Skip to main content
Top
Published in: Human Resources for Health 1/2014

Open Access 01-12-2014 | Research

Public health human resources: a comparative analysis of policy documents in two Canadian provinces

Authors: Sandra Regan, Marjorie MacDonald, Diane E Allan, Cheryl Martin, Nancy Peroff-Johnston

Published in: Human Resources for Health | Issue 1/2014

Login to get access

Abstract

Background

Amidst concerns regarding the capacity of the public health system to respond rapidly and appropriately to threats such as pandemics and terrorism, along with changing population health needs, governments have focused on strengthening public health systems. A key factor in a robust public health system is its workforce. As part of a nationally funded study of public health renewal in Canada, a policy analysis was conducted to compare public health human resources-relevant documents in two Canadian provinces, British Columbia (BC) and Ontario (ON), as they each implement public health renewal activities.

Methods

A content analysis of policy and planning documents from government and public health-related organizations was conducted by a research team comprised of academics and government decision-makers. Documents published between 2003 and 2011 were accessed (BC = 27; ON = 20); documents were either publicly available or internal to government and excerpted with permission. Documentary texts were deductively coded using a coding template developed by the researchers based on key health human resources concepts derived from two national policy documents.

Results

Documents in both provinces highlighted the importance of public health human resources planning and policies; this was particularly evident in early post-SARS documents. Key thematic areas of public health human resources identified were: education, training, and competencies; capacity; supply; intersectoral collaboration; leadership; public health planning context; and priority populations. Policy documents in both provinces discussed the importance of an educated, competent public health workforce with the appropriate skills and competencies for the effective and efficient delivery of public health services.

Conclusion

This policy analysis identified progressive work on public health human resources policy and planning with early documents providing an inventory of issues to be addressed and later documents providing evidence of beginning policy development and implementation. While many similarities exist between the provinces, the context distinctive to each province has influenced and shaped how they have focused their public health human resources policies.
Appendix
Available only for authorised users
Literature
1.
go back to reference Frank J, Di Ruggiero E: Public health in Canada: what are the real issues. C J Public Health. 2003, 94 (3): 190-192. Frank J, Di Ruggiero E: Public health in Canada: what are the real issues. C J Public Health. 2003, 94 (3): 190-192.
2.
go back to reference Institute of Medicine: The Future of the Public’s Health in the 21st Century. 2002, Washington, DC: The National Academies Press Institute of Medicine: The Future of the Public’s Health in the 21st Century. 2002, Washington, DC: The National Academies Press
3.
go back to reference National Advisory Committee on SARS and Public Health: Learning from SARS – Renewal of Public Health in Canada. A report of the National Advisory Committee on SARS and Public Health. 2003, Ottawa, ON: Health Canada, Report No.: 1210 National Advisory Committee on SARS and Public Health: Learning from SARS – Renewal of Public Health in Canada. A report of the National Advisory Committee on SARS and Public Health. 2003, Ottawa, ON: Health Canada, Report No.: 1210
4.
go back to reference European Centre for Disease Prevention and Control: Annual report of the Director: 2005. 2005, Stockholm: Author European Centre for Disease Prevention and Control: Annual report of the Director: 2005. 2005, Stockholm: Author
5.
go back to reference World Health Organization: The World Health Report 2006 - Working Together for Health. 2006, Geneva, CHE: World Health Organization World Health Organization: The World Health Report 2006 - Working Together for Health. 2006, Geneva, CHE: World Health Organization
6.
go back to reference Chambers LW, Sullivan SM: Reflections on Canada’s public health enterprise in the 21st century. Healthcare Papers. 2007, 7 (3): 22-30. 10.12927/hcpap.2007.18754.CrossRefPubMed Chambers LW, Sullivan SM: Reflections on Canada’s public health enterprise in the 21st century. Healthcare Papers. 2007, 7 (3): 22-30. 10.12927/hcpap.2007.18754.CrossRefPubMed
7.
go back to reference Tilson H, Berkowitz B: The public health enterprise: examining our twenty-first-century policy challenges. Health Aff. 2006, 25 (4): 900-910. 10.1377/hlthaff.25.4.900.CrossRef Tilson H, Berkowitz B: The public health enterprise: examining our twenty-first-century policy challenges. Health Aff. 2006, 25 (4): 900-910. 10.1377/hlthaff.25.4.900.CrossRef
8.
go back to reference Gotway Crawford CA, Summerfelt WT, Roy K, Chen Z, Meltzer DO, Thacker SB: Perspectives on public health workforce research. J Public Health Manag Pract. 2009, 15 (6): S5-S15.CrossRef Gotway Crawford CA, Summerfelt WT, Roy K, Chen Z, Meltzer DO, Thacker SB: Perspectives on public health workforce research. J Public Health Manag Pract. 2009, 15 (6): S5-S15.CrossRef
9.
go back to reference Moore J: Studying an ill-defined workforce: public health workforce research. J Public Health Manag Pract. 2009, 15 (6): S48-S53.CrossRefPubMed Moore J: Studying an ill-defined workforce: public health workforce research. J Public Health Manag Pract. 2009, 15 (6): S48-S53.CrossRefPubMed
10.
go back to reference Joint Task Group on Public Health Human Resources: A Pan-Canadian Framework for Public Health Human Resources Planning. 2005, Ottawa, ON: Government of Canada Joint Task Group on Public Health Human Resources: A Pan-Canadian Framework for Public Health Human Resources Planning. 2005, Ottawa, ON: Government of Canada
13.
go back to reference Government of Ontario: Health Protection and Promotion Act, 2009. 2009, Toronto, ON: Government of Ontario Government of Ontario: Health Protection and Promotion Act, 2009. 2009, Toronto, ON: Government of Ontario
14.
go back to reference Government of British Columbia: Public Health Act, 2008. 2009, Victoria, BC: Government of British Columbia Government of British Columbia: Public Health Act, 2008. 2009, Victoria, BC: Government of British Columbia
15.
go back to reference Ministry of Health Services: A Framework for Core Functions in Public Health: Resource Document. 2005, Victoria, BC: Government of British Columbia Ministry of Health Services: A Framework for Core Functions in Public Health: Resource Document. 2005, Victoria, BC: Government of British Columbia
16.
go back to reference Ontario Ministry of Health and Long-Term Care: Ontario Public Health Standards 2008. 2009, Toronto, ON: Government of Ontario Ontario Ministry of Health and Long-Term Care: Ontario Public Health Standards 2008. 2009, Toronto, ON: Government of Ontario
18.
go back to reference Buse K, Mays N, Walt G: Making Health Policy. 2012, Berkshire, UK: Open University Press McGraw-Hill, 2 Buse K, Mays N, Walt G: Making Health Policy. 2012, Berkshire, UK: Open University Press McGraw-Hill, 2
19.
go back to reference Pal LA: Beyond Policy Analysis: Public Issue Management in Turbulent Times. 2010, Toronto, ON: Nelson Education Pal LA: Beyond Policy Analysis: Public Issue Management in Turbulent Times. 2010, Toronto, ON: Nelson Education
20.
go back to reference Federal/Provincial/Territorial Advisory Committee on Health Delivery and Human Resources: A framework for Pan-Canadian Collaborative Health Human Resources Planning. 2005, Ottawa, ON: Government of Canada Federal/Provincial/Territorial Advisory Committee on Health Delivery and Human Resources: A framework for Pan-Canadian Collaborative Health Human Resources Planning. 2005, Ottawa, ON: Government of Canada
21.
go back to reference Krippendorff KA: Content Analysis: An Introduction to Its Methodology. 2012, Thousand Oaks, CA: Sage, 3 Krippendorff KA: Content Analysis: An Introduction to Its Methodology. 2012, Thousand Oaks, CA: Sage, 3
22.
go back to reference QSR International: NVivo Qualitative Data Analysis Software, version 9; released in. 2010 QSR International: NVivo Qualitative Data Analysis Software, version 9; released in. 2010
23.
go back to reference Association of Local Public Health Agencies: Creating a Sustainable Public Health System in Ontario. 2004, Toronto, ON: Association of Local Public Health Agencies Association of Local Public Health Agencies: Creating a Sustainable Public Health System in Ontario. 2004, Toronto, ON: Association of Local Public Health Agencies
24.
go back to reference Public Health Association of British Columbia: Context and Connections Matrix: Core and Technical Competencies for Public Health in BC Project. 2010, Vancouver, BC: Public Health Association of British Columbia Public Health Association of British Columbia: Context and Connections Matrix: Core and Technical Competencies for Public Health in BC Project. 2010, Vancouver, BC: Public Health Association of British Columbia
25.
go back to reference Moloughney B, Frank J, Di Ruggiero E: Revamp Canada’s public health system — and do it quickly: think-tank. CMAJ. 2003, 169 (4): 325-PubMedCentral Moloughney B, Frank J, Di Ruggiero E: Revamp Canada’s public health system — and do it quickly: think-tank. CMAJ. 2003, 169 (4): 325-PubMedCentral
26.
go back to reference Ontario Ministry of Health and Long-Term Care: Operation Health Protection. 2004, Toronto, ON: Government of Ontario Ontario Ministry of Health and Long-Term Care: Operation Health Protection. 2004, Toronto, ON: Government of Ontario
27.
go back to reference Capacity Review Committee: Revitalizing Ontario’s Public Health Capacity: The Final Report of the Capacity Review Committee. 2006, Toronto, ON: Author Capacity Review Committee: Revitalizing Ontario’s Public Health Capacity: The Final Report of the Capacity Review Committee. 2006, Toronto, ON: Author
28.
go back to reference Hollander Analytical Services Ltd: Final Report of the Midterm Evaluation, and a Framework for Future Evaluations, for the Core and Technical Competencies for Public Health in BC Project. 2010, Vancouver, BC: Public Health Association of British Columbia Hollander Analytical Services Ltd: Final Report of the Midterm Evaluation, and a Framework for Future Evaluations, for the Core and Technical Competencies for Public Health in BC Project. 2010, Vancouver, BC: Public Health Association of British Columbia
29.
go back to reference Ontario Public Health Association and Partners: Ontario Public Health Performance Management Competency Profiles. 2009, Toronto, ON: Ontario Public Health Association and Partners Ontario Public Health Association and Partners: Ontario Public Health Performance Management Competency Profiles. 2009, Toronto, ON: Ontario Public Health Association and Partners
30.
go back to reference Ontario Public Health Association: Annual Report April 1, 2004 - March 30, 2005. 2005, Toronto, ON: Ontario Public Health Association Ontario Public Health Association: Annual Report April 1, 2004 - March 30, 2005. 2005, Toronto, ON: Ontario Public Health Association
31.
go back to reference Public Health Association of British Columbia: BC Map of Public Health Services. 2007, Vancouver, BC: Public Health Association of British Columbia Public Health Association of British Columbia: BC Map of Public Health Services. 2007, Vancouver, BC: Public Health Association of British Columbia
32.
go back to reference Zena Simces & Associates: Core and Technical Competencies for Public Health in BC: Phase 1 – Needs Assessment Technical Report. 2008, Vancouver, BC: The Public Health Association of BC Zena Simces & Associates: Core and Technical Competencies for Public Health in BC: Phase 1 – Needs Assessment Technical Report. 2008, Vancouver, BC: The Public Health Association of BC
33.
go back to reference The Public Health Human Resources Task Group: Guidelines for MPH Programs in Canada. 2009, Ottawa, ON: Public Health Agency of Canada The Public Health Human Resources Task Group: Guidelines for MPH Programs in Canada. 2009, Ottawa, ON: Public Health Agency of Canada
35.
go back to reference Ministry of Health Services: Discussion Paper to Support the First Nation’s Health Human Resources (Internal document). 2011, Victoria, BC: Government of British Columbia Ministry of Health Services: Discussion Paper to Support the First Nation’s Health Human Resources (Internal document). 2011, Victoria, BC: Government of British Columbia
36.
go back to reference British Columbia Provincial Health Officer: Pathways to Health and Healing – 2nd Report on the Health and Well-Being of Aboriginal People in British Columbia Provincial Health Officer’s Annual Report 2007. 2009, Victoria, BC: Government of British Columbia British Columbia Provincial Health Officer: Pathways to Health and Healing – 2nd Report on the Health and Well-Being of Aboriginal People in British Columbia Provincial Health Officer’s Annual Report 2007. 2009, Victoria, BC: Government of British Columbia
37.
go back to reference Ontario Ministry of Health and Long-Term Care: Final Report of the Agency Implementation Task Force: from Vision to Action: A Plan for the Ontario Agency for Health Protection and Promotion. 2006, Toronto, ON: Government of Ontario Ontario Ministry of Health and Long-Term Care: Final Report of the Agency Implementation Task Force: from Vision to Action: A Plan for the Ontario Agency for Health Protection and Promotion. 2006, Toronto, ON: Government of Ontario
38.
go back to reference Ontario Expert Panel on SARS and Infectious Disease Control: For the Public's Health: Initial Report of the Ontario Expert Panel on SARS and Infectious Disease Control. 2003, Toronto, ON: Government of Ontario Ontario Expert Panel on SARS and Infectious Disease Control: For the Public's Health: Initial Report of the Ontario Expert Panel on SARS and Infectious Disease Control. 2003, Toronto, ON: Government of Ontario
40.
go back to reference Zena Simces & Associates: Core and Technical Competencies for Public Health in BC: Phase 1 – Needs Assessment Interim Report for Distribution. 2008, Vancouver, BC: The Public Health Association of BC Zena Simces & Associates: Core and Technical Competencies for Public Health in BC: Phase 1 – Needs Assessment Interim Report for Distribution. 2008, Vancouver, BC: The Public Health Association of BC
41.
go back to reference The SARS Commission: Interim Report: SARS and Public Health in Ontario. 2004, Toronto, ON: The SARS Commission The SARS Commission: Interim Report: SARS and Public Health in Ontario. 2004, Toronto, ON: The SARS Commission
42.
go back to reference The SARS Commission: Second Interim Report: SARS and Public Health Legislation. 2005, Toronto, ON: The SARS Commission The SARS Commission: Second Interim Report: SARS and Public Health Legislation. 2005, Toronto, ON: The SARS Commission
43.
go back to reference Ministry of Health Services: Enumeration of BC Public Health System Workforce Pilot Project Plan (Draft). 2011, Victoria, BC: Government of British Columbia Ministry of Health Services: Enumeration of BC Public Health System Workforce Pilot Project Plan (Draft). 2011, Victoria, BC: Government of British Columbia
44.
go back to reference Quality Worklife Quality Healthcare Collaborative: Within our Grasp: A Healthy Workplace Action Strategy for Success and Sustainability in Canada’s Healthcare System. 2007, Ottawa, ON: Canadian Council on Health Services Accreditation Quality Worklife Quality Healthcare Collaborative: Within our Grasp: A Healthy Workplace Action Strategy for Success and Sustainability in Canada’s Healthcare System. 2007, Ottawa, ON: Canadian Council on Health Services Accreditation
45.
go back to reference Advisory Committee on Health Human Resources: Our Health, Our Future: Creating Quality Workplaces for Canadian Nurses: Final Report of the Canadian Nursing Advisory Committee. 2002, Ottawa, ON: Health Canada Advisory Committee on Health Human Resources: Our Health, Our Future: Creating Quality Workplaces for Canadian Nurses: Final Report of the Canadian Nursing Advisory Committee. 2002, Ottawa, ON: Health Canada
46.
go back to reference Public Health Association of British Columbia: Backgrounder to a Proposal for a Public Health Workforce Development Network. Vancouver, BC, Author; ND Public Health Association of British Columbia: Backgrounder to a Proposal for a Public Health Workforce Development Network. Vancouver, BC, Author; ND
47.
go back to reference BC Ministry of Healthy Living & Sport: Public Health Human Resources Plan 2010. 2010, Victoria, BC: Government of British Columbia BC Ministry of Healthy Living & Sport: Public Health Human Resources Plan 2010. 2010, Victoria, BC: Government of British Columbia
48.
go back to reference Consulting S: Report on Stakeholder Consultations in Public Health Units in the Province of Ontario to the Capacity Review Committee. 2006, Toronto, ON: Starfield Consulting Consulting S: Report on Stakeholder Consultations in Public Health Units in the Province of Ontario to the Capacity Review Committee. 2006, Toronto, ON: Starfield Consulting
49.
go back to reference BC Ministry of Healthy Living and Sport: Model Core Program Paper: Prevention of Chronic Diseases. 2010, Victoria, BC: Government of British Columbia BC Ministry of Healthy Living and Sport: Model Core Program Paper: Prevention of Chronic Diseases. 2010, Victoria, BC: Government of British Columbia
50.
go back to reference BC Ministry of Healthy Living and Sport: Model Core Program Paper: Healthy Child and Youth Development. 2010, Victoria, BC: Government of British Columbia BC Ministry of Healthy Living and Sport: Model Core Program Paper: Healthy Child and Youth Development. 2010, Victoria, BC: Government of British Columbia
51.
go back to reference BC Ministry of Healthy Living and Sport: Model Core Program Paper: Healthy Infant and Child Development. 2009, Victoria, BC: Government of British Columbia BC Ministry of Healthy Living and Sport: Model Core Program Paper: Healthy Infant and Child Development. 2009, Victoria, BC: Government of British Columbia
52.
go back to reference Public Health Association of British Columbia: Consultation Document: Core and Technical Competencies for Public Health in BC. 2008, Victoria, BC: Public Health Association of British Columbia Public Health Association of British Columbia: Consultation Document: Core and Technical Competencies for Public Health in BC. 2008, Victoria, BC: Public Health Association of British Columbia
53.
go back to reference Ministry of Health and Long-Term Care: Ontario Public Health Organizational Standards. 2011, Toronto, ON: Government of Ontario Ministry of Health and Long-Term Care: Ontario Public Health Organizational Standards. 2011, Toronto, ON: Government of Ontario
54.
go back to reference Public Health Association of British Columbia: Update on the PHABC’s Public Health Core Competencies Project in BC. 2011, Vancouver, BC: Public Health Association of British Columbia Public Health Association of British Columbia: Update on the PHABC’s Public Health Core Competencies Project in BC. 2011, Vancouver, BC: Public Health Association of British Columbia
55.
go back to reference Pinto AD, Manson H, Pauly B, Thanos J, Parks A, Cox A: Equity in public health standards: a qualitative document analysis of policies from two Canadian provinces. Int J Equity Health. 2012, 11: 28-10.1186/1475-9276-11-28.CrossRefPubMedPubMedCentral Pinto AD, Manson H, Pauly B, Thanos J, Parks A, Cox A: Equity in public health standards: a qualitative document analysis of policies from two Canadian provinces. Int J Equity Health. 2012, 11: 28-10.1186/1475-9276-11-28.CrossRefPubMedPubMedCentral
56.
go back to reference Ministry of Health Services: Public Health Renewal in British Columbia: An Overview of Core Functions in Public Health. 2005, Victoria, BC: Government of British Columbia Ministry of Health Services: Public Health Renewal in British Columbia: An Overview of Core Functions in Public Health. 2005, Victoria, BC: Government of British Columbia
57.
go back to reference BC Ministry of Healthy Living and Sport: Model Core Program Paper: Communicable Disease. 2009, Victoria, BC: BC Ministry of Healthy Living and Sport BC Ministry of Healthy Living and Sport: Model Core Program Paper: Communicable Disease. 2009, Victoria, BC: BC Ministry of Healthy Living and Sport
58.
go back to reference Public Health Agency of Canada: Core Competencies in Public Health in Canada (release 1.0). 2008, Ottawa, ON: Public Health Agency of Canada Public Health Agency of Canada: Core Competencies in Public Health in Canada (release 1.0). 2008, Ottawa, ON: Public Health Agency of Canada
59.
go back to reference Ministry of Health: Promote, Protect and Prevent: Our Health Begins Here. BC's Guiding Framework for Public Health. 2013, Victoria, BC: Government of British Columbia Ministry of Health: Promote, Protect and Prevent: Our Health Begins Here. BC's Guiding Framework for Public Health. 2013, Victoria, BC: Government of British Columbia
60.
go back to reference Ministry of Health and Long-Term Care: Make No Little Plans: Ontario’s Public Health Sector Strategic Plan. 2013, Toronto, ON: Government of Ontario Ministry of Health and Long-Term Care: Make No Little Plans: Ontario’s Public Health Sector Strategic Plan. 2013, Toronto, ON: Government of Ontario
Metadata
Title
Public health human resources: a comparative analysis of policy documents in two Canadian provinces
Authors
Sandra Regan
Marjorie MacDonald
Diane E Allan
Cheryl Martin
Nancy Peroff-Johnston
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2014
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/1478-4491-12-13

Other articles of this Issue 1/2014

Human Resources for Health 1/2014 Go to the issue