Gerzoff R B, Richards T B
Public Health Practice Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Public Health Manag Pract. 1997 Jul;3(4):50-6. doi: 10.1097/00124784-199707000-00010.
An analysis was done on the educational backgrounds of current top agency executives of U.S. local health departments (LHD), using the National Association of City and County Health Officials 1992-1993 national survey of LHDs as the data source. Nurses are often the executive in jurisdictions with less than 50,000, while executives of jurisdictions with more than 250,000 are predominantly physicians. Overall, 78 percent of LHD executives have no formal public health training, and executives of larger jurisdictions are more likely to have a public health degree. Because a majority of executives lack formal training opportunities for them need major expansion. Particular emphasis should be placed on expanding short-term opportunities such as state-based leadership and distance-based learning programs.
以全国城市与县卫生官员协会1992 - 1993年对美国地方卫生部门（LHD）的全国性调查为数据源，对美国地方卫生部门现任高层管理人员的教育背景进行了分析。在人口少于5万的辖区，管理人员通常是护士；而在人口超过25万的辖区，管理人员主要是医生。总体而言，78%的地方卫生部门管理人员没有接受过正规的公共卫生培训，辖区规模较大的管理人员更有可能拥有公共卫生学位。由于大多数管理人员缺乏正规培训机会，因此需要大力扩充。应特别重视扩大短期培训机会，如以州为基础的领导力培训和远程学习项目。
