The public health workforce

Otok, Robert; Richardson, Erica; Czabanowska, Katarzyna; Middleton, John

doi:10.1093/eurpub/cku164.003

Cited by 7 publications

(8 citation statements)

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“…Unlike the medical workforce, with its clearly established professions and curricula, the workforce for public health is very diverse. In addition to public health specialists (epidemiologists, health policy-makers, health educators, environmental health experts, health economists) and professionals in primary or ambulatory health care (physicians, nurses, dentists, pharmacists, midwives), there is also an important role for those who are not directly involved in health organizations, but whose activities can contribute to improving population health, such as social workers, teachers, police or urban planners (Aluttis et al, 2014). In this regard, Davies (2013) makes a distinction between specialist and mainstreamed public health and health promotion workers.…”

Section: A Diverse and Expanding Primary Care And Public Health Workf...mentioning

confidence: 99%

Skill-mix Innovation, Effectiveness and Implementation

2022

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What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas. In addition, the book analyses the roles of educational systems, workforce planning and policy, and financing within individual countries' healthcare organisations from a cross-country perspective. Although implementing skill-mix changes may be prone to stakeholder opposition or other barriers, this book helps identify ways to steer the process. The authors ultimately determine what skill-mix innovations exist, who may benefit from the changes and how to implement these changes within health systems. This Open Access title is the sixth book in Cambridge's European Observatory on Health Systems and Policies series.

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Section: A Diverse and Expanding Primary Care And Public Health Workf...mentioning

confidence: 99%

Skill-mix Innovation, Effectiveness and Implementation

2022

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“…[3][4][5][6][7]. Additionally, a threat posed by infective disease outbreaks such as the COVID-19 pandemic illustrates their severity and devastating impact [4,5,[8][9][10]. Therefore, the need for effective response to both identified and emerging public health threats by strengthening the capacity of the public health workforce, and thus public health as a whole [8], is obvious.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, a threat posed by infective disease outbreaks such as the COVID-19 pandemic illustrates their severity and devastating impact [4,5,[8][9][10]. Therefore, the need for effective response to both identified and emerging public health threats by strengthening the capacity of the public health workforce, and thus public health as a whole [8], is obvious. Public health systems have been chronically underfunded and understaffed, even in wealthy countries such as the USA, Canada, and Australia, and even more in much of the developing world [3,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Intention of Serbian Public Health Workers to Leave the Job: A Cross-Sectional, Population-Based Study

Tripković

Santric-Milicevic

Vasić

et al. 2021

IJERPH

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Recruitment and retention of public health workers (PHWs) is crucial for the optimal functioning of the public health system at a time of budget cuts and the threat of a pandemic. Individual and job-related variables were examined by univariate and multivariate logistic regression to identify predictors of the intention to leave a job during the COVID-19 outbreak among Serbian PHWs in 25 institutes of public health (n = 1663 respondents, of which 73.1% were female). A total of 20.3% of PHWs intended to leave their current job within the next five years. Males and persons aged younger than 55 years who had additional practice were more likely to report an intention to leave their job than females, those older than 54 years and those without additional work. While uncertainty and fear of infection during the COVID-19 pandemic were almost perceived as job attractiveness, other job-related characteristics were identified as significant barriers to maintaining the sufficient capacity of qualified PHWs in the future. Authorities need to address these factors, including the following: the feeling of tension, stress or pressure, and unavailability of information during the COVID-19 pandemic, as well as dissatisfaction with respect, valuation, and the job in general.

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“…Yet, at a time when governments across the globe are trying to maximise the return on health spending, significant improvements in population health can still be achieved by addressing the factors that produce health, rather than just maintain it (3). Consequently, there is much to say for strengthening the role of public health and for emphasising preventive, people-centred and community-based health services, with a more prominent role for health promotion as part of the wider public health system (4).…”

Section: Introductionmentioning

confidence: 99%

Strengthening health promotion practice: capacity development for a transdisciplinary field

Broucke

2021

Glob Health Promot

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The growing burden of non-communicable and newly emerging communicable diseases, multi-morbidity, increasing health inequalities, the health effects of climate change and natural disasters and the revolution in communication technology require a shift of focus towards more preventive, people-centred and community-based health services. This has implications for the health workforce, which needs to develop new capacities and skills, many of which are at the core of health promotion. Health promotion is thus being mainstreamed into modern public health. For health promotion, this offers both opportunities and challenges. A stronger focus on the enablers of health enhances the strategic importance of health promotion’s whole-of-society approach to health, showcases the achievements of health promotion with regard to core professional competencies, and helps build public health capacity with health promotion accents. On the other hand, mainstreaming health promotion can weaken its organizational capacity and visibility, and bears the risk of it being absorbed into a traditional public health discourse dominated by medical professions. To address these challenges and grasp the opportunities, it is essential for the health promotion workforce to position itself within the diversifying primary care and public health field. Taking the transdisciplinary status of health promotion and existing capacity development systems in primary and secondary prevention and health promotion as reference points, this paper considers the possibilities to integrate and implement health promotion capacities within and across disciplinary boundaries, arguing that the contribution of health promotion to public health development lies in the complementary nature of specialist and mainstreamed health promotion.

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The public health workforce

Cited by 7 publications

References 0 publications

Skill-mix Innovation, Effectiveness and Implementation

Skill-mix Innovation, Effectiveness and Implementation

Factors Associated with Intention of Serbian Public Health Workers to Leave the Job: A Cross-Sectional, Population-Based Study

Strengthening health promotion practice: capacity development for a transdisciplinary field

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