Kenamond Mark C, Mourad Waleed F, Randall Marcus E, Kaushal Aradhana
Resident Physician, PGY-3, Department of Radiation Medicine, University of Kentucky College of Medicine, Lexington, KY, USA.
Department of Radiation Medicine, University of Kentucky College of Medicine, Morehead, KY, USA.
Lancet Reg Health Am. 2022 Sep;13:100289. doi: 10.1016/j.lana.2022.100289. Epub 2022 Jun 3.
Health inequities and decreasing median American lifespan, potentiated by the worldwide COVID 19 crisis, have taken centre stage in the public consciousness. Specifically, for this discourse, rural radiation oncology challenges external to the pandemic and unique to the rural American radiation oncology care delivery result from a confluence of the following: a) increased incidence of cancer in the United States; b) recent legislative emphasis on rural healthcare equity initiatives; c) pandemic-associated delays in cancer screening, diagnosis, and treatment with resultant presentation of advanced oncologic stages; d) social spotlight on healthcare equity and inclusion for disenfranchised populations.We will attempt to delineate these issues and propose widely applicable common-sense solutions. We will review what has transpired at the University of Kentucky over the last two decades, specifically at radiation oncology centre in Morehead, a clinic in eastern Kentucky in the Appalachian foothills. While much more work remains ahead, this clinic has successfully applied many of the initiatives discussed.
No relevant funding of any research was involved in the preparation of data or the manuscript.
全球新冠疫情加剧了健康不平等以及美国中位寿命的下降，这已成为公众意识的焦点。具体而言，就本论述而言，农村放射肿瘤学面临的、大流行之外且美国农村放射肿瘤学护理服务所特有的挑战，是由以下因素共同作用导致的：a) 美国癌症发病率上升；b) 近期立法对农村医疗公平倡议的重视；c) 与大流行相关的癌症筛查、诊断和治疗延迟，导致晚期肿瘤阶段的出现；d) 社会对弱势群体医疗公平和包容的关注。我们将试图阐述这些问题并提出广泛适用的常识性解决方案。我们将回顾肯塔基大学在过去二十年里所发生的事情，特别是在莫尔黑德的放射肿瘤学中心，这是肯塔基州东部阿巴拉契亚山麓的一家诊所。虽然还有很多工作要做，但该诊所已成功应用了许多所讨论的倡议。
在数据准备或稿件撰写过程中未涉及任何相关研究资金。
