NHS Coventry, Coventry, UK.
J Public Health (Oxf). 2011 Dec;33(4):624-9. doi: 10.1093/pubmed/fdr079. Epub 2011 Oct 11.
The UK government has proposed major changes to the Public Health system in England. This study aims quantify increasing anecdotal concern that the number of Public Health consultant posts advertised has plummeted since the publication of these plans.
The archives of BMJ careers were interrogated for hospital and Public Health consultant posts advertised October 2008 and May 2011. Statistical process control charts were used to compare differences in recruitment over time and the ratio of Public Health:hospital consultant posts.
We found a highly significant reduction in the mean number of advertisements for Public Health consultant posts from 27.9 posts per month in the period October 2008-Novermber 2009 to 6.3 posts per month between December 2009 and May 2010 (P< 0.005). The ratio of Public Health:hospital consultant posts fell from 3.3 to 0.9 Public Health consultant posts per 100 hospital consultant posts (P< 0.005).
This study confirms the anecdotal concern that there has been a significant reduction in the advertisement, and by extrapolation, recruitment to Public Health consultants posts in England around the time of the publication of the government's reform plans. Public Health consultant posts have been disproportionately affected by this reduction compared to hospital consultant posts.
英国政府提议对英格兰的公共卫生系统进行重大改革。本研究旨在量化人们日益担忧的情况，即自这些计划公布以来，发布的公共卫生顾问职位数量大幅减少。
查阅了 2008 年 10 月和 2011 年 5 月在《英国医学杂志》职业版上发布的医院和公共卫生顾问职位的档案。使用统计过程控制图比较了随时间推移的招聘差异和公共卫生与医院顾问职位的比例。
我们发现，公共卫生顾问职位的广告数量从 2008 年 10 月至 2009 年 11 月的每月 27.9 个职位显著减少到 2009 年 12 月至 2010 年 5 月的每月 6.3 个职位（P<0.005）。公共卫生与医院顾问职位的比例从 3.3 下降到每 100 个医院顾问职位有 0.9 个公共卫生顾问职位（P<0.005）。
这项研究证实了人们的传闻担忧，即在政府改革计划公布前后，英格兰发布的公共卫生顾问职位数量以及由此推断出的招聘人数确实大幅减少。与医院顾问职位相比，公共卫生顾问职位受到这一减少的影响不成比例。
