Union for International Cancer Control, Geneva, Switzerland.
European Society for Medical Oncology, Lugano, Switzerland; Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention, World Health Organization, Geneva, Switzerland.
Lancet Oncol. 2018 Oct;19(10):e546-e555. doi: 10.1016/S1470-2045(18)30681-8. Epub 2018 Sep 26.
There is increasing global recognition that national cancer plans are crucial to effectively address the cancer burden and to prioritise and coordinate programmes. We did a global analysis of available national cancer-related health plans using a standardised assessment questionnaire to assess their inclusion of elements that characterise an effective cancer plan and, thereby, improve understanding of the strengths and limitations of existing plans. The results show progress in the development of cancer plans, as well as in the inclusion of stakeholders in plan development, but little evidence of their implementation. Areas of continued unmet need include setting of realistic priorities, specification of programmes for cancer management, allocation of appropriate budgets, monitoring and evaluation of plan implementation, promotion of research, and strengthening of information systems. We found that countries with a non-communicable disease (NCD) plan but no national cancer control plan (NCCP) were less likely than countries with an NCCP and NCP plan or an NCCP only to have comprehensive, coherent, or consistent plans. As countries move towards universal health coverage, greater emphasis is needed on developing NCCPs that are evidence based, financed, and implemented to ensure translation into action.
越来越多的人认识到，国家癌症计划对于有效应对癌症负担以及优先考虑和协调各项计划至关重要。我们使用标准化评估问卷对现有的国家癌症相关卫生计划进行了全球分析，以评估其纳入具有有效癌症计划特征的要素的情况，从而更好地了解现有计划的优势和局限性。结果表明，癌症计划的制定以及利益相关方参与计划制定方面取得了进展，但计划实施的证据很少。持续存在的未满足需求领域包括确定切合实际的优先事项、规定癌症管理方案、分配适当的预算、监测和评估计划执行情况、促进研究以及加强信息系统。我们发现，与有国家癌症控制计划（NCCP）和非传染性疾病（NCD）计划或仅有 NCCP 的国家相比，没有 NCD 计划但有 NCCP 的国家制定全面、协调或一致计划的可能性较小。随着各国迈向全民健康覆盖，需要更加重视制定基于证据、有资金支持并得到实施的国家癌症控制计划，以确保将其转化为行动。
