White Franklin
Pacific Health & Development Sciences Inc., and School of Public Health and Social Policy, University of Victoria, Canada.
Med Princ Pract. 2013;22(6):515-29. doi: 10.1159/000354198. Epub 2013 Aug 21.
This review positions public health as an endeavour that requires a high order of professionalism in addressing the health of populations; this requires investment in an educational capacity that is designed to meet this need. In the global context, the field has evolved enormously over the past half century, supported by institutions such as the World Bank, the World Health Organization and the Institute of Medicine. Operational structures are formulated by strategic principles, with educational and career pathways guided by competency frameworks, all requiring modulation according to local, national and global realities. Talented and well-motivated individuals are attracted by its multidisciplinary and transdisciplinary environment, and the opportunity to achieve interventions that make real differences to people's lives. The field is globally competitive and open to many professional backgrounds based on merit. Its competencies correspond with assessments of population needs, and the ways in which strategies and services are formulated. Thus, its educational planning is needs-based and evidence-driven. This review explores four public health education levels: graduate, undergraduate, continuing professional education and promotion of health literacy for general populations. The emergence of accreditation schemes is examined, focusing on their relative merits and legitimate international variations. The role of relevant research policies is recognized, along with the need to foster professional and institutional networks in all regions of the world. It is critically important for the health of populations that nations assess their public health human resource needs and develop their ability to deliver this capacity, and not depend on other countries to supply it.
本综述将公共卫生定位为一项在解决人群健康问题时需要高度专业水准的事业;这需要对旨在满足这一需求的教育能力进行投资。在全球范围内,在世界银行、世界卫生组织和医学研究所等机构的支持下,该领域在过去半个世纪中取得了巨大发展。运作结构由战略原则制定,教育和职业道路由能力框架指导,所有这些都需要根据地方、国家和全球实际情况进行调整。有才华且积极性高的人被其多学科和跨学科环境以及实现能真正改变人们生活的干预措施的机会所吸引。该领域具有全球竞争力,基于功绩向许多专业背景的人开放。其能力与对人群需求的评估以及制定战略和服务的方式相对应。因此,其教育规划是以需求为基础且由证据驱动的。本综述探讨了四个公共卫生教育层次:研究生、本科、继续职业教育以及面向普通人群的健康素养提升。审视了认证计划的出现,重点关注其相对优点和合理的国际差异。认识到相关研究政策的作用,以及在世界所有地区建立专业和机构网络的必要性。各国评估其公共卫生人力资源需求并发展提供这种能力的能力,而不是依赖其他国家提供,这对人群健康至关重要。