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The Exodus Of State And Local Public Health Employees: Separations Started Before And Continued Throughout COVID-19.
Leider, Jonathon P; Castrucci, Brian C; Robins, Moriah; Hare Bork, Rachel; Fraser, Michael R; Savoia, Elena; Piltch-Loeb, Rachael; Koh, Howard K.
  • Leider JP; Jonathon P. Leider, University of Minnesota, Minneapolis, Minnesota.
  • Castrucci BC; Brian C. Castrucci (castrucci@debeaumont.org), de Beaumont Foundation, Bethesda, Maryland.
  • Robins M; Moriah Robins, de Beaumont Foundation.
  • Hare Bork R; Rachel Hare Bork, de Beaumont Foundation.
  • Fraser MR; Michael R. Fraser, Association of State and Territorial Health Officials, Arlington, Virginia.
  • Savoia E; Elena Savoia, Harvard University, Boston, Massachusetts.
  • Piltch-Loeb R; Rachael Piltch-Loeb, Harvard University.
  • Koh HK; Howard K. Koh, Harvard University.
Health Aff (Millwood) ; 42(3): 338-348, 2023 03.
Article in English | MEDLINE | ID: covidwho-2268406
ABSTRACT
Understanding the size and composition of the state and local governmental public health workforce in the United States is critical for promoting and protecting the health of the public. Using pandemic-era data from the Public Health Workforce Interests and Needs Survey fielded in 2017 and 2021, this study compared intent to leave or retire in 2017 with actual separations through 2021 among state and local public health agency staff. We also examined how employee age, region, and intent to leave correlated with separations and considered the effect on the workforce if trends were to continue. In our analytic sample, nearly half of all employees in state and local public health agencies left between 2017 and 2021, a proportion that rose to three-quarters for those ages thirty-five and younger or with shorter tenures. If separation trends continue, by 2025 this would represent more than 100,000 staff leaving their organizations, or as much as half of the governmental public health workforce in total. Given the likelihood of increasing outbreaks and future global pandemics, strategies to improve recruitment and retention must be prioritized.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / COVID-19 Type of study: Observational study Limits: Humans Language: English Journal: Health Aff (Millwood) Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health / COVID-19 Type of study: Observational study Limits: Humans Language: English Journal: Health Aff (Millwood) Year: 2023 Document Type: Article