Changes in Public Health Workforce Composition

Leider, Jonathon P.; Shah, Gulzar H.; Castrucci, Brian C.; Leep, Carolyn J.; Sellers, Katie; Sprague, James B.

doi:10.1016/j.amepre.2014.07.017

Cited by 14 publications

(4 citation statements)

References 14 publications

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“…The findings of this study demonstrate that the U.S. public health workforce is largely comprised of non-Hispanic white females that are in a supervisor role and do not have a public health degree. These findings are consistent with previous studies regarding the U.S. public health workforce composition [43]. However, black public health practitioners perceived being significantly impacted in their day-to-day work by all of the emerging public health trends when compared to white practitioners: practitioners of other races perceived being significantly impacted by five out of the six of the emerging health trends.…”

Section: Discussionsupporting

confidence: 90%

Public Health Employees’ Perceptions about the Impact of Emerging Public Health Trends on Their Day-to-Day Work: Effects of Organizational Climate and Culture

Waterfield

Shah

Kimsey

et al. 2021

IJERPH

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Objective: The purpose of this research was to assess the workforce characteristics associated with public health employees’ perceived impact of emerging trends in public health on their day-to-day work. Methods: Multinomial logistic regression was performed to analyze data from the 2017 PH WINS, a cross-sectional survey utilizing a nationally representative sample of the United States public health workforce. Results: More than 55% of the public health workforce perceived that their day-to-day work was impacted by the emerging public health trends. Workplace environment was significantly associated with the perception of their day-to-day work being impacted by emerging public health trends such as quality improvement (QI) (AOR = 1.04, p < 0.001), and evidence-based public health practice (EBPH) (AOR = 1.04, p < 0.001). Race, ethnicity, and educational status were also positively associated with the perceived impact of the emerging public health trends. Conclusions: The organizational culture of a public health agency influences the engagement of the workforce and their perception of the meaningfulness of their work. As practitioners shift into chief health strategists, it will be imperative for them to have training in public health foundations and tools in order to efficiently serve their communities.

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Section: Discussionsupporting

confidence: 90%

Public Health Employees’ Perceptions about the Impact of Emerging Public Health Trends on Their Day-to-Day Work: Effects of Organizational Climate and Culture

Waterfield

Shah

Kimsey

et al. 2021

IJERPH

Self Cite

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“…Also consistent with past research [ 21 ], the length of time staff spent in their current position was positively and significantly associated with forming ties for LHOs, CSOs, and CP/SDs, demonstrating the influence of staff tenure on relationship building. With forecasts suggesting significant turnover in the public health workforce [ 28 , 29 , 30 , 31 , 32 ], especially among leadership levels, strategies are needed that will engage those who are new in their positions and those who may be identified as potential future senior leaders to create deliberate opportunities for them to build networks [ 21 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

The Relationship of Policymaking and Networking Characteristics among Leaders of Large Urban Health Departments

Leider

Castrucci

Harris

et al. 2015

IJERPH

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Background: The relationship between policy networks and policy development among local health departments (LHDs) is a growing area of interest to public health practitioners and researchers alike. In this study, we examine policy activity and ties between public health leadership across large urban health departments. Methods: This study uses data from a national profile of local health departments as well as responses from a survey sent to three staff members (local health official, chief of policy, chief science officer) in each of 16 urban health departments in the United States. Network questions related to frequency of contact with health department personnel in other cities. Using exponential random graph models, network density and centrality were examined, as were patterns of communication among those working on several policy areas using exponential random graph models. Results: All 16 LHDs were active in communicating about chronic disease as well as about use of alcohol, tobacco, and other drugs (ATOD). Connectedness was highest among local health officials (density = .55), and slightly lower for chief science officers (d = .33) and chiefs of policy (d = .29). After accounting for organizational characteristics, policy homophily (i.e., when two network members match on a single characteristic) and tenure were the most significant predictors of formation of network ties. Conclusion: Networking across health departments has the potential for accelerating the adoption of public health policies. This study suggests similar policy interests and formation of connections among senior leadership can potentially drive greater connectedness among other staff.

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“…Yet public health spending in the U.S. has fallen as proportion of total health spending beginning around 2000 and in inflation-adjusted terms since the Great Recession (4). These declines have resulted in cuts to the public health workforce and to public health program portfolios (5, 6). What gives rise to such paradoxical findings and what mechanisms exist that may help steer public health spending toward an optimal level?…”

mentioning

confidence: 99%

Declines in Spending Despite Positive Returns on Investment: Understanding Public Health's Wrong Pocket Problem

McCullough

2019

Front. Public Health

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Changes in Public Health Workforce Composition

Cited by 14 publications

References 14 publications

Public Health Employees’ Perceptions about the Impact of Emerging Public Health Trends on Their Day-to-Day Work: Effects of Organizational Climate and Culture

Public Health Employees’ Perceptions about the Impact of Emerging Public Health Trends on Their Day-to-Day Work: Effects of Organizational Climate and Culture

The Relationship of Policymaking and Networking Characteristics among Leaders of Large Urban Health Departments

Declines in Spending Despite Positive Returns on Investment: Understanding Public Health's Wrong Pocket Problem

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