The University of the West Indies, School of Clinical Medicine and Research, The Bahamas Shirley Street, P, O, Box GT-2590, Nassau, Bahamas.
Infect Agent Cancer. 2011 Sep 23;6 Suppl 2(Suppl 2):S4. doi: 10.1186/1750-9378-6-S2-S4.
The advanced disease clinical presentations, higher morbidity and mortality rates and lack of available treatment options in prostate cancer care, attest to disparities in the delivery and outcomes of urological services in Black men of African lineage in both the Developed and Developing countries. This gap in health care and services in the global management of prostate cancer denotes the urological divide.Through the experience of a Developing country urologist with a comparative literature review, this presentation defines the determinants of the disparity through deficiencies in human, material and financial resources, as is most prevalent in Developing countries.Solutions to ending health care disparities must take into account the existing development phase of Third World countries and thus determine whether the Developed countries should export a total service delivery system or seek primarily to advance the competence and skills of the existing Developing country resources.Collaboration in prostate cancer research has the greatest promise and sustainability of bridging this urological divide and is of mutual benefit to both entities.
在前列腺癌的治疗中，晚期疾病的临床表现、更高的发病率和死亡率以及缺乏可用的治疗选择，证明了非洲裔黑人男性在发达国家和发展中国家接受泌尿外科服务和取得治疗结果方面存在差异。在全球前列腺癌管理中，这种医疗保健和服务方面的差距标志着泌尿外科的鸿沟。通过一位发展中国家泌尿科医生的经验和比较文献回顾，本演讲通过人力资源、物质资源和财政资源的不足来定义这种差异的决定因素，而这在发展中国家最为普遍。要解决医疗保健方面的差异，必须考虑到第三世界国家现有的发展阶段，因此要确定发达国家是应该输出全面的服务提供系统，还是应该主要努力提高现有发展中国家资源的能力和技能。在前列腺癌研究方面的合作最有希望弥合这一泌尿外科鸿沟，对双方都有互惠互利的好处。
