Chite Asirwa Fredrick, Greist Anne, Busakhala Naftali, Rosen Barry, Loehrer Patrick J
Fredrick Chite Asirwa, Indiana University; Anne Greist, Indiana Hemophilia and Thrombosis Center; and Patrick J. Loehrer Sr, Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN; Naftali Busakhala and Frederick Chite Asirwa, Moi Teaching and Referral Hospital, Eldoret, Kenya; and Barry Rosen, Princess Margaret Cancer Center and University of Toronto, Toronto, Ontario, Canada.
J Clin Oncol. 2016 Jan 1;34(1):36-42. doi: 10.1200/JCO.2015.63.0152. Epub 2015 Nov 17.
Poorly trained workers and limited workforce capacity contribute immensely to barriers in cancer control in low- and middle-income countries (LMICs). Because of an increasing disease burden and the gap in trained personnel, it is critical that LMICs must develop appropriate in-country training programs at all levels to adequately address their cancer-related outcomes. The training in LMICs of cancer health personnel should address priority cancer diseases in the specific country by developing caregivers, trainers, researchers, and administrators at all levels of health care and all cadres of staff, from the community level to the national level. The Academic Model of Providing Access to Health care is a representative model of how a public tertiary hospital like the Moi Teaching and Referral Hospital in an LMIC setting can leverage its resources, collaborate with partners from high-resource countries, and assist in the development of a training center to spearhead a sustainable education program.
训练不足的工作人员和有限的劳动力能力极大地阻碍了低收入和中等收入国家(LMICs)的癌症控制。由于疾病负担不断增加以及受过培训人员的缺口,低收入和中等收入国家必须在各级制定适当的国内培训计划,以充分应对与癌症相关的结果,这一点至关重要。低收入和中等收入国家癌症卫生人员的培训应通过培养各级卫生保健机构以及从社区层面到国家层面所有工作人员队伍中的护理人员、培训人员、研究人员和管理人员,来解决特定国家的重点癌症疾病问题。提供医疗服务的学术模式是一个具有代表性的模式,展示了像低收入和中等收入国家环境中的莫伊教学与转诊医院这样的公立三级医院如何利用其资源、与高资源国家的合作伙伴合作,并协助建立一个培训中心,以带头开展可持续的教育计划。