Naccarella Lucio, Butterworth Iain, Moore Timothy
Health Systems and Workforce Unit, Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne , Australia.
Eastern and Southern Metropolitan Health, Victorian Department of Health and Human Services, The University of Melbourne , Australia.
J Public Health Res. 2016 Apr 26;5(1):643. doi: 10.4081/jphr.2016.643.
With the recognition that professional education has not kept pace with the challenges facing the health and human service system, there has been a move to transformative education and learning professional development designed to expand the number of enlightened and empowered change agents with the competence to implement changes at an individual, organisation and systems level.
Since 2010, the Department of Health and Human Services in Victoria, Australia, in collaboration with The University of Melbourne's School of Population and Global Health, has delivered seven population health short courses aimed to catalyse participants' transformation into population health change agents. This paper presents key learnings from a combination of evaluation data from six population health short courses using a transformative learning framework from a 2010 independent international commission for health professionals that was designed to support the goals of transformative and interdependent health professionals. Participatory realist evaluation approaches and qualitative methods were used.
Evaluation findings reveal that there were mixed outcomes in facilitating participants' implementation of population health approaches, and their transformation into population health agents upon their return to their workplaces. Core enablers, barriers and requirements, at individual, organisational and system levels influence the capability of participants to implement population health approaches. The iterative and systemic evolution of the population health short courses, from a one off event to a program of inter-dependent modules, demonstrates sustained commitment by the short course developers and organisers to the promotion of transformative population health learning outcomes.
To leverage this commitment, recognising that professional development is not an event but part of an ongoing transformative process, suggestions to further align recognition of population health professional development programs are presented. Significance for public healthWith decreasing health and wellbeing of whole populations, increasing inequities among specific population groups, health professional educators are increasingly turning their attention to population health. This has implications for implementing evidence into practice. Professional development short courses are being conducted to equip participants (health service managers, health promotion managers and coordinators, health planners, population health planners and senior executives) with knowledge, skills and tools to implement population health approaches and transform them into population health change agents. The findings of this study indicate there were mixed outcomes in facilitating participants' implementation of population health approaches and their transformation into population health agents upon their return to their workplaces. The study findings informed the evolution of the short courses, from a one off event to a program of interdependent modules, and further reveal that professional development is not an event but part of an on-going transformative process,suggestions to further align recognition of population health professional development programs are presented.
随着人们认识到专业教育未能跟上卫生与公共服务系统所面临的挑战，已开始转向变革性教育和学习专业发展，旨在增加有能力在个人、组织和系统层面实施变革的开明且有能力的变革推动者的数量。
自2010年以来，澳大利亚维多利亚州卫生与公共服务部与墨尔本大学人口与全球健康学院合作，开设了七门人口健康短期课程，旨在促使参与者转变为人口健康变革推动者。本文介绍了使用2010年一个独立的国际卫生专业人员委员会的变革性学习框架，对六门人口健康短期课程的评估数据进行综合分析得出的关键经验教训，该框架旨在支持变革性和相互依存的卫生专业人员的目标。采用了参与式现实主义评估方法和定性方法。
评估结果显示，在促进参与者实施人口健康方法以及他们回到工作岗位后转变为人口健康推动者方面，结果喜忧参半。个人、组织和系统层面的核心促进因素、障碍和要求会影响参与者实施人口健康方法的能力。人口健康短期课程从一次性活动逐步演变为相互依存模块的项目，体现了短期课程开发者和组织者对促进变革性人口健康学习成果的持续承诺。
为利用这一承诺，认识到专业发展不是一次性活动，而是持续变革过程的一部分，本文提出了进一步使人口健康专业发展项目的认可保持一致的建议。对公共卫生的意义随着全体人群健康状况和福祉的下降，特定人群组之间的不平等加剧，卫生专业教育工作者越来越关注人口健康。这对将证据应用于实践有影响。正在开展专业发展短期课程，以使参与者（卫生服务管理人员、健康促进管理人员和协调员、卫生规划人员、人口健康规划人员和高级管理人员）具备实施人口健康方法并将他们转变为人口健康变革推动者所需的知识、技能和工具。本研究结果表明，在促进参与者实施人口健康方法以及他们回到工作岗位后转变为人口健康推动者方面，结果喜忧参半。研究结果为短期课程从一次性活动演变为相互依存模块的项目提供了依据，并且进一步表明专业发展不是一次性活动，而是持续变革过程的一部分，本文提出了进一步使人口健康专业发展项目的认可保持一致的建议。
