Fulop N, McKee M
Department of Public Health and Policy, London School of Hygiene and Tropical Medicine.
Public Health. 1996 Sep;110(5):307-11. doi: 10.1016/s0033-3506(96)80095-3.
Each district health authority is required to produce an annual report on the health of their population. Although they consume considerable resources, there is little evidence as to their impact on their intended audiences. We describe the results of a postal survey of how these reports are viewed by health authority and local government managers in one region. Eighty-nine out of 139 responded (64%). Over half of the managers had read the reports in their entirety. Most were discussed by health authorities but few by relevant local government committees. There was some disagreement between directors of public health and other health authority managers about the impact of the reports on commissioning. The paper discusses the difficulties in evaluating the impact of annual public health reports. The survey reveals a fundamental disagreement about whether the intended audience should be health care purchasers or the public. This reflects an underlying tension about the role of public health and the debate about its independence.
每个地区卫生当局都必须编写一份关于其辖区内人口健康状况的年度报告。尽管这些报告耗费了大量资源，但几乎没有证据表明它们对目标受众产生了影响。我们描述了一项邮寄调查的结果，该调查针对一个地区的卫生当局和地方政府管理人员对这些报告的看法。139份调查问卷中有89份得到回复（回复率为64%）。超过一半的管理人员通读了这些报告。大多数报告在卫生当局内部进行了讨论，但相关地方政府委员会很少讨论。公共卫生主任与其他卫生当局管理人员在报告对委托工作的影响方面存在一些分歧。本文讨论了评估年度公共卫生报告影响的困难。调查揭示了在目标受众应该是医疗保健购买者还是公众这一问题上存在的根本分歧。这反映了在公共卫生的作用以及关于其独立性的辩论方面存在的潜在紧张关系。
