Lilley Kathleen C, Stewart Donald E
School of Public Health, Griffith University South Bank campus, PO Box 3370 South Brisbane, QLD 4101, Australia.
Aust New Zealand Health Policy. 2009 May 22;6:14. doi: 10.1186/1743-8462-6-14.
The formation of the National Health and Hospitals Reform Commission (NHHRC) and the National Preventative Task Force in 2008, demonstrate a renewed Australian Government commitment to health reform. The re-focus on prevention, bringing it to the centre of health care has significant implications for health service delivery in the primary health care setting, supportive organisational structures and continuing professional development for the existing clinical and public health workforce. It is an opportune time, therefore, to consider new approaches to workforce development aligned to health policy reform. Regardless of the actual recommendations from the NHHRC in June 2009, there will be an emphasis on performance improvements which are accountable and aligned to new preventive health policy, organisational priorites and anticipated improved health outcomes.To achieve this objective there will be a need for the existing population health workforce, primary health care and non-government sectors to increase their knowledge and understanding of prevention, promotion and protection theory and practice within new organisational frameworks and linked to the community. This shift needs to be part of a national health services research agenda, infrastructure and funding which is supportive of quality continuing professional development.This paper discusses policy and practice issues related to workforce development as part of an integrated response to the preventive agenda.
2008年国家卫生与医院改革委员会（NHHRC）及国家预防工作组的组建，表明澳大利亚政府对卫生改革再次作出承诺。重新将重点放在预防上，并将其置于卫生保健的核心位置，这对初级卫生保健环境中的卫生服务提供、支持性组织结构以及现有临床和公共卫生工作人员的持续专业发展具有重大影响。因此，现在是考虑与卫生政策改革相一致的劳动力发展新方法的适当时机。无论国家卫生与医院改革委员会在2009年6月提出何种实际建议，都将强调绩效改进，这些改进要具有可问责性，并与新的预防性卫生政策、组织优先事项以及预期的健康改善成果相一致。为实现这一目标，现有的人群健康工作人员、初级卫生保健部门和非政府部门需要在新的组织框架内并与社区相联系，增加他们对预防、促进和保护理论及实践的知识和理解。这种转变需要成为国家卫生服务研究议程、基础设施和资金的一部分，以支持高质量的持续专业发展。本文讨论了与劳动力发展相关的政策和实践问题，作为对预防议程综合应对措施的一部分。
