Roemer M I
Int J Health Serv. 1984;14(3):491-503. doi: 10.2190/XV3N-WFR0-H249-EBTV.
This article asserts an urgent need for more schools of public health to produce an adequate supply of personnel capable of dealing with the health problems of the world population. Although there is a need for 450 schools of public health worldwide (1 for every 10 million population), there are currently fewer than 100 independent schools, with 23 concentrated in the United States alone. The benefits of independence from medical schools are stressed. The academic environment of patient-oriented clinical medicine is posited not to be conducive to the growth of the community-oriented public health discipline. The need for expansion exists in both developing and industrialized countries, although shortages are greater in less developed areas. Effective schools of public health should welcome students from a variety of backgrounds and serve as centers for the research and evaluation of national health systems.
本文断言,迫切需要更多的公共卫生学院来培养足够数量的、能够应对全球人口健康问题的专业人员。尽管全球需要450所公共卫生学院(每1000万人口设1所),但目前独立的公共卫生学院不到100所,其中仅美国就有23所。文章强调了独立于医学院校的好处。文章认为,以患者为导向的临床医学学术环境不利于以社区为导向的公共卫生学科的发展。发展中国家和工业化国家都存在扩大公共卫生学院规模的需求,不过欠发达地区的短缺情况更为严重。有效的公共卫生学院应欢迎来自各种背景的学生,并成为国家卫生系统研究与评估的中心。