在英联邦国家进行癌症控制的基准基础设施:基于人口的观察性研究.
Che L Reddy1, Cecilia Sousa2, Rifat Atun3
1Health Systems Innovation Lab, Department of Global Health and Population, Harvard T H Chan School of Public Health, Harvard University, Boston, MA, USA.
联邦国家面临着巨大的癌症控制基础设施缺口,特别是在CT成像,设施和手术方面. 解决这些缺陷对于改善癌症查,诊断和治疗结果至关重要.
科学领域:
- 卫生系统研究 卫生系统研究
- 瘤基础设施 瘤基础设施
- 全球卫生平等全球卫生平等
背景情况:
- 联邦卫生系统在癌症控制方面表现不佳.
- 使用专有健康系统分析框架来评估癌症控制基础设施.
研究的目的:
- 为了对56个英联邦国家的癌症控制基础设施进行基准测试.
- 确定对卫生系统的影响,以加强对癌症的应对.
主要方法:
- 一项基于人口的多国观测研究分析了五个卫生系统基础设施元素:乳房影像,CT成像,放射瘤学,手术和医院.
- 数据被收集和分析,以对基础设施可用性与国际目标进行基准评估,并优先考虑具有及时,全面,一致,标准化和可靠数据的指标.
主要成果:
- 联邦国家通常未能达到癌症控制基础设施的国际目标,除了乳房影像诊断.
- 在CT成像,医疗保健设施和外科手术方面存在重大赤字,在地区,收入群体和州规模之间观察到显著差异.
- 放射性瘤学显示出最大的不平等,根据国家收入群体的差异高达62倍.
结论:
- 联邦的主要基础设施赤字可能会对癌症查,诊断和治疗的可用性和质量产生负面影响.
- 建议包括建立癌症控制数据观测站,以进行标准化数据收集,扩大聚合采购机制,促进基础设施扩建的公私合作伙伴关系.
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