Department of Medical Oncology, The Canberra Hospital, Garran, ACT, Australia.
ANU Medical School, Australian National University, Canberra, ACT, Australia.
JCO Glob Oncol. 2023 Feb;9:e2200325. doi: 10.1200/GO.22.00325.
To describe the establishment of an oncology unit at the National Referral Hospital (NRH) in the Solomon Islands, a low-income nation in the South Pacific.
A scoping visit was carried out in 2016 to assist in the development of coordinated cancer services and to establish a medical oncology unit at the NRH at the request of the Medical Superintendent. This was followed by an observership visit to Canberra by an NRH doctor training in oncology in 2017. After a request from the Solomon Islands Ministry of Health, the Australian Government Department of Foreign Affairs and Trade (DFAT) arranged an in-country multidisciplinary mission under the Royal Australasian College of Surgeons/Royal Australasian College of Physicians Pacific Islands Program to help in the commissioning of the NRH Medical Oncology Unit in September 2018. Staff training and education sessions were held. The team, with the assistance of an Australian Volunteers International Pharmacist, has helped the NRH staff to develop localized Solomon Islands Oncology Guidelines. Donated equipment and supplies have helped with the initial establishment of the service. A second DFAT Oncology mission visit was made in 2019 followed by two NRH oncology nurses visiting Canberra on observership later that year and support of the Solomon's doctor to pursue postgraduate education in cancer sciences. Ongoing mentorship and support has been maintained.
The island nation now has a sustainable oncology unit delivering chemotherapy treatments and management of patients with cancer.
A collaborative multidisciplinary team approach by professionals from the high-income country working with colleagues from the low-income nation with coordination of different stakeholders was the key to this successful initiative in improving cancer care.
描述在所罗门群岛国家转诊医院（NRH）建立肿瘤学单位的情况，该医院是南太平洋的一个低收入国家。
2016 年进行了一次考察访问，以应医疗总监的要求协助制定协调一致的癌症服务计划，并在 NRH 建立肿瘤内科单位。随后，NRH 的一名肿瘤学培训医生于 2017 年前往堪培拉进行了观察员访问。在收到所罗门群岛卫生部的请求后，澳大利亚外交贸易部（DFAT）安排了一个由皇家澳大利亚外科医学院/皇家澳大利亚内科医学院太平洋岛屿计划下的多学科团队进行的国内考察任务，以帮助在 2018 年 9 月为 NRH 肿瘤内科单位进行委托。进行了员工培训和教育课程。在一名澳大利亚国际志愿者药剂师的协助下，该团队帮助 NRH 工作人员制定了本地化的所罗门群岛肿瘤学指南。捐赠的设备和用品有助于服务的初步建立。2019 年进行了第二次 DFAT 肿瘤学任务访问，随后，NRH 的两名肿瘤学护士于当年晚些时候前往堪培拉进行观察员访问，并支持所罗门群岛的医生继续接受癌症科学研究生教育。目前正在持续提供指导和支持。
这个岛国现在拥有一个可持续的肿瘤学单位，提供化疗治疗和癌症患者管理。
高收入国家的专业人员与低收入国家的同事合作，并协调不同利益相关者的多学科团队合作方法是改善癌症护理的这一成功举措的关键。
