Bogaert Kyle, Castrucci Brian C, Gould Elizabeth, Rider Nikki, Whang Christina, Corcoran Elizabeth
Association of State and Territorial Health Officials, Arlington, Virginia (Mss Bogaert and Whang and Dr Gould); de Beaumont Foundation, Bethesda, Maryland (Dr Castrucci and Ms Corcoran); and the Rider Company, LLC, Daphne, Alabama (Dr Rider).
J Public Health Manag Pract. 2019 Mar/Apr;25 Suppl 2, Public Health Workforce Interests and Needs Survey 2017(2 Suppl):S134-S144. doi: 10.1097/PHH.0000000000000936.
Workforce development in governmental public health has historically focused on discipline-specific skills. However, as the field of public health has evolved, crosscutting skills have become critical. The 2017 fielding of the Public Health Workforce Interests and Needs Survey (PH WINS) provides a national benchmark for gaps in crosscutting skills in state and local health departments.
The purpose of this article is to identify top areas of training needs in the governmental public health workforce using data from PH WINS 2017.
PH WINS participants in state and local health departments were surveyed in fall 2017 using a Web-based platform. Balanced repeated replication weights were used to account for complex sample design.
Forty-seven state health agencies, 26 large city health departments, and a nationally representative sample of mid-to-large local health departments.
Permanently employed governmental public health staff.
Training needs were determined by combining self-reported skill importance and proficiency. Skills reported to be of high importance, and low levels of proficiency were coded as training needs. Focus area gaps were defined as having a training need in at least one skill in the focus area.
The largest area of training need, regardless of supervisory status, was in budgeting and financial management (55%; 95% confidence interval [CI], 53-56), with a large gap also identified in systems and strategic thinking (49%; 95% CI, 47-50). There was some variation by supervisory status, with training needs for nonsupervisors in change management and in developing a vision for a healthy community for management.
The PH WINS training needs assessment provides the first nationally representative data on training needs for the state and local health department workforce. Across state and local health departments, there are common critical training needs essential for the current and future practice of public health.
政府公共卫生领域的劳动力发展历来侧重于特定学科的技能。然而，随着公共卫生领域的发展，跨领域技能变得至关重要。2017年开展的公共卫生劳动力兴趣与需求调查（PH WINS）为州和地方卫生部门跨领域技能的差距提供了一个全国性基准。
本文旨在利用2017年PH WINS的数据，确定政府公共卫生劳动力培训需求的首要领域。
2017年秋季，使用基于网络的平台对州和地方卫生部门的PH WINS参与者进行了调查。采用平衡重复复制权重来考虑复杂的样本设计。
47个州卫生机构、26个大城市卫生部门以及一个具有全国代表性的中大型地方卫生部门样本。
长期受雇的政府公共卫生工作人员。
通过结合自我报告的技能重要性和熟练程度来确定培训需求。报告为高度重要且熟练程度较低的技能被编码为培训需求。重点领域差距被定义为在重点领域的至少一项技能方面存在培训需求。
无论监督状态如何，培训需求最大的领域是预算编制和财务管理（55%；95%置信区间[CI]，53 - 56），在系统和战略思维方面也发现了较大差距（49%；95%CI，47 - 50）。监督状态存在一些差异，非监督人员在变革管理以及为管理制定健康社区愿景方面有培训需求。
PH WINS培训需求评估提供了关于州和地方卫生部门劳动力培训需求的首个全国代表性数据。在州和地方卫生部门中，存在公共卫生当前和未来实践所必需的共同关键培训需求。
