医防融合背景下癌症全生命周期防治策略优化——以江苏省南通市为例
Optimization of Cancer Full--Lifecycle Prevention and Treatment Strategies unde the perspective of Medical --Prevention Integration: A Case Study of Nantong City, Jiangsu Province
投稿时间:2026-04-28  修订日期:2026-06-30
DOI:
中文关键词:  癌症  全生命周期  医防融合  策略优化
英文关键词:Cancer  Full-Lifecycle  Medical-Prevention Integration  Strategy Optimization
基金项目:江苏省研究生科研与实践创新计划项目
作者单位邮编
陈翊然 南通大学公共卫生学院 226019
戚雅婷 南通大学公共卫生学院 226019
徐红 江苏省疾病预防控制中心 210009
蔡波 南通市疾病预防控制中心 226019
黄捷 南通市疾病预防控制中心 226019
高月霞* 南通大学公共卫生学院 226019
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中文摘要:
      本研究系统梳理我国癌症防治政策变迁,以南通市为例总结癌症防治的发展历程经验,剖析癌症在预、筛、诊、治、康复各环节面临的全国共性困境与个性挑战。研究发现,我国虽已初步构建覆盖全周期的防治管框架,但存在预防职能未激活、筛诊治衔接断裂、基层承载能力不足、筹资体系割裂等等结构性困境。建议从协同网络建设、队伍能力建设、筹资激励机制、服务供给工具四个维度协同发力,推动癌症防治体系从传统“以疾病为中心”向“以居民健康为中心”的全周期健康管理模式转型。
英文摘要:
      This study systematically reviews the evolution of cancer prevention and control(CPC) policies in China, summarizes the development experience of CPC in Nantong City as a case study, and analyzes both the common national challenges and local-specific dilemmas across the full--lifecycle CPC. The findings indicate that although China has initially established a full-lifecycle framework covering CPC, structural barriers persist, including inactive prevention functions, fragmented linkages among screening, diagnosis, and treatment, insufficient primary-level service capacity, and a divided financing system. To address these issues, this study proposes coordinated efforts from four dimensions: collaborative network building, workforce capacity development, financing and incentive mechanisms, and dynamic service delivery tools. These recommendations aim to promote the transformation of the CPC system from a traditional disease-centered, fragmented intervention model toward a resident-centered, full-lifecycle health management paradigm.
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