Goss Elizabeth, Lopez Ana Maria, Brown Carol L, Wollins Dana S, Brawley Otis W, Raghavan Derek
Turner & Goss LLP, Washington, DC, USA.
J Clin Oncol. 2009 Jun 10;27(17):2881-5. doi: 10.1200/JCO.2008.21.1680. Epub 2009 Apr 29.
The American Society of Clinical Oncology (ASCO) has embarked on an intensive campaign to integrate elimination of cancer health disparities into the Society's overall mission and activities. Key components of this commitment are enhancing awareness of disparities; improving access to care; and supporting research on health disparities. Major objectives are to advance the education of the oncology community in the care of patients from underserved and minority populations; increase the diversity of the clinical oncology workforce as a requisite to improving access to cancer care for the underserved; and support research in the area of health disparities. Racial and ethnic disparities in cancer care are an issue of critical importance to ASCO, the oncology community, and our society at large. The health disparities initiative outlined herein enunciates ASCO's dedication to eliminating disparities in cancer care and discusses our multipronged approach for addressing disparities within the clinical oncology community. ASCO is committed to collaborating with the diverse community of stakeholders to undertake the following: develop policies to guarantee equal access to quality health care, with special emphasis on reducing insurance and economic barriers to cancer care; develop a comprehensive plan to increase awareness of racial and ethnic disparities in cancer care; execute a strategy to enhance the supply of minority physicians and to improve the training of the oncology workforce to meet the needs of racially and ethnically diverse cancer patients; increase prioritization of public and private research on cancer care disparities; develop mechanisms to increase participation of racially and ethnically diverse populations in cancer clinical trials; and support initiatives to enhance patients' involvement in their cancer care.
美国临床肿瘤学会（ASCO）已展开一项密集行动，将消除癌症健康差异纳入学会的整体使命和活动之中。这一承诺的关键要素包括提高对差异的认识、改善医疗服务可及性以及支持健康差异研究。主要目标是推进肿瘤学界对服务不足和少数族裔患者护理的教育；增加临床肿瘤学劳动力的多样性，这是改善服务不足人群癌症护理可及性的必要条件；并支持健康差异领域的研究。癌症护理中的种族和族裔差异对ASCO、肿瘤学界以及我们整个社会而言都是至关重要的问题。本文概述的健康差异倡议阐明了ASCO致力于消除癌症护理差异的决心，并讨论了我们在临床肿瘤学界解决差异问题的多管齐下方法。ASCO致力于与不同的利益相关者群体合作，以开展以下工作：制定政策以确保平等获得优质医疗保健，特别强调减少癌症护理的保险和经济障碍；制定一项全面计划，以提高对癌症护理中种族和族裔差异的认识；执行一项战略，以增加少数族裔医生的供应，并改善肿瘤学劳动力的培训，以满足不同种族和族裔癌症患者的需求；提高对癌症护理差异的公共和私人研究的优先级；建立机制，以增加不同种族和族裔人群参与癌症临床试验的机会；并支持提高患者参与癌症护理的倡议。
