Watson P
Wakefield Health Authority.
J Manag Med. 1994;8(1):19-23. doi: 10.1108/02689239410052504.
The 1991 National Health service reforms have greatly changed the role of district health authorities. These bodies employ most public health physicians in England and thus the focus of public health departments has changed with the reforms. Presents the results of a series of semi-structured interviews with the board members of two health authorities about the role of public health. Board members outlined several roles for the specialty including defining key issues, interpreting technical issues, intelligence gathering, developing links with clinicians and legitimizing health authority decisions. There were some concerns about the corporacy of public health departments. There was a great deal of support for health promotion, but some reluctance to be drawn into political issues. Also explored were alternative sources of advice on health policy, such as the views of general practitioners.
1991年的国民医疗服务体系改革极大地改变了地区卫生当局的角色。这些机构雇佣了英格兰大部分的公共卫生医师，因此随着改革的推进，公共卫生部门的工作重点也发生了变化。本文呈现了对两个卫生当局的董事会成员进行的一系列半结构化访谈的结果，访谈内容涉及公共卫生的作用。董事会成员概述了该专业的几个作用，包括界定关键问题、解读技术问题、收集情报、与临床医生建立联系以及使卫生当局的决策合法化。人们对公共卫生部门的整体性存在一些担忧。对健康促进给予了大量支持，但在卷入政治问题方面存在一些犹豫。同时还探讨了健康政策建议的其他来源，比如全科医生的观点。
