Myers A M, Pfeiffle P, Hinsdale K
City and County of Denver, Department of Health and Hospitals, CO 80204.
Public Health Rep. 1994 Jul-Aug;109(4):555-62.
The authors describe a 3-year effort by a public health care system in a large metropolitan area to obtain Federal funds for treating patients with acquired immunodeficiency syndrome (AIDS). During that process, program planners moved incrementally from proposing an exclusively medical model to one emphasizing the activities of a coalition of community based organizations (CBO). Successive proposals for Federal funding reflected increasing understanding of the nature and functioning of CBOs in providing case management and other support services. The third application proposed devoting 34.5 percent of the budget to CBO activities. That application, which was successfully funded, provided leverage and momentum for the concept of the interdisciplinary, broadly based services consortium which has evolved in Denver since 1989. The consortium has been instrumental in the 55.9 percent reduction in the cost of medical care for AIDS patients that has occurred.
作者描述了一个大城市地区的公共卫生保健系统为获得联邦资金以治疗获得性免疫缺陷综合征（艾滋病）患者而进行的为期三年的努力。在此过程中，项目规划者逐渐从提出一个纯粹的医学模式转向强调社区组织联盟（CBO）的活动。联邦资金的后续提案反映出对CBO在提供病例管理和其他支持服务方面的性质和运作有了越来越深入的理解。第三次申请提议将34.5%的预算用于CBO活动。该申请成功获得了资金，为自1989年以来在丹佛发展起来的跨学科、基础广泛的服务联盟概念提供了影响力和动力。该联盟对艾滋病患者医疗费用降低55.9%起到了推动作用。
