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Quantifying the Public Health Workforce for Hawai'i: Current Data, Measurement Complexities, and Conceptual

Tetine Sentell1, Janet M Berreman2, Laura Reichhardt3

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Understanding Hawai'i's public health workforce is crucial. This review synthesizes data and challenges in workforce enumeration, offering frameworks to ensure Hawai'i's public health workforce can meet community needs.

Keywords:
Hawai‘iPacificgovernmentalpublic healthworkforce

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Area of Science:

  • Public Health Workforce Studies
  • Health Services Research
  • Health Policy and Management

Background:

  • The public health workforce is essential for community well-being, disease prevention, and threat protection.
  • Gaps in Hawai'i's public health workforce capacity and needs are not well understood, unlike the clinical healthcare sector.
  • The COVID-19 pandemic highlighted strains on public health workforce capacity, emphasizing the need for better measurement.

Purpose of the Study:

  • To address the knowledge gap regarding Hawai'i's public health workforce by reviewing existing literature on workforce enumeration.
  • To consolidate data, summarize measurement challenges, and present frameworks for quantifying the public health workforce in Hawai'i.
  • To provide actionable insights for ensuring the adequacy and effectiveness of Hawai'i's public health workforce.

Main Methods:

  • Critical literature review to synthesize existing data on Hawai'i's public health workforce.
  • Analysis of challenges in defining and measuring the public health workforce.
  • Examination of established frameworks like the 10 Essential Public Health Services and Foundational Public Health Services.

Main Results:

  • Existing data on Hawai'i's public health workforce was consolidated.
  • Key challenges in public health workforce measurement were summarized.
  • Frameworks and models for workforce quantification were identified and shared.
  • Next steps for actionable information were discussed.

Conclusions:

  • The 10 Essential Public Health Services and Foundational Public Health Services frameworks offer valuable guidance for public health workforce enumeration in Hawai'i.
  • The US Department of Health and Human Services (HHS) definition provides a comprehensive approach to framing public health worker enumeration.
  • A descriptive figure of Hawai'i's public health workforce was developed to guide future prioritization and work.