政治和公共卫生工作人员:从五个州的研究中建议的教训
Michael S Sparer1, Lawrence D Brown1
1Columbia University.
The Milbank quarterly
|May 26, 2023
概括
美国的公共卫生资金效率低下. 国家举措表明,直接向当地卫生部门提供资金,得到当地官员的支持,可以改善公共卫生. 解决劳动力问题需要更高的薪水和更少的官僚障碍.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗卫生工作人员发展发展.
- 政府公共卫生公共卫生.
背景情况:
- COVID-19大流行凸显了美国公共卫生系统的严重缺陷,特别是人力不足,薪水不足和低估的劳动力.
- 美国救援计划 (ARP) 拨出了大量资金来创造新的公共卫生工作,CDC向卫生机构分配了20亿美元.
- 几个州正在实施举措,以增加国家对当地卫生部门的资金,以确保提供核心服务.
研究的目的:
- 检查ARP劳动力基金和州立倡议的实施和影响.
- 为了比较和对比不同的公共卫生融资和劳动力发展方法.
- 确定改善公共卫生系统弹性和有效性的经验教训.
主要方法:
- 采访疾病控制和预防中心 (CDC) 的领导者和其他公共卫生专家.
- 在五个州 (肯塔基州,印第安纳州,密西西比州,纽约州和华盛顿州) 的案例研究检查了基金实施情况.
- 对州和联邦公共卫生资助计划的文档分析.
主要成果:
- 各州面临着组织,政治和官僚障碍,无法及时花费CDC的劳动力资金.
- 国家倡议成功地通过向当地卫生部门提供直接资金来吸引当地民选官员,通常使用绩效指标.
- 仅仅增加资金是不够的;使公共卫生成为更有吸引力的职业,有更好的薪水,条件和减少官僚主义至关重要.
结论:
- 由当地的民选官员支持的当地卫生部门的直接资金提供了一个可行的政治战略,以加强公共卫生的资金.
- 解决公共卫生工作人员危机不仅需要增加金融投资,还需要进行重大改革,以提高职业吸引力和减少官僚障碍.
- 专注于证明构成利益的政治战略对于确保对强大的公共卫生系统获得更广泛支持至关重要.
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