Guideline Implementation for Breast Healthcare in Low- and Middle-Income Countries Breast Healthcare Program Resource Allocation
Guideline Implementation for Breast Healthcare in Low- and Middle-Income Countries Breast Healthcare Program Resource Allocation
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DOI：
10.1002/cncr.23841
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发表时间：
2008-10-15
期刊：
影响因子：
6.2
通讯作者：
Fischietto, Mary
中科院分区：
文献类型：
--
作者：
Harford, Joe;Azavedo, Edward;Fischietto, Mary
乳腺癌是一个严重的公共卫生问题，在所有资源水平的国家都存在.虽然在高收入国家，该病的检测和治疗取得了重大进展，但在大多数低收入和中等收入国家，类似的进展缓慢或很少。LMC的不良结局可能与其医疗保健系统（HCS）提供成功的乳腺癌早期检测，诊断和治疗的能力有限有关。妨碍改善结果的因素包括：经过适当培训的保健工作者人数不足、获得SCFeeniog/treatioerit设施的机会有限、门诊药物供应不足、诊断后治疗不及时。显然，这些HCS缺陷比乳腺健康全球倡议（BHGI）的范围更广泛，并且不是乳腺癌问题所独有的。为了解决FICS中阻碍乳房健康服务提供的问题，BHGI医疗保健系统和公共政策小组探讨了HCS的结构和运行乳房护理计划（BCP）所需的功能。与所有的BHGI指南一样，本计划提出的指南也是按照资源水平的4个层次来表达的：基本的、有限的、增强的和最大的。本报告描述了与FICS相关的问题和问题，这些问题在设计、实施和衡量“BCP”绩效时需要考虑，卫生部长和其他政策制定者。医疗保健人员、行政人员和其他参与制定BCP呼叫使用的人员，并调整此框架工作以改善结果，确保更有效地利用资源。Cancer 2008;113（8 suppl）：2282-96. (C)2008年美国癌症协会
Breast cancer is serious public health problem ill countries of all resource levels. Although major advances in the detection art treatment of the disease have Occurred in higher income settings, similar progress has been slow or scarce in most low- and middle-income countries (LMCs). The poorer outcomes in LMCs may relate to the limited capability of their healthcare systems (HCS) to provide successful early detection, diagnosis, and treatment of breast cancer. Impediments to bettei outcomes include insufficient numbers of appropriately trained healthcare workers, limited access to SCFeeniog/treatioerit facilities, inadequate supplies of occessary drugs, timeliness of treatment after diagnosis. Clearly these HCS deficiencies are broader than the scope of the Breast Health Global Initiative (BHGI) and are not unique to the issue of breast cancer. To address issues ill FICS that hinder the delivery Of breast health services, the BHGI Healthcare Systems and Public policy Panel explored HCS structures and Function needed to operate a breast care program (BCP). Like with all BHGI guidelines, those proposed by this planel were expressed in terms of' 4 strata of resource levels: basic, limited, enhanced, and maximal. The current report describes the issues and questions related to FICS that are important to consider when designing, implementing, and measuring the performance of' a BCP Health ministers, other policymakers. healthcare personnel, adimnistrators,arld anyooe else involved in developing it BCP Call Use and adapt this frame work to improve outcomes arld ensure the more effective Use of resources. Cancer 2008;113(8 suppl):2282-96. (C) 2008 American Cancer Society