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首页> 外文期刊>Cancer: A Journal of the American Cancer Society >Guideline implementation for breast healthcare in low- and middle-income countries: breast healthcare program resource allocation.
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Guideline implementation for breast healthcare in low- and middle-income countries: breast healthcare program resource allocation.

机译：低收入和中等收入国家的乳房保健指南实施：乳房保健计划资源分配。

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Breast cancer is serious public health problem in countries of all resource levels. Although major advances in the detection and treatment of the disease have occurred in higher income settings, similar progress has been slow or scarce in most low- and middle-income countries (LMCs). The poorer outcomes in LMCs may relate to the limited capability of their healthcare systems (HCS) to provide successful early detection, diagnosis, and treatment of breast cancer. Impediments to better outcomes include insufficient numbers of appropriately trained healthcare workers, limited access to screening/treatment facilities, inadequate supplies of necessary drugs, and timeliness of treatment after diagnosis. Clearly, these HCS deficiencies are broader than the scope of the Breast Health Global Initiative (BHGI) and are not unique to the issue of breast cancer. To address issues in HCS that hinder the delivery of breast health services, the BHGI Healthcare Systems and Public Policy Panel explored the HCS structuresand function needed to operate a breast care program (BCP). Like with all BHGI guidelines, those proposed by this panel were expressed in terms of 4 strata of resource levels: basic, limited, enhanced, and maximal. The current report describes the issues and questions related to HCS that are important to consider when designing, implementing, and measuring the performance of a BCP. Health ministers, other policymakers, healthcare personnel, administrators, and anyone else involved in developing a BCP can use and adapt this framework to improve outcomes and ensure the more effective use of resources.
机译：在所有资源水平的国家中，乳腺癌都是严重的公共卫生问题。尽管在较高的收入水平上已在疾病的检测和治疗方面取得了重大进展，但在大多数中低收入国家（LMC）中，类似的进展缓慢或稀少。 LMC中较差的结果可能与他们的医疗保健系统（HCS）提供成功的乳腺癌早期检测，诊断和治疗的能力有限有关。取得更好成果的障碍包括：缺少足够的受过适当训练的医护人员，无法获得筛查/治疗设施，必需药物供应不足以及诊断后及时治疗。显然，这些HCS缺陷比《全球乳腺癌健康倡议》（BHGI）的范围要广，并且并非乳腺癌问题所独有。为了解决HCS中阻碍乳房健康服务提供的问题，BHGI医疗保健系统和公共政策小组探讨了实施乳房护理计划（BCP）所需的HCS结构和功能。与所有BHGI指南一样，本小组提出的那些指南以资源级别的4个层次表示：基本，有限，增强和最大。本报告介绍了与HCS相关的问题和问题，这些问题在设计，实施和衡量BCP的性能时必须加以考虑。卫生部长，其他决策者，医护人员，管理人员以及参与开发BCP的任何其他人都可以使用和调整此框架，以改善结果并确保更有效地利用资源。

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