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首页> 外文期刊>Social Work in Public Health >Cancer Disparities in the Federated States of Micronesia: Funding Challenges of a Developing Nation in Epidemiological Transition
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Cancer Disparities in the Federated States of Micronesia: Funding Challenges of a Developing Nation in Epidemiological Transition

机译：密克罗尼西亚联邦的癌症差距：在流行病学转变中发展中国家的资金挑战

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This article describes funding and other challenges to cancer control in the Federated States of Micronesia (FSM) and examines funding opportunity announcements (FOAs) as a critical facet in implementation of the U.S. Compact of Free Association (COFA). As a health-relevant policy, COFA commits the United States to improve the health of FSM citizens and, specifically, allows the FSM to apply for U.S. federal health FOAs. Emerging research suggests discrepancies in the intent and implementation of COFA and indicates that the capacity of the FSM to secure U.S. health funding may be at least partially hindered by the ways in which FOAs are structured. Current cancer-related FOAs were identified to evaluate their relevance to the FSM. Eligibility requirements of all FOAs were systematically reviewed and compared with FSM infrastructural and human resources. Findings indicate that most FOAs have requirements more likely to be met in fully developed health service entities. Such requirements disadvantage the FSM when competed with the relatively more resource-rich U.S. states and health services systems. This situation predisposes the FSM to increased risk of disparate cancer outcomes. Highlighted is the need for distributive justice and specific efforts that enhance the health services infrastructure in the FSM and increase opportunities for resource-appropriate interventions. Findings provide considerations for those in international social welfare, public health, and other disciplines interested in the advancement of global health partnerships to eliminate cancer disparities in underresourced nations.View full textDownload full textKEYWORDSCancer, prevention and control, disparities, Federated States of Micronesia, funding, U.S. Compact of Free AssociationRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/19371910903240720
机译：本文介绍了密克罗尼西亚联邦（FSM）的资金和癌症控制面临的其他挑战，并探讨了资金机会公告（FOA），这是实施《美国自由协会契约》（COFA）的关键方面。作为一项与健康相关的政策，COFA承诺美国改善FSM公民的健康，特别是允许FSM申请美国联邦健康FOA。新兴研究表明COFA的意图和实施存在差异，并指出FOS的结构方式可能至少部分地阻碍了FSM获得美国卫生资金的能力。确定了当前与癌症相关的FOA，以评估其与FSM的相关性。系统审查了所有FOA的资格要求，并将其与FSM的基础设施和人力资源进行了比较。调查结果表明，大多数FOA都要求充分发展的卫生服务实体更可能满足这些要求。当与资源相对丰富的美国各州和医疗服务系统竞争时，这种要求不利于FSM。这种情况使FSM易患不同癌症结果的风险增加。重点是需要进行分配正义和作出具体努力，以加强FSM中的卫生服务基础设施，并增加采取适合资源的干预措施的机会。调查结果为国际社会福利，公共卫生和其他对促进全球卫生伙伴关系以消除资源贫乏国家中的癌症差距感兴趣的学科提供了考虑。查看全文下载全文关键词：癌症，预防和控制，差距，密克罗尼西亚联邦，资金，美国自由协会协定相关变量var addthis_config = {ui_cobrand：“泰勒和弗朗西斯在线”，servicescompact：“ citeulike，netvibes，twitter，technorati，delicious，linkedin，facebook，stumbleupon，digg，google，更多”，发布编号：“ ra- 4dff56cd6bb1830b“};添加到候选列表链接永久链接http://dx.doi.org/10.1080/19371910903240720

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