日本的癌症查计划:进展和挑战
Chisato Hamashima1,2, Hirokazu Takahashi2
1Health Policy Section, Department of Nursing, Faculty of Medical Technology, Teikyo University, Tokyo, Japan.
Journal of medical screening
|March 28, 2024
概括
日本提供国家癌症查计划,但乳腺癌和宫癌的参与率落后于经合组织的平均水平. 加强基于证据的指导方针和质量保证对于提高查效率至关重要.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 日本已经建立了主要癌症的国家查计划,包括胃癌,结肠直肠癌,肺癌,乳腺癌和宫癌.
- 自2003年以来,癌症查指南一直在制定和更新,促进基于证据的实践.
- 目前的查主要通过社区和工作场所的倡议进行.
研究的目的:
- 评估日本国家癌症查计划的现状.
- 确定癌症查交付和参与方面的挑战和改进领域.
- 突出需要加强基于证据的实践和质量保证系统.
主要方法:
- 对各种癌症的现有国家查计划和指导方针的分析.
- 与经济合作与发展组织 (OECD) 国家参与率的比较.
- 对参与率的数据收集方法的评估,包括由于缺乏国家注册表而依赖调查.
- 对社区和工作场所查的质量保证系统的审查.
主要成果:
- 与经合组织平均水平相比,乳腺癌和宫癌查的参与率较低.
- 由于缺乏全面的国家癌症查登记册,无法准确计算参与率.
- 质量保证系统在历史上仅限于基于社区的查,直到最近才适应工作场所环境.
结论:
- 癌症查计划的复杂交付系统可能会阻碍更高的参与率.
- 需要继续努力加强基于证据的查建议.
- 建立一个强大而全面的国家质量保证系统对于提高日本癌症查效率至关重要.
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