Pravettoni Gabriella, Masiero Marianna, Mugo-Sitati Christine, Torode Julie
Department of Oncology and Hemato-Oncology, University of Milan, Milan 20122, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology, IRCCS, Milan 20141, Italy.
Ecancermedicalscience. 2022 Jan 13;16:1341. doi: 10.3332/ecancer.2022.1341. eCollection 2022.
Cancer prevention and control services worldwide must actively rebuild and contribute to improved health systems resilience alongside and beyond the COVID-19 (SARS-CoV-2 coronavirus disease) pandemic, especially in low- and middle-income countries. Cancer advocacy groups should respond to this unprecedented challenge as an opportunity to bolster community and patient involvement in research and clinical practice that is adjusted to local needs and circumstances. This short communication provides a synthesis of these critical challenges and, stemming from the pioneering activities of Gordon McVie on patient empowerment, urges policy makers and researchers to develop new implementation strategies that start from the social, economic and health consequences of the COVID-19 pandemic to overcome roadblocks in the access to cancer care. We propose that developing the domain of collaborative implementation research in national cancer control plans will be the key to consolidate patient-centred services with both an equity lens and a focus on integration of new technologies as all countries drive towards the 2030 goals of universal health coverage.
全球癌症预防与控制服务必须积极重建,并在2019冠状病毒病(COVID-19,即严重急性呼吸综合征冠状病毒2感染所致疾病)大流行期间及之后,为提升卫生系统的复原力做出贡献,尤其是在低收入和中等收入国家。癌症倡导组织应将这一前所未有的挑战视为一个契机,以加强社区和患者在适应当地需求和情况的研究及临床实践中的参与度。本简短通讯综合了这些关键挑战,并基于戈登·麦克维在患者赋权方面的开创性活动,敦促政策制定者和研究人员制定新的实施策略,这些策略应从COVID-19大流行的社会、经济和健康后果出发,以克服癌症护理获取方面的障碍。我们建议,在国家癌症控制计划中发展协作实施研究领域,将是巩固以患者为中心的服务的关键,既要着眼于公平,又要注重新技术的整合,因为所有国家都在朝着2030年全民健康覆盖的目标迈进。