Stoto M A, Blumenthal D, Durch J S, Feldman P H
John F. Kennedy School of Government, Harvard School of Public Health, Harvard University, Boston, Massachusetts.
Rev Infect Dis. 1988 Mar-Apr;10(2):406-19. doi: 10.1093/clinids/10.2.406.
With the history of the U.S. federal budget for fiscal year 1986 as a vehicle, the usual processes in the executive branch and the Congress that establish health research priorities and the unusual developments that have shaped priorities for AIDS are described. In the 3 years between the initial formulation of the AIDS budget and its execution, there were numerous revisions and evidence of poor communication between scientists and policy makers. On the basis of this analysis, two recommendations are made: the director of the National Institutes of Health and the heads of other U.S. Public Health Service agencies should have discretionary funds to use for AIDS activities; and better channels of communication between the Congress, the Public Health Service, and outside biomedical researchers should be established for consultation on priorities for AIDS research.
以1986财年美国联邦预算的历史为载体，描述了行政部门和国会确定健康研究重点的常规流程以及影响艾滋病研究重点的特殊进展。在艾滋病预算初步制定到执行的三年间，进行了多次修订，并且有证据表明科学家和政策制定者之间沟通不畅。基于这一分析，提出了两条建议：国立卫生研究院院长和其他美国公共卫生服务机构负责人应拥有可自由支配的资金用于艾滋病相关活动；应建立国会、公共卫生服务机构和外部生物医学研究人员之间更好的沟通渠道，以便就艾滋病研究重点进行磋商。
