On Linkages: Confronting the Public Health Workforce Crisis: Asph Statement on the Public Health Workforce
ABSTRACT FORECASTAs a result, today's public health workforce, faced with daunting public health challenges, has been forced to do more with fewer people. For example, in the U.S. in the year 2000, there were about 50,000 fewer public health employees than in 1980.5,6 While the 1980 workforce ratio (220 per 100,000) may in fact be an underestimate of the ideal number of public health workers, it provides a benchmark for estimating current and future needs.2 And although technological advances may to some extent mitigate the impact of the decrease in the size of the public health workforce, this trend cannot continue without drastically compromising the public's health.To have the same public health workforce-to-population ratio in 2000 as existed in 1980, there would have had to have been more than 600,000 public health workers, or an additional 150,000 on top of the 450,000 that existed at the time. In 2020, to have the same ratio (220:100,000), the public health workforce would need to number 700,000+, or 250,000+ workers more than the most recent count.More than 50% of states cite the lack of trained personnel as a major barrier to our nation's preparedness.7 Additionally, a recent Institute of Medicine (IOM) report states that there is a shortage of 10,000 public health physicians—double the amount estimated to be practicing currently.8 Other reports have documented and forecast shortages among public health nurses, epidemiologists, health-care educators, and administrators. Moreover, there are demonstrated disparities in the public health workforce related to racial and ethnic parity, as well as geographic maldistribution. As stated by the Sullivan Commission on Diversity in the Healthcare Workforce: “Today's physicians, nurses, and dentists have too little resemblance to the diverse populations they serve, leaving many Americans feeling excluded by a system that seems distant and uncaring. The fact that the nation's health professions have not kept pace with changing demographics may be an even greater cause of disparities in health access and outcomes than the persistent lack of health insurance for tens of millions of Americans.”9Public health workforce shortages are even more critical in much of the developing world. For example, despite representing 11% of the world's population and 24% of the global burden of disease, sub-Saharan Africa has only 3% of the world's health workers and commands less than 1% of the world's health expenditures.10 The 2006 World Health Report states that there is a “major mismatch” between population needs and the available public health workforce in terms of overall numbers, relevant training, practical competencies, and sufficient diversity to serve all individuals and communities. Multifaceted efforts are needed to increase the capacity of the global public health workforce, given the increasingly easy cross-country transmission of disease.11Retirement projections of public health professionals are not available for most private-sector positions. However, for the public sector, the estimated retirement potential is sobering (Table 2). If we assume that the public health workforce numbered 450,000 in the years when each of the retirement waves is projected (2003, 2010, 2012), then by 2012 a total of more than 100,000 public health workers (or 23% of the current workforce) will retire, leaving a large void of expertise to be filled. Of note, this projected retirement wave will place an added burden on the looming workforce shortage of 250,000 estimated for 2020.Table 2Percent of public health workers eligible to retire by 2012 (n=450,000)
Full-textDOI: · Available from: Gerald Kominski, Aug 01, 2015
- SourceAvailable from: Salvador A. Gezan
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- "Zywiak (2010) reported that, according to the Paraprofessional Healthcare Institute, 1.1 million additional direct-care workers will be needed. In addition, the Association of Schools of Public Health (ASPH) projects a shortage of 250,000 public health workers by 2020 (Rosenstock, et al., 2008). Moreover, the American Geriatrics Society (2013) reported increasing demand for geriatricians , estimating a need for 36,000 by 2030. "
ABSTRACT: As the older adult population increases, the healthcare system is experiencing a shortage of professional health care providers and caregivers. Consequently, the role of family to serve as caregivers will expand to care for older relatives at home. Thus, a larger proportion of adult children will become caregivers, including young adults enrolled as college students. Therefore, a need exists to examine the intentions, attitudes, and subjective norms of typical college students to assume the role of informal caregivers. The present study is based on the theoretical framework of the Theory of Planned Behavior (TPB). The TPB assumes attitudes, subjective norms, and perceived control influence intentions which provide the best predictors of actual behavior. The cross-sectional study included an attitude scale, additional scales based on TPB, and a demographic profile. Data were collected from 750 currently enrolled university students then analyzed for descriptive statistics, Pearson correlation, and hierarchal multiple regression statistics. The students' quality of experiences and interaction with older relatives correlated significantly with intentions, subjective norms, and perceived behavioral control to serve as informal caregivers. Our study shows that, in the present context, TPB offers a viable explanation of students' intentions to serve as informal caregivers. Implications of the study suggest health care providers, geriatricians, health educators, and patient educators should become involved in the education and strategy development necessary to assist this young group of informal caregivers.Educational Gerontology 05/2015; 41(5). DOI:10.1080/03601277.2014.974391 · 0.39 Impact Factor
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- "Achieving acceptable and equitable public health outcomes for these and other social problems relies on the skills of public health workers (Beaglehole and Dal Poz 2003; Gebbie 1999; May 2008; Margaret A. Potter et al. 2008). A shortage of public health workers exists worldwide (Beaglehole and Dal Poz 2003; Rosenstock et al. 2008). Moreover, there is also little information about the current size, composition, training, or performance of public health workers in most countries. "
ABSTRACT: Healthy People sets the decennial public health agenda for the United States (US). Healthy People 2020 includes objectives for social marketing education and training in schools of public health and for applying it in state health departments. In the present study, two online surveys were conducted to estimate the application of, as well as education and training opportunities available in, social marketing in the US. First, state health department professionals were surveyed online regarding application of eight social marketing benchmarks in their disease prevention and health promotion programs. Eight of 29 participating state health departments used social marketing. Second, an online survey was administered to associate deans of US schools of public health concerning education and professional development opportunities available for students and public health professionals, respectively. Forty percent (20/50) of associate deans participated. In the past academic year, four schools reported offering a social marketing course and six additional schools reported offering a combined health communication/social marketing course. Professional development opportunities in social marketing were even more limited. The present findings may serve as baseline measures for the national objectives to increase the use of social marketing in US disease prevention and health promotion. The paper concludes with discussion of the challenges for schools of public health and other enterprises in meeting the social marketing education and training needs of the public health workforce.International Review on Public and Nonprofit Marketing 01/2014; 11(2). DOI:10.1007/s12208-013-0111-y
- Public Health Reports 02/2008; 123 Suppl 2:1-4. · 1.64 Impact Factor