Valerie A. Yeager (
Heather Krasna, Columbia University, New York, New York.
Health Aff (Millwood). 2024 Jun;43(6):840-845. doi: 10.1377/hlthaff.2024.00020.
Public health departments in the US have experienced workforce shortages and challenges in recruiting new employees for decades. Reimagining the public health system will require sufficiently staffed health departments. This Commentary summarizes what is known about the issues that state and local health departments face during the hiring process, with a focus on civil service and merit-based hiring barriers. Although health departments have recently received funding to recruit new employees, they still struggle to hire them. Recommendations for change include tracking hiring process metrics; implementing formal quality improvement to strategically resolve delays; developing formal pathways for converting fellows, interns, and contractors into staff positions; and initiating workarounds in the short term and legal changes to hiring rules as necessary and feasible.
美国的公共卫生部门几十年来一直面临着劳动力短缺和招聘新员工的挑战。重新构想公共卫生系统将需要有足够人员配置的卫生部门。本评论总结了州和地方卫生部门在招聘过程中面临的问题，重点是公务员制度和基于功绩的招聘障碍。尽管卫生部门最近获得了招聘新员工的资金，但他们仍然难以招聘到他们。变革的建议包括跟踪招聘流程指标；实施正式的质量改进，以战略性地解决延误问题；为将研究员、实习生和承包商转变为正式员工制定正式途径；并在短期内采取权宜之计，并在必要和可行时对招聘规则进行法律修改。
