高质量推进地方癌症防治发展的探索与实践  

High-quality development of subnational cancer prevention and control:investigation and experiences

作　　者：雷开键[1] 于力力[2] 李自康[3] 陈心足 SIGES研究组[5] LEI Kaijian;YU Lili;LI Zikang;CHEN Xinzu;SIGES Research Group(Yibin Cancer Prevention and Control Center,the Second People’s Hospital of Yibin(West China Yibin Hospital,Sichuan University),Yibin,Sichuan 644000,P.R.China;Yibin Center for Disease Control and Prevention,Yibin,Sichuan 644000,P.R.China;Ya’an Cancer Prevention and Control Center,Ya’an People’s Hospital(West China Ya’an Hospital,Sichuan University),Ya’an,Sichuan 625000,P.R.China;Ya’an Key Laboratory for High Altitude Medicine,Ya’an People’s Hospital(West China Ya’an Hospital,Sichuan University),Ya’an,Sichuan 625000,P.R.China;Gastric Cancer Center,Department of General Surgery,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]宜宾市第二人民医院·四川大学华西医院宜宾医院宜宾市癌症防治中心,四川宜宾644000 [2]宜宾市疾病预防控制中心,四川宜宾644000 [3]雅安市人民医院·四川大学华西医院雅安医院雅安市癌症防治中心,四川雅安625000 [4]雅安市人民医院·四川大学华西医院雅安医院雅安市高原医学重点实验室,四川雅安625000 [5]四川大学华西医院普外科/胃癌中心,成都610041

出　　处：《华西医学》2024年第12期1948-1952,共5页West China Medical Journal

基　　金：四川省科技计划项目(23ZDYF0839);雅安市哲学社会科学研究规划项目(YAA20240035);四川省医院协会医院管理科研专项资金医务管理分会2022年度资助项目(SCYW001);成都中医药大学“十四五”校级教育教学改革建设项目基地专项(JGJD2022059)。

摘　　要：癌症防治工作是面向人民群众重大疾病的重要卫生医疗工作,是“健康中国2030”规划的重要组成部分。该文总结介绍了四川省宜宾市和雅安市地方癌症防治现状和实践经验。肺癌、消化系统癌症、女性两癌是高发病率的重点癌种,城市间和城乡间癌症流行病学存在一定的地区差异性和癌种差异性,其中在农村地区癌症的病死风险更高。从宜宾市和雅安市来看,地方癌症防治的专门机构和治理体系尚处于发展早期阶段,地方的本底数据如癌种生存率、公众核心知识知晓率、关键技术质量控制、网底卫生资源要素配置情况等不甚清晰。因此各级应进一步加强癌症防治工作的组织领导和体系建设,促进上下联动和均衡发展。Cancer prevention and control is an important healthcare task towards major diseases of the Chinese people and an important part of the“Healthy China 2030”plan outline.This article summarizes and introduces the current status and practical experience of subnational cancer prevention and treatment status in Yibin City and Ya’an City of Sichuan Province.Lung cancer,digestive system cancers,and cervical and breast cancers compose of the majority of cancers with high incidence.In the aspect of cancer epidemiology,there are certain disparities among cities and between urban and rural areas,among which the mortality risk of cancer in rural areas is higher.In Yibin and Ya’an cities,the specialized agencies and governance system for subnational cancer prevention and control are still in the early stage of development,and the background data such as cancer-specific survival rate,public awareness of core knowledge on cancer prevention and control,quality control of key techniques,and healthcare resources in subnational areas are still unclear.Therefore,all levels of cancer prevention and control need further strengthening the organizational leadership and system construction,and promoting the hierarchic healthcare and balanced development.

关 键 词：健康中国2030 高质量发展 癌症防治 公共卫生 临床流行病学 

分 类 号：R730.1[医药卫生—肿瘤]