Examining the Health Disparities Research Plan of the National Institutes of Health Unfinished Business (2006) / Chapter Skim
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4 Budget and Finances
4 Budget and Finances
Pages 60-71
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From page 60... ...
minority health and health disparities research for periods before FY 2003 60
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From page 61... ...
after consultation with the Director of the Agency for Healthcare Research and Quality, there is a significant disparity in the overall rate of disease incidence, prevalence, morbidity, mortality, or survival rates in the population as compared to the health status of the general population." The definitions of applicable research activities for basic research, infrastructure, and outreach projects include only projects targeted at minority health and health disparity issues. For clinical research, both targeted and nontargeted projects qualify, with nontargeted projects defined as those with rates of minority participants to total participants of 25 percent or greater.
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From page 62... ...
includes: · basic research on a disease, condition, or biological process that affects exclusively or almost exclusively one or more minority populations; · basic research on a behavior that is found exclusively or almost exclu sively in one or more minority populations; · basic research on whether and/or how the mechanisms of disease or basic biological processes differ in minority populations, or how behaviors differ in minority populations; · clinical research conducted exclusively or almost exclusively in one or more minority populations; · clinical research investigating whether and/or how the manifestations, con sequences, or responses to treatment of diseases or other conditions differ in minority populations; and · clinical research investigating how behaviors differ in minority populations. Nontargeted research (report at the percent minority participation, as long as it exceeds the threshold of 25 percent)
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From page 63... ...
includes: · basic research on a disease, condition, or biological process that affects exclusively or almost exclusively low-SES or rural populations; · basic research on a behavior that is found exclusively or almost exclu sively in low-SES or rural populations; · basic research on whether and/or how the mechanisms of disease or basic biological processes differ in low-SES or rural populations, or how behav iors differ in minority populations; · clinical research on whether and/or how the manifestations, consequences, or responses to treatment of diseases or other conditions differ in low-SES or rural populations; and · clinical research conducted exclusively or almost exclusively in low-SES or rural populations. Nontargeted research (report at 50/25 percent if coded in the NIH CRISP as sec ondary/tertiary for low SES or rural health, or at the minority participation percent, if higher)
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From page 64... ...
Such authorization of appropriations is in addition to other authorizations of appropriations that are available for the conduct and support of minority health disparities research or other health disparities research by the agencies of the National Institutes of Health." The authorized additional funds were not appropriated to NIH. It appears that the NIH director added $74.5 million of NIH funds to the health disparities initiative in FY 2001, of which $20 million was allocated to the National Center on Minority Health and Health Disparities and $54 million was distributed among the ICs, presumably increasing their base budgets.
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From page 65... ...
In 2004, the annual increment represented a 6.6 percent increase, which was lower than before the application of the new methodology but still greater than the total NIH budget increase of 3.0 percent. The change in methodology revealed that NIH was spending approximately 3 percent less of its total budget on health disparities activities than originally reported in FY 2003.
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noted large changes in three ICs: the National Institute of Allergy and Infectious Diseases (NIAID) , with a change of $451 million in the health disparities portion of the 2003 budget; the National Cancer Institute (NCI)
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The proportions of budgets allocated to health disparities research were adjusted downward for NCI, the National Eye Institute, NIAID, the National Institute of Diabetes and Digestive and Kidney Diseases, and NICHD. The largest change was for NICHD, which demonstrated a 40 percent drop in the previously reported allocation to health disparities research and almost a 50 percent
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* Health Disparities Minority Health FIGURE 4-1 Percentage of total NIH budget funding minority health and health disparities research activities between 1999 and 2004.
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. The available information suggests that for most ICs, the portion of their budgets attributed to minority health and health disparities research increased proportionally to, or at a greater rate, than their budget change -- though for some, reported increments were far less.
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The proportions reported likely represent budget priorities made within ICs, which were not available for review for the overall health disparities research program and the Strategic Plan. NIH ICs have budget commitments and priorities dependent on budget presentations to, and funding authorizations by, Congress.
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From page 71... ...
Findings: · Incremental funding was not provided to NIH for the minority health and health disparities research program. · As of July 2005, during the 5th year of the program period, no complete, standardized, approved budget information was avail able from the Strategic Plan or the Annual Reports.
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