共同创造变革:利益相关者参与推动印度公平的癌症查.
Ishu Kataria1, Kunal Oswal2, Nandimandalam Venkata Vani3
1RTI International, New Delhi, India.
JCO global oncology
|December 23, 2025
概括
参与癌症查计划的不同利益相关者有助于识别障碍,并共同设计早期癌症检测的有效策略. 这种方法减少了诊断延迟,并改善了印度公平的癌症护理.
科学领域:
- 在公共卫生领域的实施科学.
- 卫生系统研究 卫生系统研究
- 瘤学和癌症控制
背景情况:
- 癌症查计划是复杂的干预措施,需要多层次的利益相关者参与.
- 了解利益相关者的影响对于干预成功至关重要.
- 获取癌症护理印度 (ACCI) 项目侧重于印度的早期癌症检测.
研究的目的:
- 在ACCI项目中概述利益相关者参与策略.
- 假设与不同参与者的结构化研讨会将产生可行的干预措施.
- 减少诊断延迟,加强早期癌症检测.
主要方法:
- 在泰米尔纳德邦,喀拉拉邦和拉贾斯坦邦进行了宏观,中级和微观层面的利益相关者映射和影响评估.
- 利用合作研讨会来分享发现,并共同设计潜在的干预措施.
- 让决策者,项目协调员,服务提供商,民间社会,社区卫生工作者和患者参与其中.
主要成果:
- 在所有研究地点,各种利益相关者积极参与.
- 确定了个人障碍 (恐惧,耻辱,父权主义规范) 和系统层面的障碍 (诊断能力有限,协调不足,财务限制).
- 突出了诸如社区活动,自助小组,提供者能力建设和推/导航系统的需求等促进者.
结论:
- 早期,多层次的利益相关者参与是识别障碍和编码设计有效的癌症检测策略的关键.
- ACCI模型提供了一种可复制的方法来减少诊断延迟.
- 这项研究有助于在缺乏资源的环境中推进公平的癌症护理.
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