Milne T L
J Public Health Policy. 1990 Autumn;11(3):305-15.
This paper reviews the recent experience in Washington State which resulted in creation of a separate state Department of Health. Until the 1989 legislation was passed, Washington was one of 19 states in which public health was organizationally housed in a superagency. The Institute of Medicine, in its 1988 report on The Future of Public Health, recommended that states organize core functions under a separate department of health. The effort in Washington State was led by local public health officials. Success followed four years of hard work during which mistakes were made, coalitions were built, and legislative process was learned.
本文回顾了华盛顿州的近期经历，这些经历促成了一个独立的州卫生部的设立。在1989年立法通过之前，华盛顿州是19个将公共卫生机构设置在一个超级机构中的州之一。医学研究所（Institute of Medicine）在其1988年关于《公共卫生的未来》的报告中建议，各州应在一个单独的卫生部之下组织核心职能。华盛顿州的这项工作是由当地公共卫生官员牵头的。经过四年的艰苦努力，期间既有失误，也建立了联盟，还熟悉了立法程序，最终取得了成功。
