Planning national radiotherapy services
Planning national radiotherapy services
复制标题
DOI：
10.3389/fonc.2014.00315
复制
发表时间：
2014-01-01
影响因子：
4.7
通讯作者：
Rosenblatt, Eduardo
中科院分区：
文献类型：
--
作者：
Rosenblatt, Eduardo
国家、州和岛屿国家往往需要在不同动机的驱动下对其放射治疗服务进行前瞻性规划。没有放射治疗服务的国家赞助病人在国外接受放射治疗。他们经常聘请专业人员进行可行性研究，以确定建立放射治疗设施是否更具成本效益。在没有任何中央规划的情况下发展放射治疗服务的国家，发现自己处于许多可用中心是私人的情况下，因此大多数资源有限的患者无法进入。当大量癌症患者前往另一个国家接受治疗时，政府可能会决定提前计划，从而暴露出该国未能为其公民提供这种医疗服务。在发达国家，触发因素是放射治疗等候名单十分明显，显示放射治疗设备短缺。本文建议，应该有一个系统和全面的过程，在国家层面的长期规划的放射治疗服务，考虑到辐射防护的监管基础设施，规划中心，设备，工作人员，教育计划，质量保证和可持续性方面。项目建议书或业务计划还必须考虑到现实的预算和成本因素。
Countries, states, and island nations often need forward planning of their radiotherapy services driven by different motives. Countries without radiotherapy services sponsor patients to receive radiotherapy abroad. They often engage professionals for a feasibility study in order to establish whether itwould be more cost-beneficial to establish a radiotherapy facility. Countries where radiotherapy services have developed without any central planning, find themselves in situations where many of the available centers are private and thus inaccessible for a majority of patients with limited resources. Government may decide to plan ahead when a significant exodus of cancer patients travel to another country for treatment, thus exposing the failure of the country to provide this medical service for its citizens. In developed countries, the trigger has been the existence of highly visible waiting lists for radiotherapy revealing a shortage of radiotherapy equipment. This paper suggests that there should be a systematic and comprehensive process of long-term planning of radiotherapy services at the national level, taking into account the regulatory infrastructure for radiation protection, planning of centers, equipment, staff, education programs, quality assurance, and sustainability aspects. Realistic budgetary and cost considerations must also be part of the project proposal or business plan.