Division of Cancer Prevention and Control, Comprehensive Cancer Control Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
The George Washington University Cancer Center, Washington, DC, USA.
Cancer Causes Control. 2019 Oct;30(10):1033-1044. doi: 10.1007/s10552-019-01215-w. Epub 2019 Aug 21.
Strategies that facilitate change to policy, systems, and environmental (PSE) changes can enable behaviors and practices that lead to cancer risk reduction, early detection, treatment access, and improved quality of life among survivors. Comprehensive cancer control is a coordinated collaborative approach to reduce cancer burden and operationalizes PSE change strategies for this purpose. Efforts to support these actions occur at the national, state, and local levels. Resources integral to bolstering strategies for sustainable cancer control include coordination and support from national organizations committed to addressing the burden of cancer, strong partnerships at the state and local levels, funding and resources, an evidence-based framework and program guidance, and technical assistance and training opportunities to build capacity. The purpose of this paper is to describe the impact of public policy, public health programming, and technical assistance and training on the use of PSE change interventions in cancer control. It also describes the foundations for and examples of successes achieved by comprehensive cancer control programs and coalitions using PSE strategies.
能够促进政策、制度和环境（PSE）改变的策略可以使行为和做法得到改善，从而降低癌症风险、实现早期检测、获得治疗机会，并提高幸存者的生活质量。综合癌症控制是一种协调合作的方法，可以减轻癌症负担，并为此实施 PSE 改变策略。支持这些行动的努力发生在国家、州和地方各级。支持可持续癌症控制战略的资源包括致力于减轻癌症负担的国家组织的协调和支持、州和地方各级的强有力伙伴关系、资金和资源、基于证据的框架和项目指导，以及技术援助和培训机会，以建立能力。本文旨在描述公共政策、公共卫生计划以及技术援助和培训对癌症控制中使用 PSE 改变干预措施的影响。它还描述了综合癌症控制计划和联盟使用 PSE 策略的基础和成功范例。
