Tilson Hugh, Berkowitz Bobbie
School of Public Health, University of North Carolina at Chapel Hill, USA.
Healthc Pap. 2007;7(3):10-9. doi: 10.12927/hcpap..18752.
This paper examines the public health enterprise and its policy challenges in the twenty-first century. Among the many challenges public health faces, we include here collaboration across a broad range of stakeholders, the public health infrastructure, agreement on public health's essential services, preparedness, accountability and measurement, workforce and a research agenda. Two Institute of Medicine reports on the future of public health have set the context for a more in-depth review of the public health workforce and infrastructure. Policy advocates must ask, however, why, if the way and the means are so clear, the public health system is still in disarray.
本文探讨了21世纪的公共卫生事业及其面临的政策挑战。在公共卫生面临的诸多挑战中，我们在此纳入了广泛利益相关者之间的协作、公共卫生基础设施、关于公共卫生基本服务的共识、防范能力、问责制与衡量标准、劳动力以及研究议程。医学研究所的两份关于公共卫生未来的报告为更深入审视公共卫生劳动力和基础设施奠定了背景。然而，政策倡导者必须追问，为何即便方式和手段如此明确，公共卫生系统仍处于混乱状态。
