Brumback C L, Malecki J M
Graduate Programs in Public Health, Palm Beach County Public Health Unit, West Palm Beach, Florida 33402, USA.
J Public Health Policy. 1996;17(2):153-69.
Experience in developing a local public health program, covering a period of approximately 45 years, is described. Included are the assessment and analysis of problems, policy formulation, plan development, and program implementation. A study of problems of seasonal farm workers, particularly those who migrate, is described, as well as a health services delivery program based on this study. Attention is given to incorporation of medical care with core public health services, and the use of a multidisciplinary team. Special features required to overcome cultural, language, educational, and other barriers are outlined. Adaption of knowledge gained from the migrant health project toward meeting needs of the county's medically underserved population is described. Involvement of the community, including representatives of private and public sectors, in the development and implementation of plans is emphasized. Maintaining appropriate emphasis on preventive aspects is discussed, together with mobilization of financial and other support. The importance of qualified public health staff is also emphasized: residency programs for physicians and dentists and training for other personnel are described.
本文描述了一个地方公共卫生项目约45年的发展历程。内容包括问题评估与分析、政策制定、计划制定以及项目实施。文中介绍了对季节性农场工人，特别是流动工人问题的研究，以及基于该研究的卫生服务提供项目。文中还关注了医疗保健与核心公共卫生服务的整合，以及多学科团队的使用。概述了克服文化、语言、教育和其他障碍所需的特殊特征。描述了如何将从流动工人健康项目中获得的知识应用于满足该县医疗服务不足人群的需求。强调了社区，包括私营和公共部门代表，参与计划制定和实施的情况。讨论了在保持对预防方面适当重视的同时，如何调动财政和其他支持。文中还强调了合格公共卫生人员的重要性：介绍了医生和牙医的住院医师培训项目以及其他人员的培训情况。
