Zavertnik J J, McCoy C B, Love N
Department of Surgical Oncology, Sylvester Comprehensive Cancer Center, Miami, Florida.
Cancer. 1994 Oct 1;74(7 Suppl):2042-5. doi: 10.1002/1097-0142(19941001)74:7+<2042::aid-cncr2820741709>3.0.co;2-g.
A 6-year experience of providing mammograms to the socioeconomically disadvantaged in Dade County, Florida, through Primary Health Care Centers has defined a breast cancer control program that minimizes the barriers to early breast cancer detection for these women. First, an education and recruitment phase that reaches into the community to solicit the target group: Recruitment is needed more than education. Second, a low-cost mammography service that also reaches into the community and makes it available, accessible, and acceptable. Third, a one-stop breast center that minimizes the barriers to diagnostic evaluation. Finally, a multidisciplinary evaluation and treatment planning program offers optimum treatment options to the patient with newly diagnosed breast cancer and an opportunity for bonding between her and the staff. A research overly has allowed data to be collected continuously and provides an evaluation of the effectiveness of the program. This program has saved lives by reducing the projected mortality rate and has saved money by reducing the cost of treatment through earlier diagnosis. All four components are essential to a breast cancer control program for the socioeconomically disadvantaged.
在佛罗里达州戴德县，通过初级医疗保健中心为社会经济地位不利的人群提供乳房X光检查的六年经验，确定了一项乳腺癌控制计划，该计划最大限度地减少了这些女性早期乳腺癌检测的障碍。首先，有一个教育和招募阶段，深入社区以招揽目标群体：招募比教育更有必要。其次，提供一项低成本的乳房X光检查服务，该服务也深入社区，使其可得、可及且可接受。第三，设立一个一站式乳房中心，最大限度地减少诊断评估的障碍。最后，一个多学科评估和治疗规划项目为新诊断出乳腺癌的患者提供最佳治疗方案，并为她与工作人员之间建立联系提供机会。一项研究过度已经允许持续收集数据，并对该计划的有效性进行评估。该计划通过降低预计死亡率挽救了生命，并通过早期诊断降低治疗成本节省了资金。这四个组成部分对于针对社会经济地位不利人群的乳腺癌控制计划都是必不可少的。
