Lokich J J, Silvers S, Brereton H, Byfield J, Bick R
Cancer Center, Boston, Massachusetts 02120.
Am J Clin Oncol. 1989 Oct;12(5):402-6. doi: 10.1097/00000421-198910000-00008.
Free-standing cancer centers (FSCC) represent a growing trend in cancer care delivery within community practice. The critical components to FSCC are multidisciplinary cancer care, a complete menu of direct care and support services, a commitment to clinical trials and clinical investigation, and a comprehensive program for quality assurance. The advantages of FSCC to the community, to hospital programs, to the practicing surgical, medical, and radiation oncologists, and to the third-party carriers, including health maintenance organizations, are detailed. The development of an FSCC depends on the resolution of issues of (a) competition (between hospitals, hospitals and physicians, therapeutic disciplines, regional comprehensive cancer centers and FSCCs) and (b) concerns about conflict of interest. The ideal model of FSCC may well be represented by the joint venture of community hospital(s) and the community oncologists.
独立癌症中心（FSCC）在社区医疗实践中已成为癌症护理服务领域一种日益增长的趋势。FSCC的关键要素包括多学科癌症护理、一系列完整的直接护理和支持服务、对临床试验和临床研究的投入以及全面的质量保证计划。文中详细阐述了FSCC对社区、医院项目、外科、内科及放疗肿瘤专科医生以及第三方医保机构（包括健康维护组织）的优势。FSCC的发展取决于对以下问题的解决：（a）竞争（医院之间、医院与医生之间、治疗学科之间、区域综合癌症中心与FSCC之间）以及（b）利益冲突问题。FSCC的理想模式很可能由社区医院与社区肿瘤专科医生的合资企业来代表。
