国家医疗服务体系癌症服务和系统--英国癌症控制计划需要解决的十大压力点。

IF 41.6 1区 医学 Q1 ONCOLOGY Lancet Oncology Pub Date : 2024-08-01 Epub Date: 2024-07-08 DOI:10.1016/S1470-2045(24)00345-0
Ajay Aggarwal, Richard Simcock, Pat Price, Bernard Rachet, Georgios Lyratzopoulos, Kate Walker, Katie Spencer, Tom Roques, Richard Sullivan
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引用次数: 0

摘要

在这篇政策评论中,我们讨论了国家医疗服务体系(NHS)在提供癌症治疗服务方面的十个关键压力点,这些压力点亟需通过一项全面的国家癌症控制计划来解决。这些压力点涵盖的领域包括提高劳动力能力及其生产率、提供有效的癌症幸存者服务、解决质量差异、修复癌症护理的报销系统以及平衡癌症研究议程。选择这些领域的依据是:它们对确保可持续癌症服务的相对重要性、作为国家医疗服务体系关键问题的持续性,以及它们对提供更好、更公平、更负担得起的患者治疗效果的影响。其中许多压力点在当前的讨论中并未得到明确承认。我们提供的证据表明了这些压力点对提供世界级癌症治疗能力的影响,同时也表明了如果给予相关的优先考虑和投资,这些压力点是可以负担得起的。当前的论述需要从以技术为中心的改善医疗服务的方法转变为以了解癌症服务和更广泛的医疗系统的复杂性为重点的方法,以推动生存率、生活质量和患者体验的改善。
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NHS cancer services and systems-ten pressure points a UK cancer control plan needs to address.

In this Policy Review we discuss ten key pressure points in the NHS in the delivery of cancer care services that need to be urgently addressed by a comprehensive national cancer control plan. These pressure points cover areas such as increasing workforce capacity and its productivity, delivering effective cancer survivorship services, addressing variation in quality, fixing the reimbursement system for cancer care, and balancing of the cancer research agenda. These areas have been selected based on their relative importance to ensuring sustainable cancer services, persistence as key issues in the NHS, and their impact on delivering better and more equitable and affordable patient outcomes. Many of these pressure points are not acknowledged explicitly in any current discourse. The evidence we provide points to their impact on the ability to deliver world class cancer care, but also to their amenability to affordable solutions if given the relevant prioritisation and investment. The current narrative needs to move away from a technocentric approach to improving care, to one focused on understanding the complexity of cancer services and the wider health system to drive improvements in survival, quality of life, and experience for patients.

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来源期刊
Lancet Oncology
Lancet Oncology 医学-肿瘤学
CiteScore
62.10
自引率
1.00%
发文量
913
审稿时长
3-8 weeks
期刊介绍: The Lancet Oncology is a trusted international journal that addresses various topics in clinical practice, health policy, and global oncology. It covers a wide range of cancer types, including breast, endocrine system, gastrointestinal, genitourinary, gynaecological, haematological, head and neck, neurooncology, paediatric, thoracic, sarcoma, and skin cancers. Additionally, it includes articles on epidemiology, cancer prevention and control, supportive care, imaging, and health-care systems. The journal has an Impact Factor of 51.1, making it the leading clinical oncology research journal worldwide. It publishes different types of articles, such as Articles, Reviews, Policy Reviews, Personal Views, Clinical Pictures, Comments, Correspondence, News, and Perspectives. The Lancet Oncology also collaborates with societies, governments, NGOs, and academic centers to publish Series and Commissions that aim to drive positive changes in clinical practice and health policy in areas of global oncology that require attention.
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