The Public Health Workforce Calculator in a Post-COVID Era.

IF 1.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Abby Vogel, Krishna Patel, Timothy C McCall, Jason Orr, Jonathon P Leider
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引用次数: 0

Abstract

Context: A new tool, the Public Health Workforce Calculator ("Workforce Calculator"), was developed near the onset of the COVID pandemic to help agencies estimate the staffing they would need to fully implement the Foundational Public Health Services (FPHS). The data underlying the Workforce Calculator algorithm was from pre-pandemic time periods.

Objective: To assess whether the Workforce Calculator continues to reliably estimate staffing need in a peri-COVID context.

Design: Local health departments participated in the National Association of County and City Health Officials Profile survey, which for a random half of agencies, stratified by jurisdiction size, contained a module that asked them to estimate the FTE they would need to fully implement FPHS. For each of the 108 valid responding agencies, these data were compared with the Workforce Calculator output that the agency would have received to assess whether the Workforce Calculator was concordantly estimating staffing needs.

Main outcome measure: We assessed concordance between the reported staffing needs and the Workforce Calculator's estimates, both graphically and quantitatively, using Lin's concordance correlation coefficient.

Results: For most FPHS categories, the Workforce Calculator systematically underestimated the amount of staffing needed for full implementation relative to agencies' reported needs.

Conclusions: Post-COVID staffing needs systematically appear more substantial than the pre-COVID data on which the Workforce Calculator was based. An update to the Workforce Calculator using post-COVID data would benefit end users.

后covid时代的公共卫生人力计算器。
背景:在COVID大流行爆发前后开发了一个新工具,即公共卫生人力计算器(“人力计算器”),以帮助各机构估计全面实施基础公共卫生服务(FPHS)所需的人员。劳动力计算器算法所依据的数据来自大流行前的时期。目的:评估劳动力计算器是否继续可靠地估计疫情前后的人员需求。设计:地方卫生部门参加了全国县和市卫生官员协会概况调查,该调查随机选取一半按管辖范围分层的机构,其中包含一个模块,要求他们估计全面实施家庭卫生服务所需的家庭卫生服务。对于108个有效答复机构中的每一个,将这些数据与该机构将收到的劳动力计算器输出进行比较,以评估劳动力计算器是否一致地估计了人员配备需求。主要结果测量:我们使用Lin的一致性相关系数,以图形和定量的方式评估了报告的人员需求与劳动力计算器估计之间的一致性。结果:对于大多数FPHS类别,相对于机构报告的需求,劳动力计算器系统地低估了全面实施所需的人员数量。结论:与劳动力计算器所依据的疫情前数据相比,疫情后的人员配备需求在系统上显得更为实质性。使用后covid数据更新劳动力计算器将使最终用户受益。
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来源期刊
Journal of Public Health Management and Practice
Journal of Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.40
自引率
9.10%
发文量
287
期刊介绍: Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.
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