Reimagining Public Health: Mapping A Path Forward.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Jonathan Samet, Ross C Brownson
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引用次数: 0

Abstract

The COVID-19 pandemic and other ongoing public health challenges have highlighted deficiencies in the US public health system. The United States is in a unique moment that calls for a transformation that builds on Public Health 3.0 and its focus on social determinants of health and partnerships with diverse sectors while also acknowledging how the pandemic altered the landscape for public health. Based on relevant literature, our experience, and interviews with public health leaders, we describe seven areas of focus within three broad categories to support transformational change. Contextual areas of focus include increasing accountability and addressing politicization and polarization. Topical areas of focus highlight prioritizing climate change and sharpening the focus on equity. Technical areas of focus include advancing data sciences, building the workforce, and enhancing communication capacity. A transformed public health system will depend highly on leadership, funding incentives, and both bottom-up and top-down approaches. A broad effort is needed by public health agencies, governments, and academia to accelerate the transition to a next phase for public health.

重新构想公共卫生:绘制前进之路。
COVID-19 大流行和其他持续的公共卫生挑战凸显了美国公共卫生系统的缺陷。美国正处于一个独特的时刻,需要在公共卫生 3.0 及其关注健康的社会决定因素和与不同部门合作的基础上进行转型,同时也要认识到大流行如何改变了公共卫生的格局。根据相关文献、我们的经验以及与公共卫生领导人的访谈,我们描述了三大类七个重点领域,以支持转型变革。背景重点领域包括加强问责制以及解决政治化和两极分化问题。重点专题领域包括优先考虑气候变化和加强对公平的关注。重点技术领域包括推进数据科学、建设劳动力队伍和提高沟通能力。公共卫生系统的转型将在很大程度上取决于领导力、资金激励以及自下而上和自上而下的方法。公共卫生机构、政府和学术界需要做出广泛努力,加快向公共卫生的下一阶段过渡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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