Richardson M, Casey S, Rosenblatt R A
University of Washington School of Public Health and Community Medicine in Seattle, Washington, USA.
J Public Health Manag Pract. 2001 Jan;7(1):37-48. doi: 10.1097/00124784-200107010-00008.
This study of personnel in local health departments (LHDs) focused on two predominantly rural states: Idaho and Wyoming. Although in the same region of the country, the structure of local public health is different in each state. Idaho's regionalized LHDs are relatively autonomous, whereas Wyoming's are county based, with many public health functions retained at the state level. The majority of professionals are nurses followed by environmental health workers and sanitarians, similar to data reported nationally. With increased emphasis on core public health functions of policy, assurance, and assessment, rural LHDs will be challenged to redirect the functions of their workforce.
这项针对地方卫生部门（LHDs）工作人员的研究聚焦于两个主要为农村地区的州：爱达荷州和怀俄明州。尽管这两个州位于美国同一地区，但每个州的地方公共卫生结构有所不同。爱达荷州的区域化地方卫生部门相对自主，而怀俄明州的则以县为基础，许多公共卫生职能保留在州一级。与全国报告的数据相似，大多数专业人员是护士，其次是环境卫生工作者和卫生检查员。随着对政策、保障和评估等核心公共卫生职能的重视程度不断提高，农村地方卫生部门将面临重新调整其工作人员职能的挑战。
