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提高全国范围内黑色素瘤的预防和诊断水平:英国和澳大利亚的绩效比较研究。

Improving the prevention and diagnosis of melanoma on a national scale: A comparative study of performance in the United Kingdom and Australia.

机构信息

Department of Bio-Engineering, Imperial College London, Kensington, London, SW7 2AZ, UK.

出版信息

J Public Health Policy. 2020 Mar;41(1):28-38. doi: 10.1057/s41271-019-00187-0.

Abstract

We undertook this study in light of an uncontrolled rise of melanoma incidence and mortality rates in the United Kingdom (UK). We aim to assess the effectiveness of prevention and early melanoma diagnosis in the UK's National Health Service (NHS) in comparison to the Australian system that has limited the melanoma rise. We compare the prevention campaigns against skin cancer and the stage at which melanoma is diagnosed. We analyse key drivers of early diagnosis. Overall, Australia has performed better than the UK and provides an example for the UK's NHS for better preventing melanoma and diagnosing it. Technologies under development, such as tele-dermatology and artificial intelligence applications, could aid in making melanoma early diagnosis easier, more cost-efficient, and lessen the burden on health systems. Diagnoses also provide the data to help public health officials target prevention programs.

摘要

鉴于英国(UK)黑色素瘤发病率和死亡率的不受控制的上升,我们进行了这项研究。我们旨在评估英国国民保健制度(NHS)在预防和早期黑色素瘤诊断方面的效果,同时与澳大利亚系统进行比较,因为后者成功限制了黑色素瘤的上升。我们比较了针对皮肤癌的预防活动和诊断黑色素瘤的阶段。我们分析了早期诊断的关键驱动因素。总体而言,澳大利亚的表现优于英国,为英国 NHS 提供了一个更好的预防和诊断黑色素瘤的范例。正在开发的技术,如远程皮肤病学和人工智能应用程序,可以帮助更容易、更具成本效益地进行黑色素瘤早期诊断,并减轻医疗系统的负担。诊断结果还提供了数据,以帮助公共卫生官员针对预防计划。

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