SAN JUAN MB COMMUNITY CLINICAL ONCOLOGY PROGRAM

描述（由申请人提供）：波多黎各是一个长100英里，宽35英里的岛屿。根据2000年的人口普查，人口为380万，其中女性190万，男性180万。我们的岛屿癌症登记处预计2002年将出现近11,300例新的癌症病例。虽然我们的癌症风险低于美国大陆，但在未来几十年里，这一趋势确实会趋同。尽管如此，我们的人口确实显示出宫颈癌、子宫内膜癌和烟草相关癌症的高发病率。同样重要的是，香港的肺癌、肝癌、胃癌和食道癌等特定疾病的死亡率高于美国大陆。在过去十年中，该岛的医疗保健系统发生了巨大变化。1994年，有195万私人医疗保险公民和160万无保险人口。后者大多由政府部门负责。此后建立了私人健康保险（PR保健改革），并通过资本化制度运作，利用私人保险公司作为政府和公共部门之间的中间人。目前，在2002年，改革制度涵盖了1,729,511名医疗贫困人员。圣胡安少数民族社区临床肿瘤项目（MBCCOP）于1990年在圣胡安医院成立。MBCCOP的目标是在我们自己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机会；使卫生保健专业人员广泛加入美国国立卫生研究院/国家癌症研究所网络；提供教育和信息活动的专业人士在自己的社区。1990年，圣胡安MBCCOP在公共关系医疗中心设施内开始。从那时起，该方案已扩大到包括庞塞、巴亚蒙和马纳蒂的卫星中心。它还包括一组活跃的初级保健医生在他们自己的办公室。该项目目前与美国大陆的多个研究基地合作，如国家外科辅助乳房和肠项目，东部肿瘤合作小组，MD安德森癌症中心和密歇根大学。通过我们的参与，相当数量的西班牙裔受试者进入了nci赞助的试验。我们的最终目标是让整个岛上的居民都能享受到NCI项目带来的好处。

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.