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以密西西比州改善癌症护理为例的跨学科视角:全球南方癌症护理改善情况

An Interdisciplinary Perspective on Improving Cancer Care in the State of Mississippi as an Example of Cancer Care Improvements in the Global South.

作者信息

Jones Madison L, Vijayakumar Srinivasan, Nittala Mary R, Brunson Claude D

机构信息

Medical Education, Mississippi State Medical Association, Ridgeland, USA.

Radiotherapy and Oncology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, IND.

出版信息

Cureus. 2025 Jan 3;17(1):e76865. doi: 10.7759/cureus.76865. eCollection 2025 Jan.

Abstract

Cancer disparities, a critical public health issue, particularly in states such as Mississippi, where socioeconomic factors significantly influence health outcomes, require our collective attention. This paper delves into the multifaceted nature of cancer disparities through a macro-level analysis of cancer data, specifically focusing on Mississippi as a microcosm of broader national and global trends. Two key indices, the Socio-Demographic Index (SDI) and the Social Deprivation Index (SDeI), provide valuable insights. The former offers a macro-level understanding of the socioeconomic factors that shape health and cancer outcomes. The latter quantifies disadvantages in small areas, identifying regions that need scientific, policy, and administrative support. The poor health care and cancer care (CC) outcomes in Mississippi are well documented and detailed here. However, SDI and SDeI data are not yet available in Mississippi. With biological, technological, and clinical research design advancements and other new innovative strategies emerging in the past decade in CC, a 'leapfrogging' of CC outcomes in Mississippi is within our reach. To achieve this goal, an interdisciplinary approach (IDA) addressing and solving the challenges faced in Mississippi is required. The IDA team must include disciplines that can determine SDI and SDeI for Mississippi and tie those findings to successfully apply new technological advances and innovations efficiently and cost-effectively by building infrastructure and developing implementation strategies. This can serve as a pilot demonstration project that will also help other similar regions within the United States, as well as the Global South.

摘要

癌症差异是一个关键的公共卫生问题,在密西西比州等州尤为突出,在这些州,社会经济因素对健康结果有重大影响,需要我们共同关注。本文通过对癌症数据的宏观层面分析,深入探讨癌症差异的多面性,特别将密西西比州作为更广泛的国家和全球趋势的一个缩影进行研究。两个关键指标,即社会人口指数(SDI)和社会剥夺指数(SDeI),提供了有价值的见解。前者从宏观层面让我们了解塑造健康和癌症结果的社会经济因素。后者量化小区域内的劣势,确定需要科学、政策和行政支持的地区。密西西比州糟糕的医疗保健和癌症护理(CC)结果已有充分记录并在此详细阐述。然而,密西西比州尚未有SDI和SDeI数据。随着过去十年癌症护理领域生物学、技术和临床研究设计的进步以及其他新的创新策略的出现,密西西比州癌症护理结果的“跨越式”提升是我们能够实现的。为实现这一目标,需要一种跨学科方法(IDA)来应对和解决密西西比州面临的挑战。IDA团队必须包括能够为密西西比州确定SDI和SDeI,并通过建设基础设施和制定实施策略,将这些结果与成功高效且经济有效地应用新技术进步和创新联系起来的学科。这可以作为一个试点示范项目,也将有助于美国境内其他类似地区以及全球南方地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba4/11698381/c222eee2313b/cureus-0017-00000076865-i01.jpg

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