Preston Michael A, Mays Glen P, Jones Rise' D, Smith Sharla A, Stewart Chara N, Henry-Tillman Ronda S
J Health Care Poor Underserved. 2014 Feb;25(1 Suppl):139-50. doi: 10.1353/hpu.2014.0069.
Cancer is the second leading cause of death in the U.S and a source of large racial and ethnic disparities in population health. Policy development is a powerful but sometimes overlooked public health tool for reducing cancer burden and disparities. Along with other partners in the public health system, community-based organizations such as local cancer councils can play valuable roles in developing policies that are responsive to community needs and in mobilizing resources to support policy adoption and implementation. This paper examines the current and potential roles played by local cancer councils to reduce cancer burden and disparities. Responsive public health systems require vehicles for communities to engage in policy development. Cancer councils provide promising models of engagement. Untapped opportunities exist for enhancing policy development through cancer councils, such as expanding targets of engagement to include private-sector stakeholders and expanding methods of engagement utilizing the Affordable Care Act's Prevention and Public Health Fund.
癌症是美国第二大死因,也是导致人口健康方面巨大种族和族裔差异的一个因素。政策制定是减轻癌症负担和消除差异的一项强有力但有时被忽视的公共卫生工具。与公共卫生系统中的其他伙伴一样,地方癌症委员会等社区组织在制定符合社区需求的政策以及调动资源以支持政策采纳和实施方面可以发挥重要作用。本文探讨了地方癌症委员会在减轻癌症负担和消除差异方面当前及潜在的作用。响应式公共卫生系统需要让社区参与政策制定的途径。癌症委员会提供了有前景的参与模式。通过癌症委员会加强政策制定存在尚未利用的机会,比如扩大参与对象以纳入私营部门利益相关者,以及利用《平价医疗法案》的预防和公共卫生基金扩大参与方式。