Cancer Disparities and Health Equity: A Policy Statement From the American Society of Clinical Oncology
Cancer Disparities and Health Equity: A Policy Statement From the American Society of Clinical Oncology
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DOI：
10.1200/jco.20.00642
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发表时间：
2020-10-10
影响因子：
45.3
通讯作者：
Tap, William
中科院分区：
文献类型：
--
作者：
Patel, Manali I.;Lopez, Ana Maria;Tap, William
ASCO致力于通过研究，教育和促进最高质量的患者护理，创造一个预防癌症和每个幸存者健康的世界。在这方面，癌症健康公平仍然是指导机构原则，适用于整个癌症护理连续体的所有活动。2009年，ASCO承诺在其关于癌症差异的原始政策声明中解决癌症结果的差异。在过去的十年中，尽管有新的诊断和治疗方法，以及癌症护理提供系统的变化，例如通过了《平价医疗法案》，但癌症差异仍然存在。我们对经历不同结果的人群的理解同样扩大到包括种族/民族，地理，性取向和性别认同，社会人口因素等的交叉点。这一更新的声明旨在指导ASCO未来的活动和战略，以实现其征服所有人群癌症的使命。ASCO承认，所有癌症利益相关者在系统层面仍有许多工作要做，以克服历史势头和现有的社会结构对不同的癌症结果负责。这份更新的声明肯定了ASCO的承诺，即超越对癌症结果差异的描述，实现癌症健康公平，重点是改善公平获得护理的机会，改善临床研究，解决结构性障碍，并提高认识，从而采取可衡量和及时的行动，实现所有人的癌症健康公平。
ASCO strives, through research, education, and promotion of the highest quality of patient care, to create a world where cancer is prevented and every survivor is healthy. In this pursuit, cancer health equity remains the guiding institutional principle that applies to all its activities across the cancer care continuum. In 2009, ASCO committed to addressing differences in cancer outcomes in its original policy statement on cancer disparities. Over the past decade, despite novel diagnostics and therapeutics, together with changes in the cancer care delivery system such as passage of the Affordable Care Act, cancer disparities persist. Our understanding of the populations experiencing disparate outcomes has likewise expanded to include the intersections of race/ethnicity, geography, sexual orientation and gender identity, sociodemographic factors, and others. This updated statement is intended to guide ASCO's future activities and strategies to achieve its mission of conquering cancer for all populations. ASCO acknowledges that much work remains to be done, by all cancer stakeholders at the systems level, to overcome historical momentum and existing social structures responsible for disparate cancer outcomes. This updated statement affirms ASCO's commitment to moving beyond descriptions of differences in cancer outcomes toward achievement of cancer health equity, with a focus on improving equitable access to care, improving clinical research, addressing structural barriers, and increasing awareness that results in measurable and timely action toward achieving cancer health equity for all.