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在低收入和中等收入国家获得激进和缓性放射治疗:挑战,进展和未来方向

Maria Thereza Mansur Starling¹, Omar Abdihamid^2,3, Verna Vanderpuye⁴

¹Department of Radiation Oncology, Hospital Madre Teresa, Belo Horizonte, Brazil.

Current opinion in supportive and palliative care

|October 23, 2025

概括

在低收入和中等收入国家 (LMICs) 获得息性放射治疗受到重大障碍的限制. 改善接入需要将息性放射治疗纳入国家战略,并实施创新,可持续的解决方案.

科学领域:

全球健康全球健康
在瘤学瘤学.
抚慰性护理是一种缓解性护理.

背景情况:

低收入和中等收入国家 (LMICs) 面临着不成比例的癌症负担,占全球癌症死亡人数的50%以上.
这些国家仅拥有世界上5%的放射治疗资源,这凸显了癌症治疗机会的严重差距.

研究的目的:

审查目前在LMICs获得息性放射治疗的现状.
确定障碍,并探索创新解决方案,以改善资源有限的环境中的息性放射治疗服务.

主要方法:

文献综述侧重于在LMICs中的息性放射治疗的获取.
对障碍的分析,包括基础设施,劳动力,成本和投资.
检查来自不同地区的创新方法和案例研究.

主要成果:

多方面的障碍阻碍了LMICs的放射治疗机会:基础设施赤字,劳动力短缺,地理集中度,高自费费用和投资不足.
息性放射治疗,尽管其成本效益和生活质量方面的好处,但在国家癌症和健康战略中经常被遗漏.
新兴的解决方案包括低分离,移动放射治疗单元,人工智能辅助规划和公私合作伙伴关系,有希望的区域进展.

结论:

将放射治疗,特别是息性放射治疗纳入国家癌症和息性护理战略至关重要.
可持续融资,分散的服务提供和适合环境的技术是克服访问限制的关键.
加强缓解性放射治疗的准入是公共卫生的必要条件和道德义务,以减轻患者的痛苦和维护患者的尊严.

关键词:

控制癌症控制癌症全球瘤学全球瘤学卫生公平性健康公平性低收入和中等收入国家.抚慰性护理是一种缓解性护理.辐射疗法辐射疗法

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