Canterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.
ANGAU Memorial General Hospital, Papua New Guinea National Cancer Centre, Lae, Papua New Guinea.
J Med Imaging Radiat Oncol. 2021 Jul;65(4):418-423. doi: 10.1111/1754-9485.13160. Epub 2021 Mar 5.
Treatment of cancer in small island communities is frequently challenged by the isolation and scattered nature of target populations, limited economic resources and overburdened healthcare systems. Strategies that have been successful in improving access to nonsurgical treatment in Fiji, Papua New Guinea, Solomon Islands and West Timor include balancing centralised location of scarce resources (particularly health professionals) with minimisation of patient travel, in-country training by teams of oncology professionals from high-income countries (HICs), sending health professionals to train in HICs, sharing and adaptation of treatment protocols, and telehealth initiatives. A common feature of successful initiatives is a collaborative approach. Cancer service design and implementation needs to be led by local health professionals with the collaboration of local health authorities and government. There is greater scope for collaboration between low- and middle-income countries and for the use of virtual meetings, distance learning, and remote technical support.
在小岛社区中治疗癌症，经常受到目标人群的隔离和分散、有限的经济资源和负担过重的医疗保健系统等因素的挑战。在斐济、巴布亚新几内亚、所罗门群岛和西帝汶，成功改善非手术治疗途径的策略包括平衡稀缺资源（特别是卫生专业人员）的集中位置与患者出行的最小化、高收入国家（HICs）肿瘤专业团队的国内培训、派遣卫生专业人员到 HIC 培训、治疗方案的共享和调整，以及远程医疗倡议。成功举措的一个共同特点是协作方法。癌症服务的设计和实施需要由当地卫生专业人员主导，并与当地卫生当局和政府合作。在中低收入国家之间有更大的合作空间，并且可以使用虚拟会议、远程学习和远程技术支持。
