Qual Assur Health Care. 1989;1(2-3):179-92. doi: 10.1093/intqhc/1.2-3.179.
As part of WHO's programme on model health-care programmes and quality assurance, a series of meetings attended by specialists in cancer care, community medicine and public health, health administrators, epidemiologists, biostatisticians and health economists have looked at ways of improving cancer care. Model health-care programmes, i.e. guidelines on how best to treat a cancer patient with the available resources approved by all concerned parties and adapted to the local needs emerged as a promising method. Drawing on the findings and recommendations of these meetings, this report suggests comprehensive guidelines for the development of care programmes in cancer. Its eight sections cover: objectives; organization; rationale; characteristics; contents; development; evaluation; and the responsibilities of health authorities, cancer registries, cancer centres and WHO in the development and implementation of care programmes. For the health-care administrators and representatives of public health, the discussion on the objectives and rationale of care programmes will be particularly important whereas the detailed and concrete description of their contents and development will interest cancer-care specialists as well as other health-care practitioners. This last section on responsibilities spells out in detail what the concerned parties could do.
作为世卫组织模范医疗保健方案和质量保证规划的一部分,由癌症护理专家、社区医学和公共卫生专家、卫生管理人员、流行病学家、生物统计学家和卫生经济学家参加的一系列会议探讨了改善癌症护理的方法。模范医疗保健方案,即关于如何利用所有相关方批准的现有资源并根据当地需求最佳地治疗癌症患者的指南,成为一种很有前景的方法。本报告借鉴这些会议的研究结果和建议,提出了癌症护理方案制定的全面指南。其八个部分包括:目标;组织;基本原理;特点;内容;制定;评估;以及卫生当局、癌症登记处、癌症中心和世卫组织在护理方案制定和实施中的职责。对于医疗保健管理人员和公共卫生代表而言,关于护理方案目标和基本原理的讨论尤为重要,而其内容和制定的详细具体描述将引起癌症护理专家以及其他医疗保健从业者的兴趣。关于职责的最后一部分详细说明了相关方可以做些什么。