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Perceptions Regarding Importance and Skill at Policy Development Among Public Health Staff.

Castrucci BC, Leider JP, Sellers K - J Public Health Manag Pract (2015 Nov-Dec)

Bottom Line: Analyses focus on 2 self-reported measures of perceived importance and ability related to policy development skills, as well as awareness and perceptions regarding Health in All Policies (HiAP).Workforce development, both formal education and on-the-job training, may benefit from placing a greater emphasis on the development of policy skills.HiAP is an important approach to policy development.

View Article: PubMed Central - PubMed

Affiliation: de Beaumont Foundation, Bethesda, Maryland (Mr Castrucci and Dr Leider) Association of State and Territorial Health Officials, Arlington, Virginia (Dr Sellers).

ABSTRACT

Context: Policy development is recognized as a core function of public health and a core competency in formal public health education. However, relatively little is known nationally about worker perceptions and competencies related to policy development in the governmental public health workforce.

Objective: To characterize perceived importance and presence or absence of competency gaps related to policy development.

Design: As part of the Public Health Workforce Interests and Needs Survey (PH WINS), a nationally representative stratified sample of permanently employed state health agency (SHA) central office staff was created. Descriptive and inferential analyses examined correlates of perceived importance and competency gaps related to policy development.

Setting and participants: Permanently employed central office employees of SHAs.

Main outcome measure: Analyses focus on 2 self-reported measures of perceived importance and ability related to policy development skills, as well as awareness and perceptions regarding Health in All Policies (HiAP).

Results: Seventy-two percent of SHA central office staff (95% confidence interval, 71-73) indicated "influencing policy development" was somewhat or very important to their day-to-day work. Among that group, 35% (95% confidence interval, 34-36) reported that they were unable to perform this or they considered themselves to be a beginner at this skill. Approximately three-fourths of staff indicated "understanding the relationship between a new policy and many types of public health problems" was somewhat or very important, and 30% of those who did said they were unable to perform this skill or were a beginner at it. Nationally, one-half of staff have not heard of HiAP. Among those who have, 86% indicated it was somewhat or very important to public health, and 41% reported they would like to see more emphasis on HiAP.

Conclusions: Workforce development, both formal education and on-the-job training, may benefit from placing a greater emphasis on the development of policy skills. HiAP is an important approach to policy development.

No MeSH data available.


Related in: MedlinePlus

Estimated Number of State Health Agency Central Office Staff Who Are Unable to Perform/Beginner in Policy-Related Skills Among Those Who Indicate the Skill Is Somewhat/Very Important in Their Day-to-Day Work, by Paired HHS Region
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Related In: Results  -  Collection


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Figure 2: Estimated Number of State Health Agency Central Office Staff Who Are Unable to Perform/Beginner in Policy-Related Skills Among Those Who Indicate the Skill Is Somewhat/Very Important in Their Day-to-Day Work, by Paired HHS Region

Mentions: Nationwide, 12 700 staff are estimated to have competency gaps in one or both of the 2 policy-related skills (95% CI, 12 245-13 149). This includes more than 6400 nonsupervisors (95% CI, 6064-6746), 1900 team leaders (95% CI, 1675-2130), 2400 supervisors (95% CI, 2176-2622), and 352 executives (95% CI, 238-467). These competency gaps are largely distributed evenly geographically, with the exception of the South, which has a larger population than the other regions.36 Overall, approximately 2200 staff in the New England and Atlantic (HHS regions 1 and 2), 2250 in the Mid-Atlantic and Great Lakes (HHS regions 3 and 5), 4300 in the South (HHS regions 4 and 6), 1900 in the Mountain/Midwest regions (HHS regions 7 and 8), and 2000 staff in the West (HHS regions 9 and 10) are estimated to have at least one of the policy-related competency gaps. A related analysis shows that several thousand staff have gaps both in “influencing policy development” and several complementary or synergistic skills, such as communicating persuasively, engaging outside partners, and working with diverse populations (Figure 2).


Perceptions Regarding Importance and Skill at Policy Development Among Public Health Staff.

Castrucci BC, Leider JP, Sellers K - J Public Health Manag Pract (2015 Nov-Dec)

Estimated Number of State Health Agency Central Office Staff Who Are Unable to Perform/Beginner in Policy-Related Skills Among Those Who Indicate the Skill Is Somewhat/Very Important in Their Day-to-Day Work, by Paired HHS Region
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4590525&req=5

Figure 2: Estimated Number of State Health Agency Central Office Staff Who Are Unable to Perform/Beginner in Policy-Related Skills Among Those Who Indicate the Skill Is Somewhat/Very Important in Their Day-to-Day Work, by Paired HHS Region
Mentions: Nationwide, 12 700 staff are estimated to have competency gaps in one or both of the 2 policy-related skills (95% CI, 12 245-13 149). This includes more than 6400 nonsupervisors (95% CI, 6064-6746), 1900 team leaders (95% CI, 1675-2130), 2400 supervisors (95% CI, 2176-2622), and 352 executives (95% CI, 238-467). These competency gaps are largely distributed evenly geographically, with the exception of the South, which has a larger population than the other regions.36 Overall, approximately 2200 staff in the New England and Atlantic (HHS regions 1 and 2), 2250 in the Mid-Atlantic and Great Lakes (HHS regions 3 and 5), 4300 in the South (HHS regions 4 and 6), 1900 in the Mountain/Midwest regions (HHS regions 7 and 8), and 2000 staff in the West (HHS regions 9 and 10) are estimated to have at least one of the policy-related competency gaps. A related analysis shows that several thousand staff have gaps both in “influencing policy development” and several complementary or synergistic skills, such as communicating persuasively, engaging outside partners, and working with diverse populations (Figure 2).

Bottom Line: Analyses focus on 2 self-reported measures of perceived importance and ability related to policy development skills, as well as awareness and perceptions regarding Health in All Policies (HiAP).Workforce development, both formal education and on-the-job training, may benefit from placing a greater emphasis on the development of policy skills.HiAP is an important approach to policy development.

View Article: PubMed Central - PubMed

Affiliation: de Beaumont Foundation, Bethesda, Maryland (Mr Castrucci and Dr Leider) Association of State and Territorial Health Officials, Arlington, Virginia (Dr Sellers).

ABSTRACT

Context: Policy development is recognized as a core function of public health and a core competency in formal public health education. However, relatively little is known nationally about worker perceptions and competencies related to policy development in the governmental public health workforce.

Objective: To characterize perceived importance and presence or absence of competency gaps related to policy development.

Design: As part of the Public Health Workforce Interests and Needs Survey (PH WINS), a nationally representative stratified sample of permanently employed state health agency (SHA) central office staff was created. Descriptive and inferential analyses examined correlates of perceived importance and competency gaps related to policy development.

Setting and participants: Permanently employed central office employees of SHAs.

Main outcome measure: Analyses focus on 2 self-reported measures of perceived importance and ability related to policy development skills, as well as awareness and perceptions regarding Health in All Policies (HiAP).

Results: Seventy-two percent of SHA central office staff (95% confidence interval, 71-73) indicated "influencing policy development" was somewhat or very important to their day-to-day work. Among that group, 35% (95% confidence interval, 34-36) reported that they were unable to perform this or they considered themselves to be a beginner at this skill. Approximately three-fourths of staff indicated "understanding the relationship between a new policy and many types of public health problems" was somewhat or very important, and 30% of those who did said they were unable to perform this skill or were a beginner at it. Nationally, one-half of staff have not heard of HiAP. Among those who have, 86% indicated it was somewhat or very important to public health, and 41% reported they would like to see more emphasis on HiAP.

Conclusions: Workforce development, both formal education and on-the-job training, may benefit from placing a greater emphasis on the development of policy skills. HiAP is an important approach to policy development.

No MeSH data available.


Related in: MedlinePlus