Aljumah Abdulrahman A, Aljebreen Abdulrahman M
Hepatology Division, Department of Organ Transplant and Hepatobiliary Surgery, King Abdulaziz Medical City and King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Gastroenterology Division, Department of Medicine, King Saud University, Riyadh, Saudi Arabia.
Saudi J Gastroenterol. 2017 May-Jun;23(3):161-168. doi: 10.4103/sjg.SJG_468_16.
Colorectal cancer (CRC) is one of the most common cancers worldwide. Several policies of CRC screening are available in different countries. The idea of screening is to identify patients at risk by detection of precancerous and small cancers early enough before they become advanced. In Saudi Arabia (SA), there is no countrywide policy for CRC screening despite the increasing incidence of the disease. Screening for CRC is a multidisciplinary approach that requires education programs, substantial financial support, several logistic measures, and predetermined resources before implementing such a program. We performed a prospective and systematic analysis of the of the screening policy of CRC in SA in view of high demand, anticipated development, and implementation of such a policy in the near future. We also attempted to investigate the justification for developing such a policy, as well as the difficulties, barriers, and opportunities that may be faced in its implementation. Further, we highlighted the current view of similar international screening policies. In this analysis, we adopted the framework for health policy analysis that examines four areas which may affect policy development, namely; content, context, process and actors.
结直肠癌（CRC）是全球最常见的癌症之一。不同国家有多种结直肠癌筛查政策。筛查的目的是通过尽早发现癌前病变和小癌症来识别有风险的患者，以免其发展为晚期癌症。在沙特阿拉伯（SA），尽管该病发病率不断上升，但尚无全国性的结直肠癌筛查政策。结直肠癌筛查是一种多学科方法，在实施这样一个项目之前，需要开展教育项目、大量资金支持、多项后勤措施以及预定资源。鉴于对结直肠癌筛查政策的高需求、预期发展以及在不久的将来实施该政策，我们对沙特阿拉伯的结直肠癌筛查政策进行了前瞻性和系统性分析。我们还试图研究制定这样一项政策的理由，以及实施过程中可能面临的困难、障碍和机遇。此外，我们强调了当前对类似国际筛查政策的看法。在本分析中，我们采用了卫生政策分析框架，该框架审视了可能影响政策制定的四个领域，即：内容、背景、过程和行为主体。
