Strengthening capacity through competency-based education and training to deliver the essential public health functions: reflection on roadmap to build public health workforce

Hunter, Mehreen; Ogunlayi, Fatai; Middleton, John; Squires, Neil

doi:10.1136/bmjgh-2022-011310

Cited by 13 publications

(10 citation statements)

References 20 publications

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“…Hence, it becomes imperative to facilitate the rejuvenation of primary healthcare personnel by introducing fresh talent and enhancing welfare benefits [ 33 , 34 ] as a measure to mitigate the attrition of skilled professionals. It is imperative to optimize the talent recruitment mechanism of primary health institutions, augment the number of professional healthcare personnel, and attract more outstanding undergraduate and postgraduate graduates to serve the primary areas and public health service.…”

Section: Discussionmentioning

confidence: 99%

Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China

Liu,

Zhao,

Dong

et al. 2024

BMC Health Serv Res

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Background The public health service capability of primary healthcare personnel directly affects the utilization and delivery of health services, and is influenced by various factors. This study aimed to examine the status, factors, and urban-rural differences of public health service capability among primary healthcare personnel, and provided suggestions for improvement. Methods We used cluster sampling to survey 11,925 primary healthcare personnel in 18 regions of Henan Province from 20th to March 31, 2023. Data encompassing demographics and public health service capabilities, including health lifestyle guidance, chronic disease management, health management of special populations, and vaccination services. Multivariable regression analysis was employed to investigate influencing factors. Propensity Score Matching (PSM) quantified urban-rural differences. Results The total score of public health service capability was 80.17 points. Chronic disease management capability scored the lowest, only 19.60. Gender, education level, average monthly salary, professional title, health status, employment form, work unit type, category of practicing (assistant) physician significantly influenced the public health service capability (all P < 0.05). PSM analysis revealed rural primary healthcare personnel had higher public health service capability scores than urban ones. Conclusions The public health service capability of primary healthcare personnel in Henan Province was relatively high, but chronic disease management required improvement. Additionally, implementing effective training methods for different subgroups, and improving the service capability of primary medical and health institutions were positive measures.

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Section: Discussionmentioning

confidence: 99%

Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China

Liu,

Zhao,

Dong

et al. 2024

BMC Health Serv Res

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“…This has a great impact on the quantity and quality of basic public health services in primary areas. Hence, it becomes imperative to facilitate the rejuvenation of primary healthcare personnel by introducing fresh talent and enhancing welfare bene ts [31,32] as a measure to mitigate the attrition of skilled professionals.…”

Section: Path Analysis For Public Health Service Capability Among The...mentioning

confidence: 99%

Assessing and improving public health service capability of primary healthcare personnel: A large-scale survey in Henan Province, China

Liu,

Zhao,

Dong

et al. 2023

Preprint

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Background The public health service capability of primary healthcare personnel directly affects the utilization and delivery of health services, and is influenced by various factors. This study aimed to examine the status, factors, and urban-rural differences of public health service capability among primary healthcare personnel, and provided suggestions for improvement. Methods We used cluster sampling to survey 11,925 primary healthcare personnel in 18 regions of Henan Province from 20th to March 31, 2023. Data encompassing demographics and public health service capabilities, including health lifestyle guidance, chronic disease management, health management of special populations, and vaccination services. Multivariable regression analysis was employed to investigate influencing factors. Structural Equation Modeling (SEM) elucidated relationships and mechanisms among different capabilities, and Propensity Score Matching (PSM) quantified urban-rural differences. Results The total score of public health service capability was 80.17 points. Gender, education level, average monthly salary, professional title, health status, employment form, work unit type, category of practicing (assistant) physician significantly influenced the public health service capability (all P < 0.05). Chronic disease management, health management of special populations, and vaccination services directly influenced health lifestyle guidance (all P < 0.05). PSM analysis revealed rural primary healthcare personnel had higher public health service capability scores than urban ones. Conclusions The public health service capability of primary healthcare personnel in Henan Province was relatively high, but chronic disease management required improvement. Additionally, implementing effective training methods for different subgroups, and improving the service capability of primary medical and health institutions were positive measures.

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“…Core competencies provide standards for training the public health workforce ( 1 , 8 , 12 ). These frameworks can inform academic and professional development curricula ( 1 ), assess workforce performance ( 13 ), and identify professional development needs.…”

Section: Introductionmentioning

confidence: 99%

Developing competencies in public health: a scoping review of the literature on developing competency frameworks and student and workforce development

MacKay,

Ford,

Grant

et al. 2024

Front. Public Health

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Effective and precise public health practice relies on a skilled and interdisciplinary workforce equipped with integrated knowledge, values, skills, and behaviors as defined by competency frameworks. Competency frameworks inform academic and professional development training, support performance evaluation, and identify professional development needs. The aim of this research was to systematically identify and examine trends in the extent, nature, and range of the literature related to developing competencies in public health. This includes developing public health competency frameworks, and how competencies are developed and maintained in students and practitioners. We used a scoping review methodology to systematically identify and report on trends in the literature. Two independent reviewers conducted title and abstract and full-text screening to assess the literature for relevance. Articles were included if they were original primary research or gray literature and published in English. No date or geographic restrictions were applied. Articles were included if they focused on developing competency statements or frameworks for public health and/or training public health students or practitioners to develop competencies. The review encompassed a range of methods and target populations, with an emphasis on building competencies through student and professional development. Foundational competency development was a primary focus, and we found a gap in discipline-specific competency research, especially within developing discipline-specific competency statements and frameworks. Several evidence-based practices for competency development were highlighted, including the importance of governance and resources to oversee competency framework development and implementation, and workforce planning. Experiential learning and competency-based training were commonly identified as best practices for building competencies. A comprehensive understanding of public health competency development—through developing and incorporating foundational and discipline-specific competencies, mapping student and practitioner training to competency frameworks, and incorporating best practices—will enable public health to create skills and an adaptable workforce capable of addressing complex public health issues.

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Strengthening capacity through competency-based education and training to deliver the essential public health functions: reflection on roadmap to build public health workforce

Cited by 13 publications

References 20 publications

Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China

Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China

Assessing and improving public health service capability of primary healthcare personnel: A large-scale survey in Henan Province, China

Developing competencies in public health: a scoping review of the literature on developing competency frameworks and student and workforce development

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