Evidence map›Paper›PMID 21191118›Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making

Decision making for HIV prevention and treatment scale up: bridging the gap between theory and practice.

Sabina S Alistar, Margaret L Brandeau

Abstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. A Game Theoretic Analysis of Competition Between Vaccine and Drug Companies during Disease Contraction and Recovery.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
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  8. HIV Treatment and Prevention: A Simple Model to Determine Optimal Investment.Medical decision making : an international journal of the Society for Medical Decision Making · 2016
    Article
  9. Article
  10. Performance of a mathematical model to forecast lives saved from HIV treatment expansion in resource-limited settings.Medical decision making : an international journal of the Society for Medical Decision Making · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Sabina S AlistarDepartment of Management Science and Engineering, Stanford University, Stanford, California 94305, USA. ssabina@stanford.edu
Margaret L Brandeau

Funding

Making Better Decisions: Policy Modeling for AIDS and Drug AbuseR01DA015612 · NIDA · STANFORD UNIVERSITY · PI OWENS, DOUGLAS K · 2002 to 2017
$9.4M
NIDA NIH HHS R01 DA015612NIDA NIH HHS R01-DA15612
6 · The paper itself

Abstract

backgroundEffectively controlling the HIV epidemic will require efficient use of limited resources. Despite ambitious global goals for HIV prevention and treatment scale up, few comprehensive practical tools exist to inform such decisions.

methodsWe briefly summarize modeling approaches for resource allocation for epidemic control, and discuss the practical limitations of these models. We describe typical challenges of HIV resource allocation in practice and some of the tools used by decision makers. We identify the characteristics needed in a model that can effectively support planners in decision making about HIV prevention and treatment scale up.

resultsAn effective model to support HIV scale-up decisions will be flexible, with capability for parameter customization and incorporation of uncertainty. Such a model needs certain key technical features: it must capture epidemic effects; account for how intervention effectiveness depends on the target population and the level of scale up; capture benefit and cost differentials for packages of interventions versus single interventions, including both treatment and prevention interventions; incorporate key constraints on potential funding allocations; identify optimal or near-optimal solutions; and estimate the impact of HIV interventions on the health care system and the resulting resource needs. Additionally, an effective model needs a user-friendly design and structure, ease of calibration and validation, and accessibility to decision makers in all settings.

conclusionsResource allocation theory can make a significant contribution to decision making about HIV prevention and treatment scale up. What remains now is to develop models that can bridge the gap between theory and practice.

Indexed as

Decision MakingFemaleHIV InfectionsHumansMaleModels, TheoreticalResource Allocation

Identifiers

PMID21191118
PMCPMC3271126

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.