Cagan E R, Hubinsky T, Goodman A, Deitcher D, Cohen N L
New York City Department of Health, NY, USA.
J Urban Health. 2001 Mar;78(1):176-80. doi: 10.1093/jurban/78.1.176.
Concurrent with the New York City Department of Health's reorganization efforts, the Robert Wood Johnson and W.K. Kellogg Foundations launched Turning Point, a national initiative designed to strengthen the nation's public health system. The Turning Point initiative has emphasized broad-based partnership building and planning as key prerequisites for improving public health practice. In response to the foundations' request for proposals, the department formed a New York City Public Health Partnership, which in turn applied for and was granted a Turning Point planning grant. This funding allowed New York City Turning Point to initiate a public health planning process, part of which involved convening forums in each of the five boroughs. With over 1,100 community participants, these forums provided both a starting point for establishing public health priorities and an interactive setting for sharing health and demographic data. Included among the issues that emerged as priorities were: access to care, environmental health, mental health, housing, asthma, education, and dietary issues. Building on the forum outcomes, the New York City Public Health Partnership developed a public health system improvement plan. The goals delineated in this plan are: (1) to create and support public health partnerships at the community, borough, and citywide levels; (2) to identify community health concerns and develop strategies responsive to these concerns; and (3) to develop policies to support and sustain a community health approach to improve health status. This article also discusses possible roles for local health departments in promoting a community health approach to address public health concerns.
在纽约市卫生部进行重组工作的同时，罗伯特·伍德·约翰逊基金会和W.K.凯洛格基金会发起了“转折点”项目，这是一项旨在加强美国公共卫生系统的全国性倡议。“转折点”倡议强调广泛建立伙伴关系和规划，将其作为改善公共卫生实践的关键前提条件。应基金会的提案请求，该部门成立了纽约市公共卫生伙伴关系，该伙伴关系进而申请并获得了“转折点”规划拨款。这笔资金使纽约市“转折点”项目能够启动公共卫生规划进程，其中一部分工作是在五个行政区分别召开论坛。这些论坛有1100多名社区参与者，既为确定公共卫生优先事项提供了起点，也为分享健康和人口数据提供了互动平台。作为优先事项出现的问题包括：医疗服务可及性、环境卫生、心理健康、住房、哮喘、教育和饮食问题。基于论坛成果，纽约市公共卫生伙伴关系制定了公共卫生系统改进计划。该计划中划定的目标是：（1）在社区、行政区和全市层面创建并支持公共卫生伙伴关系；（2）确定社区卫生问题并制定应对这些问题的策略；（3）制定政策以支持和维持采用社区卫生方法来改善健康状况。本文还讨论了地方卫生部门在促进采用社区卫生方法解决公共卫生问题方面可能发挥的作用。
