| 陈翊然,戚雅婷,徐 红,等.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[J].中国肿瘤,2026,35(9):703-710. |
| 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 Under the Perspective of Medical-Prevention Integration： a Case Study of Nantong City， Jiangsu Province |
| 投稿时间：2026-04-28 |
| DOI：10.11735/j.issn.1004-0242.2026.09.A007 |
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| 中文关键词: 癌症 肿瘤防治 全生命周期 医防融合 策略 江苏 |
| 英文关键词:cancer cancer prevention and control full-lifecycle medical-prevention integration strategy Jiangsu |
| 基金项目:江苏省研究生科研与实践创新计划项目（SJCX25_2084） |
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| 摘要点击次数: 24 |
| 全文下载次数: 8 |
| 中文摘要: |
| 摘 要：癌症已成为严重威胁我国居民健康的重大公共卫生问题。全文系统梳理国内癌症防治政策演进脉络，选取江苏省南通市作为典型实践样本，归纳当地癌症全周期防控发展经验，围绕预防、筛查、诊断、治疗、康复全链条梳理全国通用问题与地域特有矛盾。现阶段我国虽已搭建覆盖人群全生命周期的癌症防治管理体系，但体系常态化运行仍存在临床端预防职能供给缺位、筛诊治各业务环节业务割裂、基层医疗卫生机构服务承载能力不足、多渠道筹资激励机制相互分割等结构性短板。本研究依托协同治理网络搭建、专业人才队伍提质扩容、多元筹资激励机制完善、数字化动态服务体系落地四条实施路径，提出体系优化配套方案，推动癌症防治工作由以疾病诊疗为核心的分段式干预模式，转型为以居民健康需求为导向的连续化全生命周期健康管理模式，为全国各地区健全癌症综合防控体系提供可复制的实践参照。 |
| 英文摘要: |
| Abstract： This study systematically sorts out the evolutionary context of domestic cancer prevention and control(CPC) policies in China， takes Nantong City of Jiangsu Province as a typical practical sample， and summarizes the local experience of full-cycle CPC development. It further analyzes universal national governance obstacles and region-specific operational dilemmas throughout the integrated service chain of prevention， screening， diagnosis， treatment and rehabilitation. Although China has initially constructed a CPC management framework covering the full lifecycle of residents， structural defects remain in the routine operation of the system， including insufficient supply of preventive functions in clinical institutions， fragmented business links among screening， diagnosis and treatment， inadequate service capacity of primary medical and health institutions， and separated multi-channel financing and incentive mechanisms. Based on four implementation paths including construction of collaborative governance network， capacity expansion of professional workforce， improvement of diversified financing and incentive mechanisms， and implementation of digital dynamic service system， this study puts forward supporting schemes for system optimization. The research aims to transform CPC work from a segmented intervention model centered on disease diagnosis and treatment to a continuous full-lifecycle health management model oriented toward residents’ health demands， so as to provide replicable practical references for all regions nationwide to improve the comprehensive cancer prevention and control system. |
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