Green Lawrence W
University of California at San Francisco, San Francisco, CA, USA
Health Educ Behav. 2016 Feb;43(1):11-6. doi: 10.1177/1090198115621868.
This reflection is on a health education professional's rotation from professor in a school of public health to a government position and back parallels that of Professor Howard Koh's journey to Assistant Secretary of Health, one level higher in the same federal bureaucracy. We both acknowledge the steep learning curve and some bureaucratic hassles and mazes that can attend government service, but similarly conclude that ". . . it was worth it." In this personalized case, I weigh some of the specific learning experiences and challenges I faced while in the government against the needs of the field of health promotion for more such revolving-door experiences among academic public health professionals. From my argument that to get more evidence-based practice we need more practice-based evidence, I conclude that more experience in practice among those returning to academia will render their teaching and research more relevant to the needs for evidence in policy and practice.
这次反思是关于一位健康教育专业人员从公共卫生学院的教授轮岗到政府职位,然后又回到原岗位的经历,这与霍华德·科教授担任卫生部助理部长的历程相似,后者在同一联邦官僚体系中职位更高一级。我们都承认存在陡峭的学习曲线以及政府工作中可能遇到的一些官僚麻烦和迷宫般的问题,但同样得出结论:“……这是值得的。” 在这个个人化的案例中,我权衡了自己在政府工作期间所面临的一些具体学习经历和挑战,以及健康促进领域对于学术公共卫生专业人员有更多此类“旋转门”经历的需求。基于我提出的为了获得更多基于证据的实践我们需要更多基于实践的证据这一观点,我得出结论,那些回归学术界的人员在实践中有更多经验将使他们的教学和研究更贴合政策与实践中对证据的需求。