扩大博茨瓦纳癌症治疗的地理范围:现状和未来前景
Norman C Swart1, Refeletswe Lebelonyane2,3, Elane M Gutterman4
1School of Nursing, University of Botswana, Gaborone, Botswana.
JCO global oncology
|September 30, 2024
概括
博茨瓦纳 博茨瓦纳 博茨瓦纳 博茨瓦纳 博茨瓦纳
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:
- 博茨瓦纳的癌症发病率上升与衰老,生活方式和艾滋病毒有关.
- 建立了四个公共瘤中心 (POC),以改善癌症护理的准入.
- 需要进行评估,以评估当前的癌症护理特征.
研究的目的:
- 评估博茨瓦纳四个公共瘤中心癌症护理服务的特点和可用性.
- 识别诊断,治疗和支持性护理服务中的差距.
- 为未来博茨瓦纳瘤服务的发展提供信息.
主要方法:
- 在四家医院 (PMH,NRH,SMH,LMH) 进行了瘤学工作人员的多站点横截面调查.
- 通过焦点人员收集的2021年2月至4月的数据,确认服务可用性.
- 调查评估了51名瘤学工作人员对服务的可用性.
主要成果:
- 公主玛丽娜医院 (PMH) 和Nyangabgwe推医院 (NRH) 提供综合服务;地区中心 (SMH,LMH) 的容量有限.
- PMH独特地提供住院瘤学,多学科委员会和息护理.
- 所有中心都提供帕普检测; 乳房检查仅限于PMH/NRH的诊断; 放射治疗需要转诊.
结论:
- 在博茨瓦纳国家转诊医院和地区POC之间,癌症护理服务存在显著差异.
- 地区中心 (SMH,LMH) 需要发展以提供特定的癌症服务,随访和息护理.
- 加强地区级POC的服务对于解决博茨瓦纳日益增长的癌症负担至关重要.
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