COVID-19大流行突显了公共卫生人员在维护道德同时部署数字技术的能力方面的差距,社会正义,和健康公平原则。现有的公共卫生能力框架尚未更新,以反映数字技术在当代公共卫生中发挥的突出作用。公共卫生培训机构正在寻求将数字技术纳入其课程。
■作为一项多阶段研究的第一步,在加拿大公共卫生背景下探索公共卫生能力框架的更新建议,我们对文献进行了快速回顾,旨在确定数字能力的建议,训练方法,以及可以增强公共卫生从业人员支持公共卫生数字化转型的能力的跨学科或跨学科伙伴关系。
■遵循世界卫生组织(2017)的快速审查指南,对OvidMEDLINE进行了系统搜索,OvidEmbase,ERIC(教育资源信息中心),和WebofScience的同行评审文章。我们还使用与公共卫生相关的搜索词搜索了GoogleScholar和各种公共卫生机构和公共卫生协会网站的灰色文献,数字健康,实践能力,和培训方法。我们纳入了2010年1月至2022年12月期间发表的与公共卫生从业人员数字技术相关的明确实践能力和培训建议的文章。我们排除了通过或仅从临床角度描述这些概念的文章。
■我们的搜索返回了2023个标题和摘要,其中只有12项研究符合纳入标准。我们发现了新能力的建议,使公共卫生从业人员能够适当地使用数字技术,这些技术跨越加拿大公共卫生局公共卫生框架的所有现有核心能力类别。我们还确定了与数据相关的新能力类别,数据系统管理,和治理。确定的培训方法包括适应的学位授予计划,如公共卫生和信息学或数据科学学位课程以及正在进行的专业认证,并将基于实践的学习整合到多学科和跨学科培训中。建议对促进实践能力和培训建议很重要的学科包括公共卫生,公共卫生信息学,数据,信息和计算机科学,生物统计学,健康传播,和生意。
■尽管数字技术在公共卫生领域的发展,有关有效支持公共卫生数字化转型所需的实践能力和培训方法的建议在文献中仍然有限。如有,有证据表明,劳动力需要跨越和扩展现有公共卫生能力的新能力,包括与使用和保护新数字数据源相关的新能力,同时使用数字媒体促进健康传播和推广功能。建议还强调需要通过适应学位授予公共卫生培训计划和持续的专业发展来关注跨学科性的培训方法。
UNASSIGNED: The COVID-19 pandemic highlighted gaps in the public health workforce\'s capacity to deploy digital technologies while upholding ethical, social justice, and health equity principles. Existing public health competency frameworks have not been updated to reflect the prominent role digital technologies play in contemporary public health, and public health training institutions are seeking to integrate digital technologies in their curricula.
UNASSIGNED: As a first step in a multiphase study exploring recommendations for updates to public health competency frameworks within the Canadian public health context, we conducted a rapid review of literature aiming to identify recommendations for digital competencies, training approaches, and inter- or transdisciplinary partnerships that can enhance public health practitioners\' capacity to support the digital transformation of public health.
UNASSIGNED: Following the World Health Organization\'s (2017) guidelines for rapid reviews, a systematic search was conducted on Ovid MEDLINE, Ovid Embase, ERIC (Education Resources Information Center), and Web of Science for peer-reviewed articles. We also searched Google Scholar and various public health agency and public health association websites for gray literature using search terms related to public health, digital health, practice competencies, and training approaches. We included articles with explicit practice competencies and training recommendations related to digital technologies among public health practitioners published between January 2010 and December 2022. We excluded articles describing these concepts in passing or from a solely clinical perspective.
UNASSIGNED: Our search returned 2023 titles and abstracts, of which only 12 studies met the inclusion criteria. We found recommendations for new competencies to enable public health practitioners to appropriately use digital technologies that cut across all existing categories of the core competencies for public health framework of the Public Health Agency of Canada. We also identified a new competency category related to data, data systems management, and governance. Training approaches identified include adapted degree-awarding programs like combined public health and informatics or data science degree programs and ongoing professional certifications with integration of practice-based learning in multi- and interdisciplinary training. Disciplines suggested as important to facilitate practice competency and training recommendations included public health, public health informatics, data, information and computer sciences, biostatistics, health communication, and business.
UNASSIGNED: Despite the growth of digital technologies in public health, recommendations about practice competencies and training approaches necessary to effectively support the digital transformation of public health remain limited in the literature. Where available, evidence suggests the workforce requires new competencies that cut across and extend existing public health competencies, including new competencies related to the use and protection of new digital data sources, alongside facilitating health communication and promotion functions using digital media. Recommendations also emphasize the need for training approaches that focus on interdisciplinarity through adapted degree-awarding public health training programs and ongoing professional development.