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 at Chapel Hill, USA. hugh_tilson@unc.edu
Berkowitz
Bobbie
B
D035843:Biomedical Research / Q000458:organization & administration; D004189:Disaster Planning / Q000458:organization & administration; D006291:Health Policy; D006801:Humans; D007373:Interinstitutional Relations; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D011361:Professional Competence; D011635:Public Health Administration; D011787:Quality of Health Care / Q000458:organization & administration*; D014481:United States