Funding policies for HIV and AIDS: time for change.

Combining specialist and primary health care teams for HIV positive patients: retrospective and prospective studies

“…Future developments could, however, run into problems if funding arrangements do not change to make additional provision for the increased workload which models like this one bring for general practitioners 22 23 24. Furthermore, there is a real danger that these developments will come to be perceived as a means of cutting hospital budgets while not providing adequate funds for health centres that are prepared to take on additional responsibilities 4 25…”

“…Care has therefore, in and around London where many HIV positive patients live, built up around specialist hospital based teams. This practice continues because of current funding arrangements 4. Previous attempts to bridge the gap between hospital and primary health care services for these patients have included the creation of HIV/AIDS liaison teams 1 2 3 5.…”

“…Previous attempts to bridge the gap between hospital and primary health care services for these patients have included the creation of HIV/AIDS liaison teams 1 2 3 5. However, these teams have not adequately facilitated the transfer of skills and knowledge about HIV to primary health care professionals because they do not provide the “hands on experience” required 1 2 4 6 7 8…”

Corporate Governance, Financial Reporting, and the Cost of Containing the Aids Threat in Scotland

“…It has enabled this study to analyse what has become known as 'the AIDSHIV sector' in Scotland. The funding, that the Act requires reports upon, is allocated according to Regional populations after adjustments for the incidence of HIV and AIDS (McCarthy and Layzell, 1993). This earmarked funding and financial reporting ceased in April 1984.…”

Amateurs Confronting Specialists: Expenditure on AIDS in England

“…If the virus AIDS theory is correct then funding should be allocated according to Regional populations after adjustments for the incidence of HIV and AIDS. In fact, this is how funds are allocated (McCarthy & Layzell 1993). Table 3 shows the results of this allocation formula together with the actual expenditure of the main RHAs in England during 1991/2 except for the North Western RHA, whose report was unavailable at the time and 1990/91 figures are used.…”