Galbraith N S
J R Soc Med. 1981 Jan;74(1):16-21.
The development of the British public health services is briefly reviewed and it is suggested that two types of epidemiologist (Community Physician) are necessary in each locality: one concerned with medical administration and health care planning-the medical administrator, and the other with the prevention of disease-the clinical epidemiologist. A new nation public health service is proposed to revive disease prevention with four main features: (1) A district Clinical Epidemiologist who is a member of the district department of community medicine with responsibility for prevention but with no district administrative duties. (2) A District Epidemiology Unit comprising other appropriate staff. (3) National specialist epidemiology units within the NHS with service roles to support and coordinate the District Clinical Epidemiologists. (4) A national authority within the NHS with responsibility for prevention and for administering the national specialist units.
本文简要回顾了英国公共卫生服务的发展历程，并指出每个地区需要两类流行病学家（社区医生）：一类负责医疗管理和医疗保健规划——医疗管理人员；另一类负责疾病预防——临床流行病学家。本文提议建立一个新的国家公共卫生服务体系，以重振疾病预防工作，该体系具有四个主要特点：（1）一名地区临床流行病学家，他是地区社区医学部门的成员，负责预防工作，但不承担地区行政职责。（2）一个由其他合适人员组成的地区流行病学单位。（3）国民保健服务体系内的国家专业流行病学单位，其服务职责是支持和协调地区临床流行病学家。（4）国民保健服务体系内的一个国家机构，负责预防工作并管理国家专业单位。
