Important note: Information in this article was accurate in 2000. The state of the art may have changed since the publication date.
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J Health Care Poor Underserved. 2000 Feb;11(1):77-86. Unique Identifier : AIDSLINE MED/20240512
Loue S; Faust M; O'Shea D; Department of Epidemiology and Biostatistics, Case Western; Reserve University, School of Medicine, MetroHealth Medical; Center, Cleveland, OH 44109-1998, USA.
Abstract: The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1991 requires that communities receiving Title I funding engage in a needs assessment and priority process to guide the allocation of those funds to various services within the local community. This paper reports on the process and results of the needs assessments in northeast Ohio and San Diego County for 1996-1997 and 1998. Data from northeast Ohio's 1998 needs assessment indicated significant differences between whites and nonwhites in the utilization of HIV specialist care, HIV-related prescription medications such as antiretrovirals, and health insurance. A need for additional dental care, complementary therapies, housing, and assistance with utility payments was found in both geographic areas. Consumer participation in San Diego's health department-based needs assessment process was more extensive than in northeast Ohio's academic-based approach but was also related to increased community-borne expense.
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