Candian Partnership Against Cancer, Vancouver, BC, Canada.
Cancer. 2011 May 15;117(10 Suppl):2241-4. doi: 10.1002/cncr.26053.
Canada is a westernized, market-economy nation with a publicly funded health care and cancer control system and has health indices reflective of a high-resource economy. Provision of health services is in accord with the Canada Health Act and is implemented through federal, provincial, and territorial relations wherein federal funding partly provides support for the provincial/territorial delivery of health services. Cancer services are provided within the acute health care system with dedicated entities existing in parallel in most provinces to provide services specific to the diagnosis, treatment, and support of cancer patients. Interprovincial and territorial collaboration to enhance and facilitate optimal cancer system performance is enabled through the Canadian Partnership Against Cancer (the Canadian national cancer control initiative). Adolescent and young adult (AYA) cancer patients use both the pediatric and adult cancer systems. There is recognition, however, that although AYA patients are numerically a small portion of all cancer patients, the negative personal, societal, and socioeconomic impacts of potential years of life lost are substantial and can be lessened through attention to awareness, education, redesign of care and care pathways, quality of life, developmental aspects related to adolescent-teen-adult transitions, continuity of care, and surveillance across pediatric and adult settings. Appropriate solutions need to be established within the framework of the Canadian Health Service by innovative rethinking and realignment of system capacity and performance to the special needs of AYA cancer patients.
加拿大是一个西化的市场经济国家，拥有公共资助的医疗保健和癌症控制体系，其健康指标反映了高资源经济的水平。卫生服务的提供符合《加拿大健康法案》，并通过联邦、省和地区关系来实施，联邦资金部分为省级/地区提供卫生服务的支持。癌症服务在急性医疗保健系统内提供，在大多数省份都有专门的实体平行存在，为癌症患者的诊断、治疗和支持提供服务。通过加拿大癌症伙伴关系（加拿大国家癌症控制倡议），实现了省际和地区间的合作，以加强和促进最佳癌症系统的绩效。青少年和年轻成人（AYA）癌症患者同时使用儿科和成人癌症系统。然而，人们认识到，尽管 AYA 患者在所有癌症患者中数量较少，但潜在生命损失的个人、社会和社会经济影响是巨大的，可以通过关注意识、教育、护理和护理途径的重新设计、生活质量、与青少年-成年过渡相关的发展方面、连续性护理以及儿科和成人环境中的监测来减轻。需要在加拿大卫生服务框架内建立适当的解决方案，通过创新的重新思考和调整系统能力和绩效，满足 AYA 癌症患者的特殊需求。
