Loue S, Faust M, O'Shea D
Department of Epidemiology and Biostatistics, Case Western Reserve University, School of Medicine, MetroHealth Medical Center, Cleveland, OH 44109-1998, USA.
J Health Care Poor Underserved. 2000 Feb;11(1):77-86. doi: 10.1353/hpu.2010.0662.
The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1991 requires that communities receiving Title I funding engage in a needs assessment and priority process to guide the allocation of those funds to various services within the local community. This paper reports on the process and results of the needs assessments in northeast Ohio and San Diego County for 1996-1997 and 1998. Data from northeast Ohio's 1998 needs assessment indicated significant differences between whites and nonwhites in the utilization of HIV specialist care, HIV-related prescription medications such as antiretrovirals, and health insurance. A need for additional dental care, complementary therapies, housing, and assistance with utility payments was found in both geographic areas. Consumer participation in San Diego's health department-based needs assessment process was more extensive than in northeast Ohio's academic-based approach but was also related to increased community-borne expense.
1991年的《瑞安·怀特艾滋病综合资源紧急救助（CARE）法案》要求，接受第一类资金的社区要开展需求评估和确定优先事项的工作，以便指导将这些资金分配到当地社区的各项服务中。本文报告了1996 - 1997年以及1998年俄亥俄州东北部和圣地亚哥县需求评估的过程与结果。来自俄亥俄州东北部1998年需求评估的数据表明，白人和非白人在利用艾滋病专科护理、抗逆转录病毒药物等与艾滋病相关的处方药以及医疗保险方面存在显著差异。在这两个地区都发现了对额外牙科护理、辅助疗法、住房以及水电费支付援助的需求。圣地亚哥基于卫生部门的需求评估过程中消费者的参与程度比俄亥俄州东北部基于学术机构的方法更广泛，但这也导致了社区承担的费用增加。
