Improving outcomes from breast cancer in a low-income country: lessons from bangladesh.

Improving outcomes from breast cancer in a low-income country: lessons from bangladesh.
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DOI:
10.1155/2012/423562
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发表时间:
2012
影响因子:
1.9
通讯作者:
Ginsburg OM
Ginsburg OM
中科院分区:
其他
文献类型:
--
作者:
Story HL;Love RR;Salim R;Roberto AJ;Krieger JL;Ginsburg OM

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低收入和中等收入国家 (LMIC) 的妇女尚未受益于高收入国家目前在乳腺癌诊断和治疗方面取得的最新进展。其独特的社会文化和卫生系统环境需要采用与高收入国家女性不同的乳腺癌管理方法。在这里,我们介绍过去五年在孟加拉国农村工作的经验。病例和连续系列数据、焦点小组和个人访谈以及临床护理经验为本论文提供了基础。这些数据说明了社会文化、经济和卫生系统条件的复杂网络,影响着妇女寻求和接受护理以及成功治疗的选择。我们的结论是,卫生系统、人权和治理问题是孟加拉国这种相对罕见疾病的高死亡率的原因。
Women in low- and middle-income countries (LMICs) have yet to benefit from recent advances in breast cancer diagnosis and treatment now experienced in high-income countries. Their unique sociocultural and health system circumstances warrant a different approach to breast cancer management than that applied to women in high-income countries. Here, we present experience from the last five years working in rural Bangladesh. Case and consecutive series data, focus group and individual interviews, and clinical care experience provide the basis for this paper. These data illustrate a complex web of sociocultural, economic, and health system conditions which affect womens' choices to seek and accept care and successful treatment. We conclude that health system, human rights, and governance issues underlie high mortality from this relatively rare disease in Bangladesh.
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