From Theory to Practice: Implementation of a Resource Allocation Model in Health Departments

Journal of Public Health Management and Practice : JPHMP
Emine YaylaliStephanie L Sansom

Abstract

To develop a resource allocation model to optimize health departments' Centers for Disease Control and Prevention (CDC)-funded HIV prevention budgets to prevent the most new cases of HIV infection and to evaluate the model's implementation in 4 health departments. We developed a linear programming model combined with a Bernoulli process model that allocated a fixed budget among HIV prevention interventions and risk subpopulations to maximize the number of new infections prevented. The model, which required epidemiologic, behavioral, budgetary, and programmatic data, was implemented in health departments in Philadelphia, Chicago, Alabama, and Nebraska. The optimal allocation of funds, the site-specific cost per case of HIV infection prevented rankings by intervention, and the expected number of HIV cases prevented. The model suggested allocating funds to HIV testing and continuum-of-care interventions in all 4 health departments. The most cost-effective intervention for all sites was HIV testing in nonclinical settings for men who have sex with men, and the least cost-effective interventions were behavioral interventions for HIV-negative persons. The pilot sites required 3 to 4 months of technical assistance to develop data inpu...Continue Reading

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Citations

Feb 19, 2016·Traffic Injury Prevention·Cora PetersonDavid Sullivan
Dec 2, 2017·Health Promotion Practice·Mary Spink NeumannArin Freeman
Jun 25, 2021·Value in Health Regional Issues·César Augusto Guevara-CuellarPaola Martínez
Nov 1, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Anton L V Avanceña, David W Hutton

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