Health Departments With A Commitment To Health Equity: A More Skilled Workforce And Higher-Quality Collaborations
Health Departments With A Commitment To Health Equity: A More Skilled Workforce And Higher-Quality Collaborations
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DOI：
10.1377/hlthaff.2017.1173
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发表时间：
2018-01-01
期刊：
影响因子：
9.7
通讯作者：
Brownson, Ross C.
中科院分区：
文献类型：
--
作者：
Furtado, Karishma S.;Brownson, Carol;Brownson, Ross C.
健康公平是公共卫生的一个优先事项，但人们对卫生部门对健康公平的承诺知之甚少，尤其是从事慢性病预防工作的从业人员。他们的工作使他们处于与发病率和死亡率差异的首要因素作斗争的最前沿。对在州卫生部门工作的 537 名慢性病从业人员进行了随机抽样调查，了解其健康公平承诺、伙伴关系和所需技能。一小部分受访者（2%）主要致力于健康公平，而更大的群体（9%）将健康公平作为其多个工作领域之一。将工作单位对健康公平的承诺评价为高的人更有可能参与卫生以外的部门，并将其领导者评价为高素质，并且不太可能发现工作单位中的技能差距。有机会通过组织、机构和政府政策，包括有关资源分配和人员培训的政策，更全面地解决州公共卫生实践中的健康公平问题。
Health equity is a public health priority, yet little is known about commitment to health equity in health departments, especially among practitioners whose work addresses chronic disease prevention. Their work places them at the forefront of battling the top contributors to disparities in morbidity and mortality. A random sample of 537 chronic disease practitioners working in state health departments was surveyed on health equity commitments, partnerships, and needed skills. A small percentage of respondents (2 percent) worked primarily on health equity, and a larger group (9 percent) included health equity as one of their multiple work areas. People who rated their work unit's commitment to health equity as high were more likely to engage with sectors outside of health and rate their leaders as high quality, and less likely to identify skills gaps in their work unit. Opportunities exist to more fully address health equity in state public health practice through organizational, institutional, and governmental policies, including those regarding resource allocation and staff training.