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针对重点人群的筛查和社区外展项目:肿瘤学管理人员需考虑的因素

Screening and community outreach programs for priority populations: considerations for oncology managers.

作者信息

Meade Cathy D, Calvo Arlene, Rivera Marlene

机构信息

Education Program, H. Lee Moffitt Cancer Center & Research Institute, USA.

出版信息

J Oncol Manag. 2002 Sep-Oct;11(5):20-8.

Abstract

The goals of screening and community outreach efforts are to translate knowledge into relevant interventions to enhance health, prevent disease and manage chronic illness. Despite recent progress in the fight against cancer, a disproportionate share of the cancer burden is observed among ethnic minorities and medically underserved populations. Studies consistently link low socioeconomic status to low survival rates for nearly all types of cancer. Cultural differences, low literacy skills, language barriers and limited access to health care pose additional barriers to preventative health care for priority populations. Reaching priority populations with effective, appropriate and measurable ways to reduce cancer morbidity and mortality are key considerations for oncology managers seeking to provide comprehensive screening and community outreach care. This article addresses the importance of culture and literacy when developing screening and community outreach programs for at-risk populations, highlights the value of community partnerships to achieve programmatic goals, and outlines key considerations for creating successful breast screening and community outreach among Hispanic farmworker and rural women.

摘要

筛查及社区推广工作的目标是将知识转化为相关干预措施,以促进健康、预防疾病并管理慢性病。尽管近期在抗癌斗争中取得了进展,但在少数族裔和医疗服务不足的人群中,癌症负担所占比例过高。研究一致表明,几乎所有类型癌症的低生存率都与社会经济地位低下有关。文化差异、低识字技能、语言障碍以及获得医疗保健的机会有限,给重点人群的预防性医疗保健带来了额外障碍。以有效、适当且可衡量的方式接触重点人群,以降低癌症发病率和死亡率,是寻求提供全面筛查及社区推广护理的肿瘤学管理人员的关键考量因素。本文论述了为高危人群制定筛查及社区推广项目时文化和识字能力的重要性,强调了社区伙伴关系对于实现项目目标的价值,并概述了在西班牙裔农场工人和农村妇女中开展成功的乳腺癌筛查及社区推广的关键考量因素。

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