Strengthening local public health practice: a view to the millennium.
From a national perspective, local public health practice continues to face many of the challenges identified in the 1988 Institute of Medicine study. Unless they are addressed broadly, current trends may exacerbate further the capacity of local public health agencies. Efforts to strengthen local practice should focus on workforce development, scale of operations, and resources. New and innovative models of collaboration between academia and local practice are proposed.
Milne
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National Association of County and City Health Officials, Washington, DC, USA.
D003299:Cooperative Behavior; D005180:Faculty, Medical / Q000458:organization & administration*; D005544:Forecasting; D006801:Humans; D007373:Interinstitutional Relations; D017146:Models, Organizational; D015980:Public Health Practice / Q000592:standards*; D012581:Schools, Public Health / Q000458:organization & administration*; D017749:Total Quality Management / Q000458:organization & administration; D014481:United States