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癌症护理全球伙伴关系的必要性:参加 2010 年澳大利亚和亚太临床肿瘤学研究发展研讨会的癌症护理研究人员的看法。

Need for global partnership in cancer care: perceptions of cancer care researchers attending the 2010 australia and Asia pacific clinical oncology research development workshop.

机构信息

Duke Comprehensive Cancer Center; Department of Surgery; Department of Medicine, Division of Medical Oncology, Duke University Medical Center, Durham NC; Discipline of Palliative and Supportive Services; Department of Medical Oncology, Flinders Medical Centre, Flinders University, Adelaide; National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Camperdown; Sydney Cancer Centre, Royal Prince Alfred and Concord Hospitals, Sydney, Australia; Allama Iqbal Medical College, Lahore, Pakistan; Department of Medical Oncology, Tata Memorial Hospital, Mumbai, India; NCIC Clinical Trials Group, Kingston, Ontario, Canada.

出版信息

J Oncol Pract. 2011 Sep;7(5):324-9. doi: 10.1200/JOP.2011.000230. Epub 2011 Aug 4.

Abstract

PURPOSE

To understand the diversity of issues and the breadth of growing clinical care, professional education, and clinical research needs of developing countries, not typically represented in Western or European surveys of cancer care and research.

METHODS

A cross-sectional survey was conducted of the attendees at the 2010 Australia and Asia Pacific Clinical Oncology Research Development workshop (Queensland, Australia) about the most important health care questions facing the participant's home countries, especially concerning cancer.

RESULTS

Early-career oncologists and advanced oncology trainees from a region of the world containing significant low- and middle-income countries reported that cancer is an emerging health priority as a result of aging of the population, the impact of diet and lifestyle, and environmental pollution. There was concern about the capacity of health care workers and treatment facilities to provide cancer care and access to the latest cancer therapies and technologies. Although improving health care delivery was seen as a critical local agenda priority, focusing on improved cancer research activities in this select population was seen as the best way that others outside the country could improve outcomes for all.

CONCLUSIONS

The burden of cancer will increase dramatically over the next 20 years, particularly in countries with developing and middle-income economies. Cancer research globally faces significant barriers, many of which are magnified in the developing country setting. Overcoming these barriers will require partnerships sensitive and responsive to both local and global needs.

摘要

目的

了解发展中国家在癌症护理和研究方面所面临的问题的多样性和不断增长的临床护理、专业教育和临床研究需求的广泛性,这些问题在西方或欧洲的癌症护理和研究调查中通常没有得到体现。

方法

对参加 2010 年澳大利亚和亚太临床肿瘤学研究发展研讨会(澳大利亚昆士兰州)的与会者进行了横断面调查,了解与会者所在国家/地区面临的最重要的医疗保健问题,特别是与癌症有关的问题。

结果

来自世界上一个包含大量低收入和中等收入国家的地区的早期职业肿瘤学家和高级肿瘤学受训者报告说,由于人口老龄化、饮食和生活方式的影响以及环境污染,癌症已成为一个新出现的健康优先事项。他们对卫生保健工作者和治疗设施提供癌症护理以及获得最新癌症疗法和技术的能力表示关注。尽管改善医疗服务交付被视为当地议程的关键优先事项,但在这一特定人群中专注于改善癌症研究活动被视为该国外部人员改善所有人的结果的最佳途径。

结论

在未来 20 年内,癌症负担将大幅增加,特别是在发展中和中等收入经济体国家。全球癌症研究面临重大障碍,其中许多障碍在发展中国家环境中更为严重。克服这些障碍将需要建立对当地和全球需求敏感且有回应的伙伴关系。

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