Koop C E, Ginzburg H M
Public Health Service, Washington, DC 20201.
Public Health Rep. 1989 Mar-Apr;104(2):105-10.
The Public Health Service (PHS) is the second oldest uniformed service of the United States; its tradition commenced with the establishment of the Marine Hospital Service in 1798. Congress, in 1889, established the United States Public Health Service Commissioned Corps under the aegis of the Treasury. The Corps was created as a uniformed nonmilitary service with a distinct uniform, insignia, and with titles, pay, and retirement protocols that corresponded to those of the uniformed military services (the Armed Forces). Initially the health care system of the country, and Commissioned Corps members, were concerned with infectious and vitamin-deficiency diseases; more recently the nation's medical community has focused on cardiovascular diseases, cancer, and AIDS. A comprehensive revitalization of the Commissioned Corps began in April 1987. The intent was to restore the Commissioned Corps to its traditional leadership role as a cadre of mobile, compassionate experts ensuring the nation's health. The revitalization activities have been successful. The Commissioned Corps has approximately 5,500 active duty officers. The Surgeon General directed the development of career tracks for 11 categories of commissioned officers to increase the opportunities for professional development within the PHS and thus increase retention and professional growth. The theme for the 1989 celebration of the centennial of the Commissioned Corps is "a century of service with distinction." A hundred years from now, at the bicentennial of the Commissioned Corps, the current Surgeon General would like it to be said that the Public Health Service has had "two centuries of service with distinction."
美国公共卫生服务局(PHS)是美国第二古老的军种;其传统始于1798年海军医院服务局的成立。1889年,国会在财政部的支持下设立了美国公共卫生服务局委任军团。该军团是作为一支身着制服的非军事服务机构创建的,有独特的制服、徽章,以及与身着制服的军事服务机构(武装部队)相对应的头衔、薪酬和退休规定。最初,该国的医疗保健系统以及委任军团成员关注的是传染病和维生素缺乏症;最近,美国医学界则将重点放在了心血管疾病、癌症和艾滋病上。1987年4月开始了对委任军团的全面振兴。目的是让委任军团恢复其作为流动、富有同情心的专家骨干队伍的传统领导角色,以保障国家健康。振兴活动取得了成功。委任军团约有5500名现役军官。卫生局局长指示为11类委任军官制定职业发展路径,以增加在公共卫生服务局内专业发展机会,从而提高留用率和职业成长。1989年庆祝委任军团成立一百周年的主题是“卓越服务的一个世纪”。从现在起的一百年后,在委任军团成立两百周年时,现任卫生局局长希望人们会说公共卫生服务局有着“卓越服务的两个世纪”。