报告建议建立一个公共卫生研究所，以解决新泽西州的不平等问题
新泽西州将加入其他州的行列，改善协调、合作和资源。
The report found “two striking situations underscore the need for a public health institute in New Jersey: the state’s racial and ethnic inequities in health outcomes and underinvestment in the state’s public health infrastructure. Both issues were exacerbated because of the impact of the pandemic and need to be incorporated into the public health institute’s development.”
“The nation has always needed a strong public health system, and COVID-19 highlights a current severe capacity limitation. Over the past ten months, we have had a unique opportunity to work with dedicated health professionals and community leaders in New Jersey who want to strengthen the system and address inequities in health outcomes,” said Vincent Lafronza, EdD, President and Chief Executive Officer of the National Network of Public Health Institutes. “Public health institutes can add critical muscle to a public-private partnership approach and we are honored to help establish a public health institute in New Jersey. As a former resident of New Jersey, I know firsthand how much is riding on the success of this effort. Let this be our legacy for healthier generations to come.”
Those in the field of public health work to protect and improve the health of people and the communities where they live, learn, work and play. A public health institute would help prevent illness and work toward eliminating health inequities that contribute to glaring health disparities in New Jersey.
“A public health institute could formulate and address broad policy questions with wide-ranging implications for our state’s residents and our state’s public health,” said New Jersey state Health Commissioner Judith Persichilli. “A public health institute would help accelerate collaboration across sectors, advance equity, and provide greater focus on addressing the social determinants of health.”
Key insights underlying the recommendation include:
- New Jersey’s public health infrastructure and system have been strained for decades by lack of funding, insufficient coordination across health and related sectors, and the impact of social and economic determinants of health on New Jersey’s residents.
- New Jersey ranks 31st in the US in state funding for public health, according to the Trust for America’s Health.
- A report produced by the Edward J. Bloustein School of Planning & Public Policy at Rutgers University found that New Jersey:
- Has the lowest median per capita state appropriation for public health among states examined in the report.
- Has among the smallest public health workforce per capita among states in the comparison, and only half that of regional neighbors Connecticut, Maryland, and Massachusetts.
- Inadequate funding for New Jersey’s public health infrastructure leads to inadequate staffing at the state and local levels. Though local public health systems are generally responsive to their communities, the system as a whole lacks the capacity to both achieve its core missions and accomplish such responsive tasks as managing COVID response.
The report identifies four potential roles for a public health institute in New Jersey:
- Collaborate within communities to advance health equity through authentic relationships and support capacity building, using a social justice framework
- Function as an assertive, responsive, nimble fiscal and administrative entity to support public health initiatives and health equity
- Serve as a community-driven, trusted, and independent convener that leads the administrative, operational, and strategic efforts in the development of a public health institute
- Support and use an accessible, easy-to-use, modern data infrastructure
New Jersey’s would be the first public health institute in the nation to have advancing health equity as a founding priority.
“A public health institute in New Jersey would be another step in the Robert Wood Johnson Foundation’s commitment to improving health and health equity in our home state,” said Maisha Simmons, RWJF director of New Jersey Grantmaking. “I look forward to the continued partnership, conversations and action to help all New Jerseyans live their healthiest and most equitable life possible.”
" data-isabstract="false" class="cmp-text">新泽西州普林斯顿大学为了使新泽西州成为最安全、最健康、最公平的州，它需要与30多个州一起创建一个公共卫生机构，其使命将包括促进合作，并在一个因缺乏资金和能力而紧张的系统中建立能力。
正如尼科尔森基金会、罗伯特·伍德·约翰逊基金会和国家公共卫生研究所网络与新泽西州卫生部共同发布的一份报告所建议的那样，建立一个非营利性的公共卫生研究所将是新泽西州重新构想公共卫生系统的关键部分。
报告，”抓住时机:公共卫生机构如何促进新泽西州的卫生公平该计划历时10个月，涉及来自公共卫生、医疗保健、社会服务和宗教团体的广泛关键利益相关者。
该报告发现“两种惊人的情况强调了在新泽西州建立公共卫生机构的必要性:该州在健康结果方面的种族和民族不平等以及该州公共卫生基础设施的投资不足。”由于大流行的影响，这两个问题都加剧了，需要纳入公共卫生研究所的发展。”
“国家一直需要一个强大的公共卫生系统，COVID-19凸显了当前严重的能力限制。在过去的10个月里，我们有一个独特的机会与新泽西州的专业卫生人员和社区领导人合作，他们希望加强该系统并解决卫生结果的不平等问题，”国家公共卫生研究所网络总裁兼首席执行官Vincent Lafronza博士说。“公共卫生机构可以为公私合作方式增加关键力量，我们很荣幸能够帮助在新泽西州建立一个公共卫生机构。作为新泽西州的前居民，我深知这一努力的成功与否事关重大。让这成为我们留给下一代更健康的遗产。”
公共卫生领域的工作人员致力于保护和改善人们以及他们生活、学习、工作和娱乐的社区的健康。公共卫生研究所将有助于预防疾病，并努力消除造成新泽西州明显的健康差距的卫生不公平现象。
新泽西州卫生专员Judith Persichilli说:“公共卫生机构可以制定和解决广泛的政策问题，对我们州的居民和我们州的公共卫生产生广泛的影响。”“公共卫生研究所将有助于加速各部门的合作，促进公平，并更加注重解决健康的社会决定因素。”
该建议的主要见解包括:
- 几十年来，由于缺乏资金，卫生和相关部门之间的协调不足，以及健康的社会和经济决定因素对新泽西州居民的影响，新泽西州的公共卫生基础设施和系统一直处于紧张状态。
- 根据该报告，新泽西州的公共卫生资金在美国排名第31位信任美国的健康。
- 一个报告由罗格斯大学爱德华·j·布鲁斯坦规划与公共政策学院制作的研究报告发现新泽西州:
- 在报告审查的各州中，国家对公共卫生的人均拨款中位数最低。
- 在比较中，该州的人均公共卫生人力是各州中最少的，只有邻近康涅狄格州、马里兰州和马萨诸塞州的一半。
- 新泽西州公共卫生基础设施资金不足，导致州和地方各级人员配备不足。虽然地方公共卫生系统通常对社区作出反应，但整个系统缺乏实现其核心使命和完成管理COVID应对等响应性任务的能力。
该报告确定了新泽西州公共卫生研究所的四个潜在作用:
- 在社区内开展合作，利用社会正义框架，通过真正的关系和支持能力建设，促进卫生公平
- 作为一个自信、反应迅速、灵活的财政和行政实体，支持公共卫生倡议和卫生公平
- 作为社区驱动、可信赖和独立的召集人，领导公共卫生机构发展的行政、业务和战略工作
- 支持和使用可访问的、易于使用的现代数据基础设施
新泽西的公共卫生机构将成为全国第一个将促进健康公平作为首要任务的公共卫生机构。
RWJF新泽西拨款主任Maisha Simmons说:“在新泽西建立公共卫生机构将是罗伯特·伍德·约翰逊基金会致力于改善我们家乡的健康和卫生公平的又一步。”“我期待着继续合作、对话和行动，以帮助所有新泽西人过上最健康、最公平的生活。”
For more than 45 years the Robert Wood Johnson Foundation has worked to improve health and health care. We are working alongside others to build a national Culture of Health that provides everyone in America a fair and just opportunity for health and wellbeing. For more information, visit www.ottomotal.com. Follow the Foundation on Twitter at www.ottomotal.com/twitter or on Facebook at www.ottomotal.com/facebook.
" data-isabstract="false" class="cmp-text">关于罗伯特伍德约翰逊基金会
45年来，罗伯特·伍德·约翰逊基金会一直致力于改善健康和医疗保健。我们正在与其他国家一道努力，建立一种全国性的健康文化，为每个美国人提供公平和公正的健康和福祉机会。欲了解更多信息，请访问www.ottomotal.com。在Twitter上关注基金会www.ottomotal.com/twitter或者在Facebook上www.ottomotal.com/facebook。