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Cancer Supportive and Survivorship Care in Singapore: Current Challenges and Future Outlook

机译:新加坡的癌症支持和生存护理:当前的挑战和未来展望

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摘要

Despite being a relatively young nation, Singapore has established itself as a leading multifaceted medical hub, both regionally and globally. Although Singapore continues to pursue excellence in oncology care, cancer supportive care and survivorship care remain in the infancy stage. In an effort to advance this important aspect of oncology care in Singapore, the first cancer supportive and survivorship care forum was held in December 2016, involving 74 oncology practitioners. The primary goals of this forum were to raise awareness of the importance of cancer supportive and survivorship care and to provide a platform for oncology practitioners of diverse backgrounds to converge and address the challenges associated with the delivery of cancer supportive and survivorship care in Singapore. Key challenges identified during this forum included, but were not limited to, care fragmentation in an oncologist-centric model of care, poor integration of allied health and rehabilitation services, passive engagement of community partners, lack of specialized skill sets and knowledge in supportive and survivorship care, and patient-related barriers such as poor health literacy. The survivorship care model commonly used in Singapore places an imbalanced emphasis on surveillance for cancer recurrence and second primary cancers, with little attention given to the supportive and survivorship needs of the survivors. In summary, these challenges set the stage for the development and use of a more survivor-centric model, one that focuses not only on cancer surveillance, but also on the broad and unique physical and psychosocial needs of survivors of cancer in Singapore.
机译:尽管是一个相对年轻的国家,但新加坡已在区域和全球范围内确立了自己为领先的多面体医学中心的地位。尽管新加坡继续追求卓越的肿瘤学治疗,但癌症支持治疗和生存治疗仍处于婴儿期。为了推动新加坡肿瘤学这一重要方面的发展,2016年12月举行了首届癌症支持和生存护理论坛,共有74位肿瘤学从业者参加。该论坛的主要目标是提高人们对癌症支持和生存护理的重要性的认识,并为不同背景的肿瘤从业者提供一个平台,以汇聚和应对在新加坡提供癌症支持和生存护理所带来的挑战。在该论坛期间确定的主要挑战包括但不限于以肿瘤学家为中心的护理模式中的护理分散,相关医疗和康复服务的整合不佳,社区合作伙伴的被动参与,缺乏专业技能和在支持和支持方面的知识生存护理,以及与患者相关的障碍,例如健康素养差。新加坡普遍使用的幸存者护理模式将重点放在癌症复发和第二原发癌的监测上,而对幸存者的支持和生存需求的关注却很少。总之,这些挑战为开发和使用以生存者为中心的模型奠定了基础,该模型不仅关注癌症监测,而且关注新加坡癌症幸存者的广泛而独特的身体和心理需求。

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