| 路友华,王炳翔,齐元涛,等.县域肺癌防控能力现状调查分析——山东省样本地区的实证研究[J].中国肿瘤,2023,32(4):287-294. |
| 县域肺癌防控能力现状调查分析——山东省样本地区的实证研究 |
| Capacity of Lung Cancer Prevention and Control in County Level in Shandong Province |
| 投稿时间：2022-12-22 |
| DOI：10.11735/j.issn.1004-0242.2023.04.A008 |
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| 中文关键词: 肺癌 防控能力 调查分析 山东 |
| 英文关键词:lung cancer prevention and control capability investigation and analysis Shandong |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 分析山东省样本地区肺癌防控资源和能力现状，为更好开展肺癌防控工作提供科学依据。［方法］ 基于世界卫生组织-国家癌症控制计划核心能力自我评估工具，通过德尔菲专家咨询法设计调查问卷，问卷共4个方面26个条目，包括肺癌防控资源情况，烟草控制政策、法规及相关行动，肺癌筛查/早诊早治以及肺癌诊疗情况等，总分30分；在山东省范围内根据地理位置和经济发展水平分层随机抽取3个地级市，每个市随机抽取3个县（市、区），开展问卷调查。［结果］ 27个样本县（市、区）肺癌防控资源情况，烟草控制政策、法规及相关行动，肺癌筛查/早诊早治和肺癌诊疗情况的平均得分分别为6.35、4.67、2.17和3.07分，占对应总分的42.35%、77.83%、43.40%和76.75%；西部地区肺癌防控能力低于东部和中部地区，东、中部地区间差异则较小。［结论］ 山东省样本地区肺癌防控能力总体较低，肺癌防控资源配置不均衡，区域间防控能力差异大。各地应针对自身特点和薄弱环节有重点地采取措施，促进肺癌防治能力和水平的持续提升。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the status quo of lung cancer prevention and control capabilities at county level of Shandong Province. ［Methods］ Using WHO-National Cancer Control Plan core competence self-assessment tool， a questionnaire was designed through Delphi expert consultation method， with 26 items in 4 domains， including lung cancer prevention and control resources， tobacco control policies， regulations and related actions， lung cancer screening， and lung cancer diagnosis and treatment， with a total score of 30 points. Three municipalities in Shandong Province were randomly selected according to geographical location and economic development level， and 3 counties (county level-cities or districts) were randomly selected from each municipality for study sites. ［Results］ In 27 sample counties， the average score of lung cancer prevention and control resources， tobacco control policies， regulations and related actions， lung cancer screening， lung cancer diagnosis and treatment was 6.35， 4.67， 2.17， 3.07 points， accounting for 42.35%， 77.83%， 43.40%， 76.75% of the corresponding total score respectively. The prevention and control capacity of lung cancer in the western region was lower than that in the eastern and central regions， and the difference between the eastern and central regions was not significant. ［Conclusion］ The overall capacity of lung cancer prevention and control at county level of Shandong Province is relatively low； the resource allocation is uneven and the capacity varies significantly among regions. Measures should be taken by local government to promote the capacity of lung cancer prevention and control at county level. |
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