Leider Jonathon P, Juliano Chrissie, Castrucci Brian C, Beitsch Leslie M, Dilley Abby, Nelson Rachel, Kaiman Sherry, Sprague James B
de Beaumont Foundation, Bethesda, Maryland (Drs Leider and Sprague and Mr Castrucci); RESOLVE, Washington, District of Columbia (Mss Juliano, Dilley, Nelson, and Kaiman); and Department of Behavioral Sciences and Social Medicine, Center for Medicine and Public Health, Florida State University College of Medicine, Tallahassee (Dr Beitsch).
J Public Health Manag Pract. 2015 Jul-Aug;21(4):325-35. doi: 10.1097/PHH.0000000000000189.
National efforts are underway to classify a minimum set of public health services that all jurisdictions throughout the United States should provide regardless of location. Such a set of basic programs would be supported by crosscutting services, known as the "foundational capabilities" (FCs). These FCs are assessment services, preparedness and disaster response, policy development, communications, community partnership, and organizational support activities.
To ascertain familiarity with the term and concept of FCs and gather related perspectives from state and local public health practitioners.
In fall 2013, we interviewed 50 leaders from state and local health departments. We asked about familiarity with the term "foundational capabilities," as well as the broader concept of FCs. We attempted to triangulate the utility of the FC concept by asking respondents about priority programs and services, about perceived unique contributions made by public health, and about prevalence and funding for the FCs.
Telephone-based interviews.
Fifty leaders of state and local health departments.
Practitioner familiarity with and perspectives on the FCs, information about current funding streams for public health, and the likelihood of creating nationwide FCs that would be recognized and accepted by all jurisdictions.
Slightly more than half of the leaders interviewed said that they were familiar with the concept of FCs. In most cases, health departments had all of the capabilities to some degree, although operationalization varied. Few indicated that current funding levels were sufficient to support implementing a minimum level of FCs nationally.
Respondents were not able to articulate the current or optimal levels of services for the various capabilities, nor the costs associated with them. Further research is needed to understand the role of FCs as part of the foundational public health services.
美国正在努力确定一套所有辖区无论地理位置如何都应提供的最低限度公共卫生服务。这样一套基本项目将得到被称为“基础能力”（FCs）的跨领域服务的支持。这些基础能力包括评估服务、防范与灾害应对、政策制定、沟通、社区伙伴关系以及组织支持活动。
确定对基础能力这一术语和概念的熟悉程度，并收集州和地方公共卫生从业者的相关观点。
2013年秋季，我们采访了50位州和地方卫生部门的负责人。我们询问了他们对“基础能力”这一术语以及基础能力更广泛概念的熟悉程度。我们试图通过询问受访者关于优先项目和服务、公共卫生所做出的独特贡献以及基础能力的普及情况和资金状况来确定基础能力概念的效用。
基于电话的访谈。
50位州和地方卫生部门的负责人。
从业者对基础能力的熟悉程度和观点、关于公共卫生当前资金流的信息，以及创建将被所有辖区认可和接受的全国性基础能力的可能性。
略多于一半的受访负责人表示他们熟悉基础能力的概念。在大多数情况下，卫生部门在某种程度上具备所有这些能力，尽管实施情况各不相同。很少有人表示当前的资金水平足以支持在全国范围内实施最低水平的基础能力。
受访者无法阐明各种能力当前或最佳的服务水平，也无法说明与之相关的成本。需要进一步研究以了解基础能力作为基础公共卫生服务一部分的作用。
