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首页> 外文期刊>Frontiers in Public Health >Improving Pediatric Cancer Care Disparities Across the United Statesa??Mexico Border: Lessons Learned from a Transcultural Partnership between San Diego and Tijuana
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Improving Pediatric Cancer Care Disparities Across the United Statesa??Mexico Border: Lessons Learned from a Transcultural Partnership between San Diego and Tijuana

机译：改善美国全国范围内的小儿癌症护理差距？墨西哥边境：从圣地亚哥和蒂华纳州的跨文化伙伴关系中学到的经验教训

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In 2007, the 5-year survival rate for children with acute leukemia in Baja California, Mexico was estimated at 10% (vs. 88% in the United States). In response, stakeholders at St. Jude Children’s Research Hospital, Rady Children’s Hospital San Diego, and the Hospital General de Tijuana (HGT) implemented a transcultural partnership to establish a pediatric oncology program. The aim was to improve clinical outcomes and overall survival for children in Baja California. An initial needs assessment evaluation was performed and a culturally sensitive, comprehensive, 5-year plan was designed and implemented. After six years, healthcare system accomplishments include the establishment of a fully functional pediatric oncology unit with 60 new healthcare providers (vs. five in 2007). Patient outcome improvements include a rise in 5-year survival for leukemia from 10 to 43%, a rise in new cases diagnosed per year from 21 to 70, a reduction in the treatment abandonment rate from 10% to 2%, and a 45% decrease in the infection rate. More than 600 patients have benefited from this program. Knowledge sharing has taken place between teams at the HGT and Rady Children’s Hospital San Diego. Further, one of the most significant outcomes is that the HGT has transitioned into a regional referral center and now mentors other hospitals in Mexico. Our results show that collaborative initiatives that implement long-term partnerships along the United States–Mexico border can effectively build local capacity and reduce the survival gap between children with cancer in the two nations. Long-term collaborative partnerships should be encouraged across other disciplines in medicine to further reduce health disparities across the United States–Mexico border.
机译：2007年，墨西哥下加利福尼亚州的急性白血病儿童的5年生存率估计为10％（美国为88％）。作为回应，圣裘德儿童研究医院，圣地亚哥拉迪儿童医院和蒂华纳综合医院（HGT）的利益相关者实施了跨文化合作伙伴关系，以建立儿科肿瘤学计划。目的是改善下加利福尼亚州儿童的临床结局和总体生存率。进行了初步的需求评估评估，并设计并实施了一项具有文化敏感性，全面的5年计划。经过六年的发展，医疗保健系统的成就包括建立了一个功能齐全的儿科肿瘤科，其中包括60名新的医疗保健提供者（2007年为5名）。病人预后的改善包括：白血病的5年生存率从10％提高到43％，每年诊断出的新病例从21％增加到70％，治疗放弃率从10％降低到2％，以及45％降低感染率。超过600名患者从该计划中受益。 HGT和圣地亚哥拉迪儿童医院的团队之间已经进行了知识共享。此外，最重要的结果之一是HGT已经过渡到区域转诊中心，现在指导墨西哥的其他医院。我们的结果表明，在美国-墨西哥边境沿线建立长期合作伙伴关系的协作计划可以有效地建立地方能力并缩小两国癌症儿童之间的生存差距。应鼓励跨医学其他学科建立长期合作伙伴关系，以进一步减少美国与墨西哥边境之间的卫生差距。

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