Juliano Chrissie, Castrucci Brian C, Leider Jonathon P, McGinty Meghan D, Bogaert Kyle
Big Cities Health Coalition (BCHC), National Association of County and City Health Officials (NACCHO), Washington, District of Columbia (Ms Juliano and Dr McGinty); de Beaumont Foundation, Bethesda, Maryland (Dr Castrucci); Division of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis (Dr Leider); and Association of State and Territorial Health Officials (ASTHO), Arlington, Virginia (Ms Bogaert).
J Public Health Manag Pract. 2019 Mar/Apr;25 Suppl 2, Public Health Workforce Interests and Needs Survey 2017(2 Suppl):S38-S48. doi: 10.1097/PHH.0000000000000929.
More than 80% of Americans live in urban areas. Over the past 20 years, an increasing number of local governmental public health departments, particularly those in big cities, have taken pioneering action to improve population health. This article focuses on members of the Big Cities Health Coalition (BCHC) who participated in the 2017 Public Health Workforce Interest and Needs Survey (PH WINS). If the impact of these health departments is to be sustained, they will require a workforce prepared for the challenges of 21st-century public health practice.
To characterize workforce interests and needs among staff in 26 large, urban health departments who are BCHC members.
Administered PH WINS survey to staff in BCHC member health departments to assess perceptions about the workplace environment and job satisfaction; training needs; awareness of national trends; and demographics.
In total, 26 of 30 BCHC member health departments, United States.
In total, 7453 of 17 613 staff members (response rate 43.4%) from participating departments.
The workforce consists predominantly of women (75%) and people of color (68%). Staff is satisfied with their job (81%), the organization (71%), and pay (59%), but more than a quarter are considering leaving within the year. The agency's mission drives staff, but it lacks an environment fostering creativity and innovation. Training needs include budgeting/financial management, change management, and strategic thinking.
BCHC departments must improve retention, provide opportunities for advancement, enhance communication between leadership and staff, foster creativity and innovation, and align labor allocation with disease burden in local communities. Findings from the second iteration of PH WINS allow a comprehensive, comparable analysis of the workforce across the 26 BCHC member health departments that participated. These data expand upon the ability to assess and monitor improvement in the workforce environment, job satisfaction, awareness of national trends, and training needs.
超过80%的美国人生活在城市地区。在过去20年里，越来越多的地方政府公共卫生部门，尤其是大城市的部门，采取了开创性行动来改善人口健康状况。本文聚焦于参与2017年公共卫生劳动力兴趣与需求调查（PH WINS）的大城市健康联盟（BCHC）成员。若要使这些卫生部门的影响得以持续，它们将需要一支为应对21世纪公共卫生实践挑战做好准备的劳动力队伍。
描述26个作为BCHC成员的大型城市卫生部门工作人员的劳动力兴趣与需求。
对BCHC成员卫生部门的工作人员进行PH WINS调查，以评估他们对工作场所环境和工作满意度的看法；培训需求；对国家趋势的认知；以及人口统计学特征。
美国BCHC的30个成员卫生部门中的26个。
参与部门的17613名工作人员中的7453人（回复率43.4%）。
劳动力队伍主要由女性（75%）和有色人种（68%）组成。工作人员对其工作（81%）、组织（71%）和薪酬（59%）感到满意，但超过四分之一的人考虑在一年内离职。该机构的使命激励着工作人员，但缺乏一个促进创造力和创新的环境。培训需求包括预算编制/财务管理、变革管理和战略思维。
BCHC各部门必须提高留用率，提供晋升机会，加强领导层与工作人员之间的沟通，培养创造力和创新能力，并使劳动力分配与当地社区的疾病负担相匹配。PH WINS第二轮调查的结果使得对参与调查的26个BCHC成员卫生部门的劳动力进行全面、可比的分析成为可能。这些数据扩展了评估和监测劳动力环境、工作满意度、对国家趋势的认知以及培训需求改善情况的能力。
