Vidgen Helen Anna, Adam Meg, Gallegos Danielle
School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Nutr Diet. 2017 Feb;74(1):88-94. doi: 10.1111/1747-0080.12239. Epub 2015 Nov 30.
This study aimed (i) to determine the change in the number of government-funded nutrition positions following structural and political reforms and (ii) to describe the remaining workforce available to do nutrition prevention work, including student placements, in Queensland.
Positions funded by the Queensland government were counted using departmental human resource data and compared with data collected 4 years earlier. Positions not funded by the government were identified using formal professional networks and governance group lists. Both groups were sent an online survey that explored their position name, funding source, employer, qualifications, years of experience, work in prevention and ability to supervise students.
There was a 90% reduction in the number of nutrition prevention positions funded by the government between 2009 (137 full time equivalents (FTE)) and 2013 (14 FTE). In 2013, 313 specialist (n = 92) and generalist (n = 221) practitioners were identified as potentially working in nutrition prevention throughout Queensland. A total of 30 permanent FTEs indicated over 75% of their work focused on prevention. This included the 14 FTE funded by the Queensland government and an additional 16 FTE from other sectors. Generalists did not consider themselves part of the nutrition workforce.
Queensland experienced an extreme reduction in its nutrition prevention workforce as a result of political and structural reforms. This disinvestment by the Queensland government was not compensated for by other sectors, and has left marked deficits in public health nutrition capacity, including student placements.
本研究旨在（i）确定结构和政治改革后政府资助的营养岗位数量的变化，以及（ii）描述昆士兰州可用于开展营养预防工作（包括学生实习）的剩余劳动力情况。
利用部门人力资源数据统计昆士兰州政府资助的岗位，并与4年前收集的数据进行比较。通过正式的专业网络和治理小组名单确定非政府资助的岗位。向这两组人员发送了一份在线调查问卷，询问他们的岗位名称、资金来源、雇主、资质、工作经验年限、预防工作情况以及指导学生的能力。
2009年（137个全职等效岗位（FTE））至2013年（14个FTE）期间，政府资助的营养预防岗位数量减少了90%。2013年，昆士兰州共有313名专科（n = 92）和全科（n = 221）从业者被确定可能从事营养预防工作。共有30个固定FTE表示其工作的75%以上集中在预防方面。这包括昆士兰州政府资助的14个FTE以及其他部门的另外16个FTE。全科从业者不认为自己属于营养工作队伍。
由于政治和结构改革，昆士兰州的营养预防工作队伍大幅减少。昆士兰州政府的这种撤资没有得到其他部门的弥补，导致公共卫生营养能力出现明显不足，包括学生实习方面。
