Levenson R, Russell J, Joule N
King's Fund, uk.
Health Serv J. 1997 Oct 9;107(5574):24-5.
The arguments in favour of the public health director being a doctor remain powerful. It is difficult to imagine someone without a medical qualification being accepted by junior doctors, consultants and GPs. However, other disciplines may have a better understanding of social and economic determinants of health, and more skills in working with communities. Given current prevailing attitudes, it is unlikely that a professional other than a doctor could gain the confidence of the range of groups that a public health director must work with. But attitudes could and possibly should, change.
支持公共卫生主任由医生担任的论据依然有力。很难想象一个没有医学资质的人能被初级医生、会诊医生和全科医生所接受。然而,其他学科可能对健康的社会和经济决定因素有更深入的理解,并且在与社区合作方面有更多技能。鉴于当前的普遍态度,除医生以外的专业人员不太可能获得公共卫生主任必须与之合作的各类群体的信任。但态度能够而且可能应该改变。