Aidala Angela A, Cavaliere Brittney, Cinnick Samantha
Mailman School of Public Health, Columbia University, New York, New York (Dr Aidala and Ms Cinnick); and Connecticut Health Foundation, Hartford, Connecticut (Ms Cavaliere).
J Public Health Manag Pract. 2019 Sep/Oct;25(5):490-497. doi: 10.1097/PHH.0000000000000803.
A key component of the improvement of public health infrastructure in the United States revolves around public health workforce development and training. Workforce challenges faced by the public health system have long been recognized, but there are additional challenges facing any region-wide or cross-jurisdictional effort to accurately assess priority workforce training needs and develop training resources to address those needs. These challenges include structural variability of public health organizations; diverse population health contexts; capturing both topic-specific skill sets and foundational competencies among public health workers; and reaching/representing the target population despite suspicion, disinterest, and/or assessment "fatigue" among employees asked to participate in workforce development surveys.
The purpose of this article is to describe the challenges, strategies to meet those challenges, and lessons learned conducting public health workforce training needs assessments by academic and practice partners of the Region 2 Public Health Training Center (R2/PHTC).
The R2/PHTC is hosted by the Mailman School of Public Health at Columbia University and serves New York, New Jersey, Puerto Rico, and the US Virgin Islands within its jurisdiction.
Strategies for responding to diverse organizational structures and population health contexts across the region; defining training priorities that address both foundational competencies for public health professionals and content-specific training to address local public health needs; reaching/representing target populations of public health workers; and analysis and report writing to encourage rapid response to identified needs and comprehensive workforce development planning are discussed. Lessons learned are likely instructive to other workforce training needs assessments in complex and ever-changing public health environments.
美国公共卫生基础设施改善的一个关键组成部分围绕着公共卫生劳动力的发展和培训。公共卫生系统面临的劳动力挑战早已得到认可,但在任何区域范围或跨辖区的努力中,要准确评估优先劳动力培训需求并开发培训资源以满足这些需求,还存在其他挑战。这些挑战包括公共卫生组织的结构差异;不同的人群健康背景;掌握公共卫生工作者特定主题的技能组合和基础能力;以及尽管被要求参与劳动力发展调查的员工存在怀疑、不感兴趣和/或评估“疲劳”,仍要接触/代表目标人群。
本文旨在描述挑战、应对这些挑战的策略,以及由第2区域公共卫生培训中心(R2/PHTC)的学术和实践合作伙伴进行公共卫生劳动力培训需求评估所吸取的经验教训。
R2/PHTC由哥伦比亚大学梅尔曼公共卫生学院主办,其管辖范围包括纽约、新泽西、波多黎各和美属维尔京群岛。
讨论了应对该地区不同组织结构和人群健康背景的策略;确定培训重点,既要满足公共卫生专业人员的基础能力,又要提供针对当地公共卫生需求的特定内容培训;接触/代表公共卫生工作者的目标人群;以及进行分析和报告撰写,以鼓励对已确定的需求迅速做出反应并制定全面的劳动力发展计划。所吸取的经验教训可能对复杂且不断变化的公共卫生环境中的其他劳动力培训需求评估具有指导意义。