PDF(Pubmed)
Abstract：
OBJECTIVE: To investigate how Chief Medical Officers experience their role in the municipalities´ work with making the public health overview documents, demanded by the Norwegian Public Health Act from 2012.
METHODS: A qualitative study with semi-structured focus group interviews with 21 Chief Medical Officers from 20 different municipalities in Norway. The interviews were conducted in 2017. The data were analyzed thematically.
RESULTS: The Chief Medical Officers were mainly positive to participating in making public health overview documents. They took on roles as leaders of the work, medical advisors, data collectors towards local GPs and listening post to other sectors. Organizational factors like too small positions and a lack of tradition to involve the CMO in public health work were experienced as barriers to their involvement. The collaboration with the public health coordinators was said to be rewarding, and the intersectoral process involved employees from other sectors in a new way in public health. Although there were some positive experiences, several CMOs considered the use and impact of the public health overview document as limited.
CONCLUSIONS: There was a large variation in the amount and the type of involvement the Chief Medical Officers had in making the public health overview documents in Norwegian municipalities. More research is needed to understand if this has any consequences for the quality of public health work in the municipalities and whether it is a sign of a changing role of the Chief Medical Officers.
METHODS: A qualitative study with semi-structured focus group interviews with 21 Chief Medical Officers from 20 different municipalities in Norway. The interviews were conducted in 2017. The data were analyzed thematically.
RESULTS: The Chief Medical Officers were mainly positive to participating in making public health overview documents. They took on roles as leaders of the work, medical advisors, data collectors towards local GPs and listening post to other sectors. Organizational factors like too small positions and a lack of tradition to involve the CMO in public health work were experienced as barriers to their involvement. The collaboration with the public health coordinators was said to be rewarding, and the intersectoral process involved employees from other sectors in a new way in public health. Although there were some positive experiences, several CMOs considered the use and impact of the public health overview document as limited.
CONCLUSIONS: There was a large variation in the amount and the type of involvement the Chief Medical Officers had in making the public health overview documents in Norwegian municipalities. More research is needed to understand if this has any consequences for the quality of public health work in the municipalities and whether it is a sign of a changing role of the Chief Medical Officers.
摘要：
目的：调查首席医疗官如何在市政当局制定公共卫生概览文件的工作中发挥作用，根据2012年《挪威公共卫生法》的要求。
方法：对来自挪威20个不同城市的21名首席医疗官进行半结构化焦点小组访谈的定性研究。采访是在2017年进行的。对数据进行了主题分析。
结果：首席医疗官主要对参与制作公共卫生概述文件持积极态度。他们担任工作的领导者，医疗顾问,数据收集器向本地GP发送，并监听其他部门。职位太小和缺乏使CMO参与公共卫生工作的传统等组织因素是他们参与的障碍。据说与公共卫生协调员的合作是有益的，部门间流程以一种新的公共卫生方式让其他部门的员工参与进来。虽然有一些积极的经历，一些CMO认为公共卫生概述文件的使用和影响有限。
结论：首席医疗官参与挪威城市公共卫生概述文件的数量和类型差异很大。需要进行更多的研究，以了解这是否会对市政当局的公共卫生工作质量产生任何影响，以及这是否是首席医疗官角色变化的迹象。
方法：对来自挪威20个不同城市的21名首席医疗官进行半结构化焦点小组访谈的定性研究。采访是在2017年进行的。对数据进行了主题分析。
结果：首席医疗官主要对参与制作公共卫生概述文件持积极态度。他们担任工作的领导者，医疗顾问,数据收集器向本地GP发送，并监听其他部门。职位太小和缺乏使CMO参与公共卫生工作的传统等组织因素是他们参与的障碍。据说与公共卫生协调员的合作是有益的，部门间流程以一种新的公共卫生方式让其他部门的员工参与进来。虽然有一些积极的经历，一些CMO认为公共卫生概述文件的使用和影响有限。
结论：首席医疗官参与挪威城市公共卫生概述文件的数量和类型差异很大。需要进行更多的研究，以了解这是否会对市政当局的公共卫生工作质量产生任何影响，以及这是否是首席医疗官角色变化的迹象。
