重新思考癌症早期诊断的逻辑 癌症早期诊断的逻辑
Christina Sadolin Damhus1,2, Mette Bech Risør1,3, John Brandt Brodersen1,2,3
1The Centre of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Health (London, England : 1997)
|February 26, 2024
概括
"越早越好"的癌症检测方法,虽然对一些人有益,但可能会导致不必要的治疗和资源分配错误,从而造成伤害. 重新思考癌症护理中的时间概念对于可持续的医疗保健系统至关重要.
科学领域:
- 在瘤学瘤学.
- 科学社会学科学社会学
- 卫生政策 卫生政策
背景情况:
- 减少癌症发病率和死亡率的策略通常依赖于早期检测.
- 时间的概念是当前癌症研究,政策和预防实践的核心.
- 对于癌症诊断来说",越早越好"的普遍逻辑已经确立了好处,但也产生了伤害.
研究的目的:
- 分析不同的时间和线性感知如何影响癌症研究.
- 描述当前癌症研究本体学的个人和社会后果.
- 建议重新评估时间在癌症诊断和护理中的作用.
主要方法:
- 跨学科的案例研究设计.
- 对时间理论概念的分析.
- 癌症流行病学,历史和民族学数据的整合.
主要成果:
- 早期癌症诊断的逻辑深深植根于研究和政策中,尽管有相互矛盾的证据.
- 对时间的线性感知,新自由主义和社会加速有助于"越早越好"方法的持久性.
- 早期诊断的既定逻辑并没有受到当前研究,政策或社会话语的重大挑战.
结论:
- 细分早期诊断的逻辑对于可持续的医疗保健行业至关重要.
- 对癌症进展的持续线性感知可能会造成更多的伤害而不是好处.
- 过度诊断和卫生资源的低效分配可能是早期检测策略的不批判性应用的结果.
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