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克服菲律宾前列腺癌护理的障碍。

Overcoming barriers to prostate cancer care in the Philippines.

作者信息

Vergara Thomas Vincent, Magsanoc Juan Martin, Mendoza Marvin Jonne, Cornelio Gerardo Tomas, De Guzman Rudolfo, Magsanoc Nikko, Serrano Dennis

机构信息

St. Luke's Medical Center - Global City, Department of Radiation Oncology, Taguig City, Philippines.

St. Luke's Medical Center - Global City, Cancer Institute, Taguig City, Philippines.

出版信息

Front Urol. 2024 Feb 26;3:1336179. doi: 10.3389/fruro.2023.1336179. eCollection 2023.

DOI:10.3389/fruro.2023.1336179
PMID:40778027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12327347/
Abstract

Prostate cancer (PCa) is a health concern affecting millions of men globally, with a concerning rise in incidence in the Philippines, a country that faces a complex set of barriers to equitable access to quality PCa care. In this article, we describe the unique geographic, economic, socio-cultural, and political factors that influence access to screening, diagnosis, treatment, and supportive services in the country, and explore avenues for development. The country lacks a nationwide PCa registry to inform resource allocation and guide PCa cancer care programs and policy. Misconceptions, cultural barriers and negative attitudes about PCa among Filipino men adversely influence health-seeking behavior. Inadequate insurance coverage, and high out-of-pocket costs obstruct access to essential care. Geographic and political factors contribute to the uneven distribution of healthcare resources needed for comprehensive PCa care, including access to medical specialists, essential medicines, and surgical and radiotherapeutic equipment. Overcoming these challenges requires a collaborative effort encompassing robust data collection, awareness campaigns to reshape societal norms, policy and economic reforms, infrastructure improvements, and enhanced collaboration among healthcare professionals to provide evidence-based care. Addressing these issues holistically can pave the way to better outcomes and improved quality of life for Filipino men with this life-altering disease.

摘要

前列腺癌(PCa)是一个影响全球数百万男性的健康问题,在菲律宾其发病率呈令人担忧的上升趋势,该国在公平获得优质前列腺癌护理方面面临一系列复杂障碍。在本文中,我们描述了影响该国前列腺癌筛查、诊断、治疗和支持性服务可及性的独特地理、经济、社会文化和政治因素,并探索发展途径。该国缺乏一个全国性的前列腺癌登记处来为资源分配提供信息,并指导前列腺癌护理项目和政策。菲律宾男性中对前列腺癌的误解、文化障碍和负面态度对他们寻求医疗行为产生了不利影响。保险覆盖不足以及高额自付费用阻碍了获得基本护理。地理和政治因素导致了全面前列腺癌护理所需医疗资源分布不均,包括获得医学专家、基本药物以及手术和放射治疗设备的机会。克服这些挑战需要各方共同努力,包括进行强有力的数据收集、开展提高认识运动以重塑社会规范、进行政策和经济改革、改善基础设施,以及加强医疗专业人员之间的协作以提供循证护理。全面解决这些问题可为患有这种改变生活的疾病的菲律宾男性带来更好的结果和更高的生活质量。