Latin American Cooperative Oncology Group, Porto Alegre, Brazil.
Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Oncology Department, Rio de Janeiro, Brazil.
Lancet Oncol. 2021 Nov;22(11):e488-e500. doi: 10.1016/S1470-2045(21)00523-4.
Challenges of health systems in Latin America and the Caribbean include accessibility, inequity, segmentation, and poverty. These challenges are similar in different countries of the region and transcend national borders. The increasing digital transformation of health care holds promise of more precise interventions, improved health outcomes, increased efficiency, and ultimately reduced health-care costs. In Latin America and the Caribbean, the adoption of digital health tools is in early stages and the quality of cancer registries, electronic health records, and structured databases are problematic. Cancer research and innovation in the region are limited due to inadequate academic resources and translational research is almost fully dependent on public funding. Regulatory complexity and extended timelines jeopardise the potential improvement in participation in international studies. Emerging technologies, artificial intelligence, big data, and cancer research represent an opportunity to address the health-care challenges in Latin America and the Caribbean collectively, by optimising national capacities, sharing and comparing best practices, and transferring scientific and technical capabilities.
拉丁美洲和加勒比地区卫生系统面临的挑战包括可及性、不平等、碎片化和贫困。这些挑战在该地区的不同国家是相似的,并且超越了国界。医疗保健日益数字化有望实现更精确的干预、改善健康结果、提高效率,并最终降低医疗保健成本。在拉丁美洲和加勒比地区,数字卫生工具的采用处于早期阶段,癌症登记处、电子健康记录和结构化数据库的质量存在问题。该地区的癌症研究和创新受到学术资源不足的限制,转化研究几乎完全依赖公共资金。监管的复杂性和延长的时间线危及了参与国际研究的潜在改善。新兴技术、人工智能、大数据和癌症研究为通过优化国家能力、分享和比较最佳实践以及转移科学和技术能力来共同应对拉丁美洲和加勒比地区的医疗保健挑战提供了机会。