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作 者:田玲[1] 安嘉璐[2] 周艳玲[1] 崔胜男[3]
机构地区:[1]中国医学科学院北京协和医学院医学信息研究所合作期刊编辑部,北京100020 [2]西安交通大学图书馆,陕西西安710049 [3]北京协和医院病案科,北京100730
出 处:《中国医药科学》2015年第21期40-44,共5页China Medicine And Pharmacy
基 金:中国工程院咨询研究项目(2014-XZ-13)
摘 要:目的总结我国儿童恶性肿瘤的防控现状,分析得出儿童恶性肿瘤防控的策略建议。方法采用SWOT分析法,列举我国儿童恶性肿瘤防控的优势、劣势、机会和威胁因素,在此基础上提出SWOT策略建议。结果我国儿童恶性肿瘤防控的优势体现在具备一批专业队伍,诊治水平不断提高,肿瘤登记制度提供数据保障,地方积极筹建儿童肿瘤标本数据库等方面;劣势体现在医疗资源匮乏,危险因素普遍存在而缺乏有效预防手段,早期缺乏特异性的临床表现和检测手段,诊疗费用高,肿瘤登记系统不健全等方面;面临的机会有国家高度重视肿瘤防控,赶上医疗体制改革的浪潮,公众健康意识普遍提高等;而威胁是国家缺乏统一规划且投入不足,社会整体的认识不足,多部门合作、全社会广泛参与的防控局面尚未形成等。结论基于SWOT分析提出我国儿童恶性肿瘤防控四方面的策略建议:统筹建设儿童肿瘤防控体系,加大投入力度;提高儿童肿瘤诊疗水平,加强病因研究;开展预防教育;健全登记制度,提高登记质量。Objective To summarize the current status of prevention and control of pediatric cancer in China and provide corresponding strategies and suggestions. Methods SWOT analysis was applied to analyze the strengths, weaknesses, opportunities and threats for prevention and control of pediatric cancer in China so as to provide SWOT suggestions. Results As for prevention and control of pediatric cancer, Chinese strengths included a group of professional team and the advance of diagnosis and treatment, data support from cancer registration, active participation of pediatric cancer specimen database by local government, while the weaknesses included deficient medical resources for pediatric cancer, lack of effective prevention measures against various risk factors during infancy period, lack of specific clinical manifestation and detection methods in the early stage, high cost of diagnosis and treatment, and lack of comprehensive tumor registry system especially the registry system for pediatric cancer; Chinese opportunities had great importance attached to tumor prevention and control by the central government, the guarantee for treatment costs from health care reform, the improvement of public health consciousness, and the threats were lack of clear prevention and control system and strategic planning, insufficient funding allocation, insufficient social awareness, lack of multi-sectoral cooperation around the whole society. Conclusion The paper provides four strategic suggestions for prevention and control of pediatric cancer in China based on SWOT analysis, including coordinating the construction of pediatric tumor prevention and control system and increasing investment, strengthening research on pediatric tumor and organizing related health education, enhancing tumor registry mechanism and improving registry quality.
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