看不见的癌症:在海地看到,知道,执行和证明癌症
1University of Florida, College of Medicine, United States.
Social science & medicine (1982)
|March 17, 2024
概括
在海地,由于资源有限,难以获得癌症诊断,导致许多疑似病例. 全球标准影响当地实践,影响癌症的可知性,并延续全球南方癌症护理中的不平等.
科学领域:
- 全球健康 全球健康
- 医学人类学 医学人类学
- 在瘤学瘤学.
背景情况:
- 在海地,病理确认和癌症的先进诊断往往无法获得.
- 资源有限和成像不完善导致癌症诊断延迟或不可能.
- 医生面临的挑战是满足基于证据的标准来确定癌症诊断.
研究的目的:
- 检查海地疑似癌症的诊断和管理过程.
- 分析全球瘤学标准如何影响当地的癌症知识和实践.
- 调查在癌症护理不平等中可见性,权力和专业知识的作用.
主要方法:
- 在海地癌症治疗计划和更广泛的医疗保健系统中,22个月的参与者观察.
- 对疑似癌症的诊断和管理过程的分析.
- 使用三个案例研究来说明关键主题.
主要成果:
- 当地的诊断实践越来越多地受到全球化的瘤学知识的影响,影响了可知的癌症.
- 权力动态,专业知识和知名度影响了癌症知识的产生,并使不平等持续下去.
- 由于系统性限制,许多疑似癌症病例仍然未被诊断或"疑似".
结论:
- 全球瘤学的标准化可能会加剧全球南部癌症护理方面的不平等.
- 了解当地环境对于应对癌症诊断和管理方面的挑战至关重要.
- 知识生产的治理对资源有限的环境中的癌症护理和患者的治疗结果产生了重大影响.
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