History and principles of patient navigation.
History and principles of patient navigation.
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DOI：
10.1002/cncr.26262
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发表时间：
2011-08
期刊：
影响因子：
6.2
通讯作者：
Rodriguez RL
中科院分区：
文献类型：
--
作者：
Freeman HP;Rodriguez RL
1971年，理查德·尼克松总统宣布向癌症宣战，并签署了《国家癌症法案》。在过去的几十年里，美国在更好地理解导致癌症的分子、细胞和遗传变化方面取得了非凡的进展。我们还看到整体和部位特异性癌症死亡率显著下降1。死亡率的下降归功于癌症预防、筛查和检测措施的改善以及更有效、更有针对性的癌症治疗方法的应用。然而，一些美国人（如穷人、未投保者和保险不足者）并没有充分分享这一进步，如死亡率升高、生存率降低和5年癌症生存率降低2，3。这些发现表明，国家的发现和交付企业之间存在脱节;我们所知道的和我们所做的之间存在脱节。
In 1971 President Richard Nixon declared a war on cancer and signed the National Cancer Act. During the past several decades since this declaration, the nation has made extraordinary progress toward a far better understanding of the molecular, cellular, and genetic changes resulting in cancer. We have also seen significant declines in overall and site-specific cancer mortality1. This decline in mortality has been attributed to improved cancer prevention, screening, and detection measures as well as the application of more effective and more targeted cancer treatments.However, some Americans (such as the poor, uninsured, and underinsured) have not shared sufficiently in this progress as measured by higher mortality, lower survival, and 5-year cancer survival2, 3. These findings suggest that there is a disconnect between the nation’s discovery and delivery enterprises; a disconnect between what we know and what we do (Fig 1).