The public health enterprise: examining our twenty-first-century policy challenges.
This paper examines the public health enterprise and its policy challenges in the twenty-first century. Among the many challenges public health faces, we include here collaboration across a broad range of stakeholders, the public health infrastructure, agreement on public health's essential services, preparedness, accountability and measurement, workforce, and a research agenda. Two Institute of Medicine reports on the future of public health have set the context for a more in-depth review of the public health workforce and infrastructure. Policy advocates must ask, however, why, if the way and the means are so clear, the public health system is still in disarray.
Tilson
Hugh
H
School of Public Health, University of North Carolina, Chapel Hill, USA. hugh_tilson@unc.edu
Berkowitz
Bobbie
B
D018672:Community Health Planning / Q000458:organization & administration*; D003659:Decision Making, Organizational; D005544:Forecasting; D006301:Health Services Needs and Demand; D006801:Humans; D007373:Interinstitutional Relations; D009937:Organizational Objectives; D011050:Policy Making; D011634:Public Health / Q000639:trends*; D011635:Public Health Administration / Q000639:trends*; D012941:Social Responsibility; D013221:State Health Plans / Q000639:trends; D014481:United States; D014492:United States Public Health Service; D000078329:Workforce