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[基层和二级医疗保健服务中口腔癌的管理策略]

[Strategies for management of oral cancer in primary and secondary healthcare services].

作者信息

Torres-Pereira Cassius C, Angelim-Dias Aldo, Melo Nilce Santos, Lemos Celso Augusto, Oliveira Eder Magno Ferreira de

机构信息

Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, Brazil.

出版信息

Cad Saude Publica. 2012;28 Suppl:s30-9. doi: 10.1590/s0102-311x2012001300005.

Abstract

Progress in cancer management by health systems involves improvements in surveillance, organization of healthcare services, specific programs focused on primary and secondary prevention, and scientific and technical advances in diagnosis and treatment. Despite well-known progress in the management of malignant neoplasms in all the above areas, oral cancer displays persistently high morbidity and mortality rates, apparently failing to reflect the accumulated scientific knowledge on the disease. The current article discusses the reasons for this mismatch, the need for redefining priorities in oral cancer management, and the implementation of such priorities as a public health policy.

摘要

卫生系统在癌症管理方面的进展包括监测的改善、医疗服务的组织、侧重于一级和二级预防的特定项目以及诊断和治疗方面的科学技术进步。尽管在上述所有领域的恶性肿瘤管理方面都取得了众所周知的进展,但口腔癌的发病率和死亡率仍然居高不下,显然未能反映出对该疾病积累的科学知识。本文讨论了这种不匹配的原因、重新确定口腔癌管理优先事项的必要性以及将这些优先事项作为公共卫生政策加以实施的问题。

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