Scutchfield F D, Beversdof C A, Hiltabiddle S E, Violante T
J Public Health Policy. 1997;18(1):13-29.
We repeated a survey of state health agencies (SHAs) designed to ascertain the extent that the recommendations of the Institute of Medicine's report, The Future of Public Health, have been implemented. This survey was originally done in 1989 and we repeated the same survey in 1996. While there has been progress in some of the recommendations, such as a separate department of health, agreed-upon public health duties, outreach, infrastructure, and scope of responsibilities, there continue to be problems with the implementation of some of the recommendations. For example, the proportion of agencies reporting that the core public health function of policy development is extant has actually declined since 1989. There continue to be problems, with developing linkages of public health with environmental health and mental health, with strengthening the public health infrastructure, and with expansion of the scope of public health responsibilities. We encourage the continued monitoring of the implementation of the IOM recommendations.
我们重复进行了一项针对州卫生机构（SHAs）的调查，旨在确定医学研究所报告《公共卫生的未来》中的建议被实施的程度。这项调查最初于1989年开展，我们于1996年重复了相同的调查。虽然在一些建议方面取得了进展，比如设立独立的卫生部门、明确公共卫生职责、开展外展工作、改善基础设施以及明确职责范围，但在一些建议的实施方面仍然存在问题。例如，自1989年以来，报告称政策制定这一核心公共卫生职能存在的机构比例实际上有所下降。在建立公共卫生与环境卫生及精神卫生的联系、加强公共卫生基础设施以及扩大公共卫生职责范围方面仍然存在问题。我们鼓励持续监测医学研究所建议的实施情况。
