Vallejos Carlos
From the División de Investigación, Oncosalud, Lima, Peru.
Am Soc Clin Oncol Educ Book. 2013. doi: 10.1200/EdBook_AM.2013.33.e245.
Peru currently is executing an ambitious plan for cancer control: its first nationwide program of cancer prevention and cancer control, and the first such program launched in Latin America. The adequate strategies were identified from previous experience developing smaller initiatives and from knowledge of our epidemiology and priorities. The geographic landscape and sociocultural differences, in which inequalities play a significant role in access to quality education and specialized cancer care, are the main challenges to elaborate strategies to diminish our burden of advanced disease. Challenges were not only identified for the poorest people, but for other sectors of the population. With a growing Peruvian economy in a globalized market context, emerging sectors are being exposed to new risk factors for cancer and educational strategies were implemented. The development of the National Plan for Cancer Control was launched involving not only technical efforts by a multidisciplinary team, but also political concertation.
这是其首个全国性癌症预防与控制计划,也是拉丁美洲启动的首个此类计划。适当的策略是从以往开展较小规模倡议的经验以及对我国流行病学和优先事项的了解中确定的。地理环境和社会文化差异是制定减轻晚期疾病负担策略的主要挑战,在这些差异中,不平等在获得优质教育和专业癌症护理方面起着重要作用。挑战不仅针对最贫困人群,也针对其他人群。在全球化市场背景下,随着秘鲁经济的增长,新兴部门面临着新的癌症风险因素,为此实施了教育策略。国家癌症控制计划的制定不仅涉及多学科团队的技术努力,还涉及政治协调。