A Guide to Fiscal Year 1991 Federal Funding for HIV Disease: How Dollars are Spent How to Access Them

base of scientific research and through the promotion of improvements in clinical practice and in the
organization, financing, and delivery of health care
services.
Major categories of research issues include
delivery of health care, primary care, health promotion and disease prevention, and state and local health
problems. One current emphasis is on analysis of
medical practice variations, and the study of the
epidemiological and economic characteristics of
AIDS and other HIV-related illnesses.
AHCPR's FY '91 HIV budget is $10,252,000,
virtually all focused on research. Programs include:
intramural research, extramural research, research
dissemination and external liaison, and state and local
user liaison.
AHCPR extramural research on AIDS/HIV-related
issues have covered a broad range, including:
* Cost of care and financing issues: patterns of health
service utilization and costs, with attention to region,
risk group, socioeconomic status; availability and
extent of insurance coverage; distribution of costs
across payers, including impact of unreimbursed and
reimbursed care; study of indirect costs.
* Health status measures and information systems:
design of information systems and data banks;
development of measures of severity, functional
status and outcomes; development of simulation
models to project AIDS cases and cost.
* Access and barriers to care: financial barriers,
variations in service availability and use by risk
group, severity of illness, and socioeconomic status.
* Quality of care: patient satisfaction and clinical
outcomes.
* Health systems analysis: effects of AIDS on

distribution of health care resources and services;
relationship between AIDS and chronic care.
* Cost effectiveness of alternative service and
organizational strategies: cost and outcomes associated with community-based health care models;
centralization vs. decentralization of AIDS beds
within hospitals; the role and effectiveness of
volunteer services.
* Provider issues: training, attitudes, and willingness
to service patients with AIDS; stress and burnout;
choice of specialty, location and other practice
decisions.
The scope of AHCPR research provides a substantial pool of data from which accurate conclusions can
be drawn. One key goal of AHCPR research is rapid
dissemination of HIV-related data to state and local
agencies and institutions to whom the information is
useful.
A substantial number of research grants funded by
AHCPR have addressed issues of importance to
minority populations, including pediatric issues.
AHCPR research findings are shared with OMH,
CDC, NIH and other Federal agencies involved in collaborative or cooperative programs.
AHCPR grants are available to public or private
agencies, non-profit organizations, minority groups,
institutions of higher education, or individuals. For
more information on AHCPR HIV-related extramural funding contact:
Program and Grants Management
AHCPR
Room 18A-10, Parklawn Building
5600 Fishers Ln.
Rockville, MD 20857
301/443-4033

SFFICE OF THE ASSISTANT SECRETARY FOR HEALTH

The Office for the Assistant Secretary for Health
(OASH) provides executive leadership for all programs administered by PHS. Under the direction of
the Assistant Secretary for Health, OASH is directly
responsible to the Secretary of DHHS for the performance of PHS's mission.
OASH is made up of several main administrative

offices, and regional health administrators. (See
Figure 1.8)
Within OASH, the National AIDS Program Office
(NAPO) and the Office of Minority Health (OMH) are
those which spearhead AIDS/HIV programs and
activities.

~1991 ASAP

Reproduction By Permission Only

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~1991 ASAP Reproduction By Permission Only 73