SAN JUAN MB COMMUNITY CLINICAL ONCOLOGY PROGRAM

描述(申请人提供)：波多黎各是一个长100英里、宽35英里的岛屿。根据2000年人口普查得出的人口总数为380万人，其中女性190万人，男性180万人。我们的岛屿癌症登记处预计2002年将显示近11,300例新的癌症病例。虽然我们的癌症风险低于美国本土，但在接下来的几十年里，我们确实有平等的趋势。尽管如此，我们的人口在与宫颈癌、子宫内膜癌和烟草相关的癌症中确实表现出过高的发病率。同样重要的是，在肺癌、肝癌、胃癌和食道癌等特定部位，我们的死亡率高于美国大陆。在过去十年中，该岛的医疗保健提供系统发生了巨大变化。1994年，有195万私人医疗保险的公民和160万未参保的人口。后者大部分是由政府部门关心的。此后，建立了私人健康保险(公关医疗改革)，并通过一种缴费制度发挥作用，该制度利用私营保险公司作为政府和公共部门之间的中间人。目前，2002年有1,729,511名医疗贫困人口被纳入改革体系。圣胡安少数民族社区临床肿瘤学项目(MBCCOP)于1990年在圣胡安医院成立。MBCCOP的目标是在我们所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；让更多的医疗保健专业人员加入NIH/国家癌症研究所网络；为他们所在社区的专业人员提供教育和信息活动。1990年，圣胡安医疗保健中心在公关医疗中心设施内启动。从那时起，该计划已扩大到包括庞塞、巴亚蒙和马纳蒂的卫星中心。它还将一个活跃的初级保健医生小组包括在他们自己的办公室里。该计划目前与美国本土的几个研究基地合作，如国家外科辅助乳肠计划、东部合作肿瘤学小组、MD安德森癌症中心和密歇根大学。通过我们的参与，相当多的西班牙裔受试者进入了NCI赞助的试验。我们的最终目标是将NCI计划的好处提供给整个岛上的人民。

DESCRIPTION (provided by applicant): Puerto Rico is an island of 100 miles long by 35 miles wide. The population based on the 2000 census revealed a 3.8 million inhabitants with 1.9 million women and 1.8 million male. Our island cancer registry expects to show close to 11,300 new cancer cases for 2002 year. Although our cancer risk is less than that of US mainland, there is a real trend towards parity in the next few decades. Despite this, our population do show an excess incidence in cervical, endometrial and tobacco-related cancers. Equally important, our death rate is higher than mainland USA for selected sites such as lung, liver, stomach and esophageal cancer. The health care delivery system in the island has dramatically changed during the past decade. In 1994, there were 1,950,000 privately medically-insured citizens and 1,600,000 uninsured population. Most of the latter were cared by the government sector. A private health insurance (PR Health Care Reform) has since then been established and works through a capitation system that utilizes private insurance companies as intermediates between the government and the public sector. Currently for year 2002, 1,729,511 medically indigent are covered by the reform system. The San Juan Minority-Based Community Clinical Oncology Program (MBCCOP) was established in 1990 at the San Juan Hospital. The goals of the MBCCOP are to expand and strengthen quality cancer control and treatment research in a changing medical environment in our own communities; to provide access to state of the art cancer control and treatment; to involve a wide sector of health care professionals into the NIH/National Cancer Institute network; to provide educational and informational activities to professionals in their own communities. In 1990, the San Juan MBCCOP started within the PR Medical Center facilities. Since then, the Program has been extended to include satellite centers in Ponce, Bayamon and Manati. It has also included an active group of primary care physicians in their own offices. The Program currently works with several research bases in USA mainland such as National Surgical Adjuvant Breast and Bowel Project, Eastern Cooperative Oncology Group, MD Anderson Cancer Center, and the University of Michigan. Through our participation, a significant number of hispanic subjects have entered in NCI-sponsored trials. Our final goal is to offer the benefits of the NCI Program to the entire island population.