Public Health Informatics in Local and State Health Agencies: An Update From the Public Health Workforce Interests and Needs Survey
Public Health Informatics in Local and State Health Agencies: An Update From the Public Health Workforce Interests and Needs Survey
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DOI：
10.1097/phh.0000000000000918
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发表时间：
2019-03-01
影响因子：
3.3
通讯作者：
Gibson, P. Joseph
中科院分区：
文献类型：
--
作者：
McFarlane, Timothy D.;Dixon, Brian E.;Gibson, P. Joseph
目的：描述公共卫生信息学（PHI）专家的特点，并确定公共卫生工作人员的信息学需求。设计：横断面研究。设置：美国地方和州卫生机构。参会人员：来自州卫生机构中央办公室（SHA-CO）和地方卫生部门（LHD）的员工参加了2017年公共卫生劳动力兴趣和需求调查（PH）。我们的特点和自我报告的PHI，“信息技术专家或信息系统经理”（IT/IS），“公共卫生科学”（PHS），“临床和实验室”工作人员的工作角色进行了比较。主要结局指标：人口统计，收入，教育，公共卫生经验，计划领域，工作满意度和工作场所环境的描述性统计，以及数据和信息学技能和需求。结果：共有17，136名SHA-CO员工和26，533名LHD员工参与了调查。在SHA-CO和LHD员工中，1.1%和0.3%的人自我报告为PHI专家。公共卫生服务部门与公共卫生服务部门的雇员最相似，但公共卫生经验较少，工资较低。总体而言，只有不到三分之一的PHI专家报告在信息学项目领域工作，通常支持流行病学和监测，生命记录和传染病。与2014年的PH调查相比，目前的PHI受访者对工作和工作环境的满意度朝着更加中立和消极的方向发展，而IT/IS、PHS以及临床和实验室亚组则朝着更加积极的方向发展。与IT/IS、PHS或临床和实验室角色相比，PHI专家不太可能报告所需数据和信息学技能方面的差距。结论：在公共卫生机构中，信息学专家的作用仍然很少见，而担任这一角色的人往往公共卫生经验较少，报酬也不如其他技术性职位的工作人员。在更广泛的公共卫生工作队伍中，数据和信息学技能方面的差距依然很大。
Objective: To characterize public health informatics (PHI) specialists and identify the informatics needs of the public health workforce. Design: Cross-sectional study. Setting: US local and state health agencies. Participants: Employees from state health agencies central office (SHA-COs) and local health departments (LHDs) participating in the 2017 Public Health Workforce Interests and Needs Survey (PH WINS). We characterized and compared the job roles for self-reported PHI, "information technology specialist or information system manager" (IT/IS), "public health science" (PHS), and "clinical and laboratory" workers. Main Outcome Measure: Descriptive statistics for demographics, income, education, public health experience, program area, job satisfaction, and workplace environment, as well as data and informatics skills and needs. Results: A total of 17 136 SHA-CO and 26 533 LHD employees participated in the survey. PHI specialist was self-reported as a job role among 1.1% and 0.3% of SHA-CO and LHD employees. The PHI segment most closely resembled PHS employees but had less public health experience and had lower salaries. Overall, fewer than one-third of PHI specialists reported working in an informatics program area, often supporting epidemiology and surveillance, vital records, and communicable disease. Compared with PH WINS 2014, current PHI respondents' satisfaction with their job and workplace environment moved toward more neutral and negative responses, while the IT/IS, PHS, and clinical and laboratory subgroups shifted toward more positive responses. The PHI specialists were less likely than those in IT/IS, PHS, or clinical and laboratory roles to report gaps in needed data and informatics skills. Conclusions: The informatics specialists' role continues to be rare in public health agencies, and those filling that role tend to have less public health experience and be less well compensated than staff in other technically focused positions. Significant data and informatics skills gaps persist among the broader public health workforce.