Abstract
The Ryan White Human Immunodeficiency Virus (HIV) Program is the largest federal program designed to provide medical and social support services for HIV infected persons who are uninsured or underinsured. In 2008, the Ryan White budget was $2.2 billion, of which over $100 million went to the New York City (NYC) eligible metropolitan area (EMA), which receives the largest Ryan White allocation targeted to any EMA. The NYC Department of Health and Mental Hygiene (DOHMH) is the grantee for the EMA. To implement HIV care and treatment programs funded by this grant, the DOHMH works closely with the NYC Ryan White Planning Council, a local community planning body that assesses needs, plans for service delivery and sets priorities for funds. This article describes priority setting principles, practices, findings and lessons learned. It also outlines how the legislatively mandated community planning body has developed and implemented a user-friendly priority setting process and tool.
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References
Centers for Disease Control and Prevention. Cases of HIV Infection and AIDS in the United States and Dependent Areas. (2007). http://www.cdc.gov/hiv/topics/surveillance/resources/reports/2007report/default.htm. Retrieved 01/05/2010.
New York City Department of Health and Mental Hygiene. HIV Epidemiology and Field Services Semi-Annual Surveillance Report. (2009). http://www.nyc.gov/html/doh/downloads/pdf/dires/dires-2009-report-semi2.pdf. Retrieved 02/02/10.
Hall, H. I., Song, R., Rhodes, P., et al. (2008). Estimation of HIV incidence in the United States. The Journal of the American Medical Association, 300(5), 520–529.
Health Resources and Services Administration, About the Ryan White Program. (2009). http://hab.hrsa.gov/aboutus.htm. Retrieved 12/22/2009.
New York City HIV Health and Human Services Planning Council. About Committees. (2002). http://www.nyhiv.org/plan_council_committees.html. Retrieved 01/16/2010.
Health Resources and Services Administration, Ryan White Part A Planning Council Primer. (2008). http://hab.hrsa.gov/tools/pcp08.htm. Retrieved 01/03/2010.
Mitton, C., & Donaldson, C. (2004). Health care priority setting: Principles, practice and challenges. Cost Effectiveness and Resource Allocation, 2, 3–8.
Mind Tools. Grid Analysis: Making a Choice Where Many Factors Must Be Considered. (1995). http://www.mindtools.com/pages/article/newTED_03.htm. Retrieved 12/22/2010.
Rosenheck, R. A. (1999). Principles for priority setting in mental health services and their implications for the least well off. Psychiatric Services, 50, 653–658.
Centers for Disease Control and Prevention. Medical Monitoring Project. (2009). http://www.cdc.gov/hiv/topics/treatment/mmp/index.htm. Retrieved 03/01/2010.
Bruni, R. A., Laupacis, A., Martin, D. K for the University of Toronto Priority Setting in Health Care Research Group. (2008). Public engagement in setting priorities in health care. Medicine and Society, 179:15–18.
Acknowledgments
The authors thank Sekai Chideya, MD, MPH, James Hadler, MD, MPH, Nina Rothschild, DrPH, MPH, MA, James Sarn, MD, MPH, and Monica Sweeney, MD, MPH for their comments on this manuscript. This publication was supported by grant number H89HA00015 from the Department of Health and Human Services, Health Resources and Services Administration (HRSA), HIV/AIDS Bureau. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HRSA.
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Santella, A., Laraque, F., Hilger, J. et al. The Development and Implementation of a User-Friendly Priority Setting Tool for HIV Care and Treatment Services in New York City. J Community Health 36, 158–165 (2011). https://doi.org/10.1007/s10900-010-9293-y
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DOI: https://doi.org/10.1007/s10900-010-9293-y