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A systems approach to public health workforce development.
1School of Public Health, University of Texas at Houston, USA.
Summary
Strengthening public health infrastructure in the 1990s involved core functions, workforce competence, and agency performance. A systems approach reveals interdependencies, suggesting workforce development needs organizational change.
Area of Science:
- Public Health
- Health Services Research
- Organizational Development
Background:
- The 1990s saw multiple initiatives to bolster public health infrastructure.
- These efforts defined public health work by core functions and essential services.
- Focus was placed on workforce competence and public health agency performance.
Purpose of the Study:
- To present a systems approach model for public health practice.
- To highlight interdependencies between the work, worker, and work setting.
- To inform strategies for public health workforce development.
Main Methods:
- A conceptual model was developed using a systems approach.
- The model integrates three key components of public health practice.
- Analysis focused on the relationships and interdependencies among these components.
Main Results:
- Public health practice is characterized by the interplay of work, worker, and work setting.
- These three components are interrelated and interdependent.
- The systems model provides a framework for understanding public health infrastructure.
Conclusions:
- Advances in public health workforce development are linked to organizational development.
- Organizational development efforts are crucial for enhancing the public health workforce.
- A holistic, systems-based perspective is necessary for effective public health practice.
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