SAN JUAN MB COMMUNITY CLINICAL ONCOLOGY PROGRAM

在过去的几十年里，波多黎各的癌症统计数字一直在稳步上升。预计到本世纪之交，新的癌症病例将达到近9000例。不幸的是，该岛的医疗保健提供系统并没有与这一趋势相匹配。其结果是与宫颈、子宫内膜和烟草相关的恶性肿瘤的发病率很高。同样重要的是，肺癌、肝、胃、头颈部、食道等部位的癌症死亡率较高。在2000年的人口普查中，波多黎各预计将有391万人口。近200万人被认为是没有医疗保险和贫困的人。几十年来，PR、州和市政府一直是该岛最大的直接保健服务提供者。利用全岛的初级、二级、三级和高级机构系统提供保健服务。位于战略位置的机构和大型医疗中心的大学医院提供了第三级以上的癌症护理。在过去的6年里，中华人民共和国政府开始了一场革命性的医疗改革，将医疗保健建立在健康维护组织(HMO)系统的基础上。圣胡安医疗保健计划的目标是在社区不断变化的医疗环境中扩大和加强高质量的癌症控制和治疗研究；提供获得最先进的癌症控制和治疗的途径；向全岛的医疗保健提供者提供教育和信息活动；评估选定的医疗保健控制和治疗计划在这一背景下的表现。圣胡安医疗保健中心位于圣胡安市医院公关医疗中心。其他主要参与机构是圣胡安退伍军人医院和圣胡安肿瘤医院。主要的附属机构是PR GI研究所和Hato Rey血液/肿瘤学协会。这些机构每年总共照顾2000多名新的癌症患者。

Puerto Rico has shown a steady increase in cancer statistics during the past decades. It is expected to reach close to 9,000 new cancer cases by the turn of the century. Unfortunately, the health care delivery system is the island has not matched that trend. The result is a high incidence of cervical, endometrial and tobacco-related malignancies. Equally important the cancer death rate is higher from lung, liver, stomach, head and neck, esophagus and other sites. For the year 2000 population census, the Island of Puerto Rico is expected to show a population of 3.91 million. Close to 2.0 million are considered to be medically uninsured and indigent. For decades the PR state and municipal government were the largest direct care providers of health services in the island. Health care was provided utilizing a system of primary, secondary, tertiary and supratertiary institutions throughout the island. Supratertiary cancer care was given at strategically placed institutions and university hospitals in large medical centers. During the past 6 years, the government of PR began a revolutionary health care reform that based health care on a health maintenance organization (HMO) system. The goals of the San Juan MBCCOP are to expand and strengthen quality cancer control and treatment research in a changing medical environment in the community; to provide access to state-of-the-art cancer control and treatments; to provide educational and informational activities to health care providers throughout the island; to evaluate selected issues of the MBCCOP performance in this setting. The San Juan MBCCOP is located at the San Juan City Municipal Hospital in the PR Medical Center. The other main participating institutions are the San Juan Veterans Hospital and the San Juan Oncologic Hospital. The major affiliates are the PR GI Institute and the Hato Rey Hematology/Oncology Associates. Together, these institutions care for more than 2,000 new cancer patients per year.