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Doody's Review ServiceReviewer: Anton M Somlai, Ed.D.(Medical College of Wisconsin)
Description: The Institute of Medicine (IOM) was commissioned by HRSA and the Centers for Disease Control and Prevention (CDC) to conduct a study in response to a congressional mandate in the Ryan White CARE Act Amendments of 2000. The charge was to: (1) assess whether reported HIV cases were adequate, reliable, and sufficiently accurate in formula grants; (2) identify data and tools for assessing a community's severity of need for allocation decisions; and (3) identify available health outcomes and other data that can be used to measure the quality of and access to RWCA-funded services.
Purpose: The purpose of the book was to describe the committee recommendations in addressing how HIV data can be used in Title I and II allocation formulas, describing what information was needed to estimate the severity of need for resources, and developing recommendations for quality-of-care measures. The book is needed because inequities in reporting HIV cases significantly affects the resources that states will have available in addressing the HIV/AIDS epidemic. The book does an excellent and thorough job in providing recommendations that specifically address Congressional mandates for RWCA.
Audience: This book is intended for individuals involved with health care policy, community planning, community health systems, health sciences, front-line providers, and health prevention/disease prevention researchers. Additionally, the book addresses congressional concern regarding fund allocation and would be of benefit to key decision makers in AIDS care funding.
Features: The book addresses potential inequalities in health care across the four major program titles (I-IV) in the Ryan White Act. The strength of the book is in how it addresses the problems regarding equitability of allocations across states and providers of services. Given an extremely complex charge, the book is highly fluid and responsive in providing recommendations that will impact future resources.
Assessment: This book is extremely important given limited resources in governmental funding of prevention initiatives. The findings and recommendations are a benchmark for estimating resource needs by a complex array of factors, including disease burden, the cost of providing care, and available resources.