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Cancer Cases Referral system in Nepal

机译:尼泊尔癌症病例转诊系统

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sup/supThe burden of cancer is estimated to be increasing in Nepal, whilst the country lacks national established guidelines or protocols for referral of cancer cases. Cancer patients are presenting many different health facilities throughout the country. In rural areas almost all cancer patients have their first diagnosis when visiting a health assistant or nurse at their nearest primary health care delivery service. If cancer is suspected, health care assistants or nurses will refer the patient to a medical doctor at the primary health centre, or refer the patient directly to the cancer treatment centre or oncology department of the closest hospital. Patients from urban areas will usually be seen for the first time by a medical doctor initially and then referred to either the cancer treatment centre or oncology department of the hospital. Both in rural and urban areas the referral for treatment is determined by both the patients’ capacity to pay for treatment own healthcare, as well as their geographical location (i.e. availability and accessibility of cancer treatment services.
机译:据估计,尼泊尔的癌症负担正在增加,而该国缺乏有关转诊癌症病例的国家既定准则或协议。癌症患者在全国各地拥有许多不同的医疗机构。在农村地区,几乎所有癌症患者在就近就诊的初级保健提供服务中拜访保健助理或护士时均会首次诊断。如果怀疑患有癌症,医疗保健助理或护士将把患者转诊至基层医疗中心的医生,或将患者直接转诊至最近医院的癌​​症治疗中心或肿瘤科。通常,首先会由医生第一次来市区的病人,然后再转诊到医院的癌症治疗中心或肿瘤科。在农村和城市地区,治疗的转诊都取决于患者自己支付治疗费用的能力以及他们的地理位置(即癌症治疗服务的可及性)。

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