Determinants of cancer disparities: barriers to cancer screening, diagnosis, and treatment.
Determinants of cancer disparities: barriers to cancer screening, diagnosis, and treatment.
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DOI：
10.1016/j.soc.2005.06.002
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发表时间：
2005-10-01
影响因子：
1.9
通讯作者：
Chu, Kenneth C
中科院分区：
文献类型：
--
作者：
Freeman, Harold P;Chu, Kenneth C
我们发现的东西与我们以预防、筛查、检测、诊断和治疗癌症的形式向所有美国人提供的东西之间存在着严重的脱节。我们必须找出并消除所有阻碍研究成果惠及所有人的障碍。在预防、筛查、诊断和治疗以及姑息治疗的连续过程中，沿着任何一点都可能遇到这种障碍。在社会经济地位较低的社区，患者导航已被证明是一种有效的干预措施，在发现异常时可以促进及时诊断和治疗。应划定癌症死亡率过高的地理区域，并有针对性地大力提供文化相关的教育，适当提供筛查诊断和治疗，并改善包括导航在内的支持系统。
There is a critical disconnect between what we discover and what we deliver to all Americans in the form of prevention, screening, detection, diagnosis, and treatment of cancer. We must identify and eliminate all barriers that prevent the benefits of research from reaching all people. Such barriers may be experienced at any point along the continuum of prevention, screening, diagnosis and treatment, and palliative care. In communities of low socioeconomic status, patient navigation has proved to be an effective intervention in promoting such timely diagnosis and treatment when applied at the point of abnormal finding. Geographic areas with excess cancer mortality should be delineated and targeted with an intense approach to providing culturally relevant education, appropriate access to screening diagnosis and treatment, and improved support systems, including navigation.