Haward R A
Br J Cancer. 1995 Sep;72(3):531-4. doi: 10.1038/bjc.1995.369.
The creation of effective cancer units is central to the implementation of the report A Policy Framework for Commissioning Cancer Services, produced by the Chief Medical Officers of England and Wales, recently issued by the Department of Health in April 1995. While cancer units are described in this report a range of important questions remain about their nature and how they should be developed. This paper addresses these issues in three ways. A definition of the cancer unit is suggested and its main implications spelt out. The problems of establishing cancer units are covered under three headings. Where should cancer units be? Which cancer sites should the unit cover? What is needed to establish the cancer unit? Finally two checklists are presented, describing the task from the perspectives of the district health authority and hospital(s) concerned. The underlying theme is that real changes in clinical practice and organisation are the goal, and these can only be achieved where there is extensive local dialogue in which the relevant issues are addressed in a structured and rigorous manner. Cosmetic changes in hospital designation will not achieve the consistent quality of cancer service that is the cornerstone of the 'Calman' policy.
建立有效的癌症治疗单位对于实施由英格兰和威尔士首席医疗官撰写、卫生部于1995年4月发布的《癌症服务委托政策框架》报告至关重要。尽管该报告中描述了癌症治疗单位，但关于其性质以及应如何发展仍存在一系列重要问题。本文从三个方面探讨这些问题。提出了癌症治疗单位的定义并阐述了其主要含义。建立癌症治疗单位的问题涵盖在三个标题之下。癌症治疗单位应设在哪里？该单位应涵盖哪些癌症部位？建立癌症治疗单位需要什么？最后列出了两份清单，从地区卫生当局和相关医院的角度描述了任务。其潜在主题是临床实践和组织的真正变革是目标，而只有在进行广泛的地方对话，以结构化和严谨的方式解决相关问题的情况下才能实现这些变革。医院名称的表面变化无法实现作为“卡尔曼”政策基石的一致的癌症服务质量。
