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Counting Public Health Workers. Kristine M. Gebbie, DrPH, RN April 4, 2006. Public health infrastructure: the foundation. Prepared Workforce. Data and Information. Systems and Relationships. Data and information. Health status Threats to health Resources that support health.
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Counting Public Health Workers Kristine M. Gebbie, DrPH, RN April 4, 2006
Public health infrastructure: the foundation Prepared Workforce Data and Information Systems and Relationships
Data and information • Health status • Threats to health • Resources that support health
Systems and relationships • Legal structure • Organizational structure • Formal working agreements • Interpersonal relationships
Prepared workers • Competent for expected roles and duties • Oriented to the mission of the organization • Motivated to perform at a high level
Who are the workers in the US? • 2000: 448,254 workers in salaried positions, primarily in state and local health departments and schools of public health • 2004: 552,061 in governmental agencies Enumeration 2000, HRSA Bureau of the Census, 2005
National Summary Technical 14% Clerical/Support 13% Professional 44% Category Unreported 25% Administrative 4%
Local State 34% 33% Other Federal 14% 19% National Summary of workers by location
Changes in workforce size • 1980-2000 + 6,000 • 1994-1999 + 5,400 • 2000-2003 + 8,700 • 2003-2004 - 3,000
We can’t identify • Pre-employment training • Job titles • Day-to-day functional responsibilities • What difference any of these make to programs
We can’t plan effectively • How old are the workers? • What are their career plans? • What is the next generation like?
Who else does public health • Community clinics • Hospital infection control • Hazardous material regulation • Agriculture food protection • Private industry • Occupational health • Food safety
We should be looking ahead • Middle school and high school career clubs • Summer employment for students • Public health as a science elective • Clinical experiences for health professions students
Columbia University School of Nursing 630 West 168th Street New York, New York 10032 www.nursing.hs.columbia.edu