Faculty of Arts and Sciences, Harvard University, Cambridge, MA, USA.
Lancet Oncol. 2010 Feb;11(2):204-10. doi: 10.1016/S1470-2045(09)70288-8.
Access to quality cancer care is often unavailable in low-income and middle-income countries, and also in rural or remote areas of high-income countries. Teleoncology-oncology applications of medical telecommunications, including pathology, radiology, and other related disciplines-has the potential to enhance access to and quality of clinical cancer care, and to improve education and training. Implementation of teleoncology in the developing world requires an approach tailored to priorities, resources, and needs. Teleoncology can best achieve its proposed goals through consistent and long-term application. We review teleoncology initiatives that have the potential to decrease cancer-care inequality between resource-poor and resource-rich institutions and offer guidelines for the development of teleoncology programmes in low-income and middle-income countries.
在低收入和中等收入国家,以及在高收入国家的农村或偏远地区,通常无法获得高质量的癌症治疗。医疗电信学的远程肿瘤学应用,包括病理学、放射学和其他相关学科,有可能提高获得临床癌症治疗的机会和质量,并改善教育和培训。在发展中国家实施远程肿瘤学需要一种针对优先事项、资源和需求的定制方法。远程肿瘤学可以通过持续和长期的应用来最好地实现其预期目标。我们审查了具有减少资源匮乏和资源丰富机构之间癌症治疗不平等潜力的远程肿瘤学计划,并为低收入和中等收入国家制定了远程肿瘤学计划的发展指南。