Katie Sellers and Brian C. Castrucci are with the de Beaumont Foundation, Bethesda, MD. Jonathon P. Leider is with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis. Elizabeth Gould and Kyle Bogaert are with the Association of State and Territorial Health Officials, Arlington, VA. Angela Beck is with the Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor. Fátima Coronado is with the Division of Scientific Education and Professional Development, Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, GA. Gulzar Shah is with the Jiann-Ping Hsu College of Public Health, Health Policy and Management, Georgia Southern University, Statesboro. Valerie Yeager is with the Richard M. Fairbanks School of Public Health, Health Policy and Management, Indiana University, Indianapolis. Leslie M. Beitsch is with the Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee. Paul C. Erwin is with the University of Alabama Birmingham School of Public Health.
Am J Public Health. 2019 May;109(5):674-680. doi: 10.2105/AJPH.2019.305011. Epub 2019 Mar 21.
Public health workforce development efforts during the past 50 years have evolved from a focus on enumerating workers to comprehensive strategies that address workforce size and composition, training, recruitment and retention, effectiveness, and expected competencies in public health practice. We provide new perspectives on the public health workforce, using data from the Public Health Workforce Interests and Needs Survey, the largest nationally representative survey of the governmental public health workforce in the United States. Five major thematic areas are explored: workforce diversity in a changing demographic environment; challenges of an aging workforce, including impending retirements and the need for succession planning; workers' salaries and challenges of recruiting new staff; the growth of undergraduate public health education and what this means for the future public health workforce; and workers' awareness and perceptions of national trends in the field. We discussed implications for policy and practice.
过去 50 年来,公共卫生人力发展工作的重点已经从对卫生人力的清点,演变为综合性的战略,以解决公共卫生实践中的人力规模和构成、培训、招聘和留用、效能以及预期能力等问题。我们利用美国公共卫生劳动力兴趣和需求调查的数据,从全新的视角审视公共卫生劳动力,该调查是美国规模最大的针对政府公共卫生劳动力的全国代表性调查。本文探讨了五个主要的主题领域:不断变化的人口环境中的劳动力多样性;老龄化劳动力带来的挑战,包括即将退休和需要继任规划;工人的工资和招聘新员工的挑战;本科公共卫生教育的增长及其对未来公共卫生劳动力的意义;以及工人对该领域全国性趋势的认识和看法。我们讨论了这些问题对政策和实践的影响。