

Study setting: New York State and local health departments conducting partner services activities in 2014.

Study design: A cost analysis estimated, from the state perspective, total program costs and cost per case assignment, patient interview, partner notification, and disease-specific key performance indicator.

Data collection: Data came from contracts, a time study of staff effort, and statewide surveillance systems.

Principal findings: Disease-specific costs per case assignment (mean: $580; range: $502-$1,111), patient interview ($703; $608-$1,609), partner notification ($1,169; $950-$1,936), and key performance indicator ($2,697; $1,666-$20,255) varied across diseases. Most costs (79 percent) were devoted to gonorrhea and chlamydial infection investigations.

Conclusions: Cost analysis complements cost-effectiveness analysis in evaluating program performance and guiding improvements.

Keywords: HIV; Partner services; economic evaluation; sexually transmitted diseases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chlamydia Infections / economics
  • Chlamydia Infections / prevention & control
  • Contact Tracing / economics*
  • Costs and Cost Analysis
  • Gonorrhea / economics
  • Gonorrhea / prevention & control
  • HIV Infections / economics
  • HIV Infections / prevention & control
  • Humans
  • Models, Econometric
  • New York
  • Program Evaluation
  • Sexual Partners*
  • Sexually Transmitted Diseases / economics*
  • Sexually Transmitted Diseases / prevention & control*
  • Syphilis / economics
  • Syphilis / prevention & control