The State of the US Public Health Workforce: Ongoing Challenges and Future Directions.

IF 21.4 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annual Review of Public Health Pub Date : 2023-04-03 DOI:10.1146/annurev-publhealth-071421-032830

Jonathon P Leider, Valerie A Yeager, Chelsey Kirkland, Heather Krasna, Rachel Hare Bork, Beth Resnick

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引用次数: 5

Abstract

Between the 2009 Great Recession and the onset of the COVID-19 pandemic, the US state and local governmental public health workforce lost 40,000 jobs. Tens of thousands of workers also left during the pandemic and continue to leave. As governmental health departments are now receiving multimillion-dollar, temporary federal investments to replenish their workforce, this review synthesizes the evidence regarding major challenges that preceded the pandemic and remain now. These include the lack of the field's ability to readily enumerate and define the governmental public health workforce as well as challenges with the recruitment and retention of public health workers. This review finds that many workforce-related challenges identified more than 20 years ago persist in the field today. Thus, it is critical that we look back to be able to then move forward to successfully rebuild the workforce and assure adequate capacity to protect the public's health and respond to public health emergencies.

查看原文本刊更多论文

美国公共卫生人力的现状:持续的挑战和未来的方向。

从2009年大衰退到2019冠状病毒病大流行，美国州和地方政府的公共卫生工作人员失去了4万个工作岗位。成千上万的工人在大流行期间也离开了，并继续离开。由于政府卫生部门目前正在接受数百万美元的临时联邦投资，以补充其工作人员，本审查综合了有关大流行之前和现在仍然存在的主要挑战的证据。这些挑战包括外地缺乏随时列举和界定政府公共卫生工作人员的能力，以及在招聘和留住公共卫生工作人员方面面临的挑战。本综述发现，20多年前确定的许多与劳动力相关的挑战今天仍然存在。因此，至关重要的是，我们必须回顾过去，以便能够向前迈进，成功地重建劳动力队伍，并确保有足够的能力保护公众健康和应对突发公共卫生事件。

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

Annual Review of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

26.60

自引率

1.40%

发文量

审稿时长

>12 weeks

期刊介绍： The Annual Review of Public Health has been a trusted publication in the field since its inception in 1980. It provides comprehensive coverage of important advancements in various areas of public health, such as epidemiology, biostatistics, environmental health, occupational health, social environment and behavior, health services, as well as public health practice and policy. In an effort to make the valuable research and information more accessible, the current volume has undergone a transformation. Previously, access to the articles was restricted, but now they are available to everyone through the Annual Reviews' Subscribe to Open program. This open access approach ensures that the knowledge and insights shared in these articles can reach a wider audience. Additionally, all the published articles are licensed under a CC BY license, allowing users to freely use, distribute, and build upon the content, while giving appropriate credit to the original authors.