A collaborative approach to meeting oncology challenges in island communities in the Asia-Pacific region.

Tytuł:: A collaborative approach to meeting oncology challenges in island communities in the Asia-Pacific region.
Autorzy:: Ward IG; Canterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.
Mel A; ANGAU Memorial General Hospital, Papua New Guinea National Cancer Centre, Lae, Papua New Guinea.
Soma A; NRH Oncology Unit, National Referral Hospital, Honiara, Solomon Islands.
Atalifo-Veu A; Colonial War Memorial Hospital, Suva, Fiji Islands.
Karapetis CS; Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia.
Yip D; Department of Medical Oncology, The Canberra Hospital, Garran, Australian Capital Territory, Australia.; ANU Medical School, Australian National University, Canberra, Australian Capital Territory, Australia.
Źródło:: Journal of medical imaging and radiation oncology [J Med Imaging Radiat Oncol] 2021 Jul; Vol. 65 (4), pp. 418-423. Date of Electronic Publication: 2021 Mar 05.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Carlton, Vic. : Wiley-Blackwell Pub. Asia
Original Publication: Carlton, Vic. : Blackwell Pub. Asia, c2008-
MeSH Terms:: Medical Oncology*
Asia ; Fiji ; Humans ; Melanesia ; Papua New Guinea ; Radiation Oncology
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Grant Information:: International Development Fund Royal Australian and New Zealand College of Radiologists; John James Foundation Pacific Health Program; Flinders Overseas Health Group
Contributed Indexing:: Keywords: chemotherapy; delivery of health care; developing countries; melanesia; radiotherapy
Entry Date(s):: Date Created: 20210305 Date Completed: 20211028 Latest Revision: 20211028
Update Code:: 20240104
DOI:: 10.1111/1754-9485.13160
PMID:: 33666352
: Czasopismo naukowe

Pełny tekst

Treatment of cancer in small island communities is frequently challenged by the isolation and scattered nature of target populations, limited economic resources and overburdened healthcare systems. Strategies that have been successful in improving access to nonsurgical treatment in Fiji, Papua New Guinea, Solomon Islands and West Timor include balancing centralised location of scarce resources (particularly health professionals) with minimisation of patient travel, in-country training by teams of oncology professionals from high-income countries (HICs), sending health professionals to train in HICs, sharing and adaptation of treatment protocols, and telehealth initiatives. A common feature of successful initiatives is a collaborative approach. Cancer service design and implementation needs to be led by local health professionals with the collaboration of local health authorities and government. There is greater scope for collaboration between low- and middle-income countries and for the use of virtual meetings, distance learning, and remote technical support.
(© 2021 The Royal Australian and New Zealand College of Radiologists.)

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