Williams P A, Williams M
Department of Community Medicine & Family Practice, University of Missouri-Kansas City 64139.
Cancer. 1988 Jun 1;61(11 Suppl):2382-90. doi: 10.1002/1097-0142(19880601)61:11+<2382::aid-cncr2820611307>3.0.co;2-i.
The American Cancer Society estimates that nearly a million new cases of cancer will occur and that approximately a half million lives will be lost in 1987. These figures may double by the year 2000 primarily because of our aging population, with age being the leading risk factor for cancer. It is believed that the majority of cancer can either be prevented or treated successfully if it is diagnosed early. Primary care physicians and other health professionals delivering information on prevention and performing early diagnostic studies in various ambulatory settings represent the key to the reduced morbidity and mortality of cancer by virtue of their position in the health care delivery system within communities. Barriers and incentives for delivering these all important health measures are examined and suggestions are made for their accomplishment. It is recommended that the primary thrust should be toward the development of methodology which will allow the primary care physician to institute these measures in his regular medical practice and to coordinate them with other health maintenance and early diagnostic activities in the ambulatory setting.
美国癌症协会估计，1987年将有近100万新增癌症病例，约50万人将死于癌症。到2000年，这些数字可能会翻倍，主要原因是人口老龄化，年龄是癌症的主要风险因素。人们认为，如果能早期诊断，大多数癌症要么可以预防，要么可以成功治疗。基层医疗医生和其他医疗专业人员在各种门诊环境中提供预防信息并进行早期诊断研究，由于他们在社区医疗服务体系中的地位，他们是降低癌症发病率和死亡率的关键。本文探讨了实施这些至关重要的健康措施的障碍和激励因素，并提出了实现这些措施的建议。建议主要应致力于开发方法，使基层医疗医生能够在其日常医疗实践中实施这些措施，并将其与门诊环境中的其他健康维护和早期诊断活动相协调。
