| Public Funding of HIV/AIDS Prevention, Treatment and Support in California. | |
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MedLine Citation:
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PMID: 21546846 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES:: To determine the amount of public financing for HIV/AIDS in California, and its distribution among treatment, prevention and support services. To determine the geographical distribution of public financing for HIV/AIDS within California. DESIGN:: Data on HIV/AIDS expenditures were compiled across federal and state agencies supporting HIV/AIDS in fiscal year 2008. METHODS:: Federal and state data on programs that finance HIV/AIDS treatment, prevention and support services, including the Ryan White Program, the Centers for Disease Control and Prevention, and the California General Fund, were compiled. California-specific expenditures for Medicare and Medicaid were calculated from claims data. Other entitlement program spending was estimated from national HIV/AIDS data. Data on AIDS cases by county were obtained from the California State Office of AIDS. Mapping to California counties was accomplished with Arc-GIS software. RESULTS:: Public funders accounted for approximately $1.92 billion in HIV/AIDS services in California in fiscal year 2008. Most (90.4%) supported treatment; prevention accounted for 6.4% and support services for 2.6%. The majority of treatment financing came from two Federal health entitlement programs, Medicare (36%) and Medicaid (28%). Counties with the highest case loads had lower expenditures per case, suggesting economies of scale. CONCLUSIONS:: Treatment expenditures overshadow prevention spending. The dominance of entitlement programs in funding for HIV/AIDS treatment challenges policy-makers to monitor the extent and quality of HIV/AIDS care in California. A unified health information system for HIV/AIDS that bridged the fragmented health payment system's data silos would benefit policy makers' efforts to monitor the delivery of HIV/AIDS services. |
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Authors:
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Arleen A Leibowitz; Alison C Mendes; Katherine Desmond |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-5-04 |
Journal Detail:
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Title: Journal of acquired immune deficiency syndromes (1999) Volume: - ISSN: 1944-7884 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-5-6 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100892005 Medline TA: J Acquir Immune Defic Syndr Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1 UCLA School of Public Affairs, Department of Public Policy; 2 UCLA Center for HIV Identification, Prevention and Treatment Services; 3 First Five, Los Angeles. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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