Carman Angela L, Pendergrass Mary Elizabeth
Health Management and Policy, University of Kentucky College of Public Health, Lexington, KY, United States.
Public Health Policy and Practice Apprentice, University of Kentucky College of Public Health, Lexington, KY, United States.
Front Public Health. 2025 Jul 9;13:1601406. doi: 10.3389/fpubh.2025.1601406. eCollection 2025.
In the past 10 years, several significant national initiatives have released updated strategies and guidelines to improve public health practice specifically as it relates to community health improvement. These initiatives include the 2016 release of Public Health 3.0 by the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Health (OASH), which defines the concept of the Chief Health Strategist as a leader in the community's health improvement efforts. In addition, in 2022, the Public Health Accreditation Board (PHAB) released guidance for community health improvement through a revised set of accreditation standards and measures, which included a list of suggested models such as Mobilizing for Action through Planning and Partnerships (MAPP) to guide the process. Finally, a revised model, MAPP 2.0, was released in 2023 to provide updates to the National Association of County and City Health Officials' (NACCHO's) original framework for community health improvement. Despite the valuable information for a collaborative approach to community health improvement found in the 2022 PHAB accreditation standards and measures and in MAPP 2.0, the role of the Chief Health Strategist from Public Health 3.0 is missing. This article describes the importance of the role of the Chief Health Strategist in community health improvement, emphasizing community trust-building, the ability to galvanize community group participation, and the use of systems thinking and decision-making to create a counterproposal to the guidelines presented in MAPP 2.0.
在过去10年里,多项重要的国家倡议发布了更新后的战略和指南,以改善公共卫生实践,特别是与社区健康改善相关的实践。这些倡议包括美国卫生与公众服务部(HHS)卫生事务助理部长办公室(OASH)在2016年发布的《公共卫生3.0》,该文件将首席健康策略师的概念定义为社区健康改善工作的领导者。此外,2022年,公共卫生认证委员会(PHAB)通过一套修订后的认证标准和措施发布了社区健康改善指南,其中包括一系列建议模式,如通过规划和伙伴关系动员行动(MAPP),以指导这一过程。最后,2023年发布了修订版模式MAPP 2.0,为全国县市卫生官员协会(NACCHO)最初的社区健康改善框架提供更新内容。尽管在2022年PHAB认证标准和措施以及MAPP 2.0中可以找到关于社区健康改善协作方法的宝贵信息,但《公共卫生3.0》中首席健康策略师的角色却缺失了。本文描述了首席健康策略师在社区健康改善中的角色重要性,强调建立社区信任、激发社区团体参与的能力,以及运用系统思维和决策来对MAPP 2.0中提出的指南提出反驳建议。