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NCJ Number: 120590 Add to Shopping cart Find in a Library
Title: AIDS: Delivering and Financing Health Services in Five Communities
Author(s): J L Shikles; C A Bascetta; E M Smith
Corporate Author: US Government Accountability Office
Human Resources Division
United States of America
Date Published: 1989
Page Count: 72
Sponsoring Agency: Azimuth Inc.
Fairmont, WV 26554
US Government Accountability Office
Washington, DC 20548
Sale Source: Azimuth Inc.
1000 Technology Drive, Suite 3120
Fairmont, WV 26554
United States of America
Document: PDF
Type: Survey
Language: English
Country: United States of America
Annotation: To examine the availability of health and social services for people with AIDS, the General Accounting Office (GAO) visited five communities in Connecticut, Maryland, Pennsylvania, Louisiana, and Washington.
Abstract: The GAO reviewed AIDS population characteristics, service availability, and payment for services in New Haven, Baltimore, Philadelphia, New Orleans, and Seattle. It found that demand for certain AIDS services exceeded capacity and that the size of the AIDS population doubled nearly every year since 1981. AIDS populations ranged from those made up almost exclusively of homosexuals to those predominantly comprised of or related to intravenous drug users. Most cities, even those with primarily homosexual AIDS populations, expected growth in their intravenous drug cases. Hospital care was generally available for people with AIDS, but outpatient medical care provided by physicians and clinics was reaching capacity. In most communities, nursing homes did not admit people with AIDS. Many home and community-based services were not available to AIDS patients, and the lack of housing for people with AIDS was a serious problem in all five communities. Medicaid was the primary payer of AIDS hospitalization costs, financing 30 to 50 percent. The GAO determined that further research on AIDS service delivery costs is needed and that Federal support for AIDS service delivery has been limited. An appendix gives information on how the five communities developed AIDS services. 14 references, 9 tables, 2 figures.
Main Term(s): Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS)
Index Term(s): Connecticut; Louisiana; Maryland; Medical evaluation; Pennsylvania; Washington
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