Hope Institute Hospital, Kingston, Jamaica; Faculty of Medicine, University of the West Indies, Kingston, Jamaica; Jamaica Cancer Care and Research Institute, University of the West Indies, Kingston, Jamaica.
Jamaica Cancer Care and Research Institute, University of the West Indies, Kingston, Jamaica; Harvard/ MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA; School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK.
Lancet Oncol. 2019 Sep;20(9):e522-e534. doi: 10.1016/S1470-2045(19)30516-9. Epub 2019 Aug 5.
Cancer is now the second leading cause of death in the Caribbean. Despite this growing burden, many Caribbean small island nations have health systems that struggle to provide optimal cancer care for their populations. In this Series paper, we identify several promising strategies to improve cancer prevention and treatment that have emerged across small island nations that are part of the Caribbean Community. These strategies include the establishment of a Caribbean cancer registry hub, the development of resource-appropriate clinical guidelines, innovations in delivering specialty oncology services (eg, paediatric oncology and palliative care), improving access to opioids, and developing regional training capacity in palliative medicine. These developments emphasise the crucial role of public-private partnerships in improving health care for the region and show how fostering strategic collaborations with colleagues and centres in more developed countries, who can contribute specialised expertise and improve regional collaboration, can improve care across the cancer control continuum.
癌症现已成为加勒比地区的第二大死因。尽管面临着这一日益沉重的负担，许多加勒比小岛国的卫生系统仍难以为其民众提供最佳的癌症护理。在本系列论文中，我们确定了一些有希望的策略，这些策略已在加勒比共同体的部分小岛屿国家中出现，可用于改善癌症的预防和治疗。这些策略包括建立加勒比癌症登记中心枢纽、制定资源适宜的临床指南、创新提供专业肿瘤学服务（例如儿科肿瘤学和姑息治疗）、改善阿片类药物的获取途径，以及在姑息治疗医学方面发展区域培训能力。这些进展强调了公私合作伙伴关系在改善该地区医疗保健方面的关键作用，并展示了如何通过与更发达国家的同行和中心建立战略性合作关系，来促进专门知识的交流和加强区域合作，从而改善整个癌症控制过程中的护理。
