引用本文:洪冬旎, 王盛, 王贤吉, 吴春峰, 戎春宇, 周萍.日本癌症全生命周期防控体系构建及启示[J].中国卫生政策研究,2024,17(2):72-78 |
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日本癌症全生命周期防控体系构建及启示 |
投稿时间:2023-11-04 修订日期:2024-02-03 PDF全文浏览 HTML全文浏览 |
洪冬旎1, 王盛2, 王贤吉3, 吴春峰4, 戎春宇1, 周萍1 |
1. 复旦大学公共卫生学院 国家卫健委卫生技术评估重点实验室 上海 200032; 2. 华东师范大学公共管理学院 上海 200062; 3. 上海市卫生健康委员会 上海 200125; 4. 上海市疾病预防控制中心 上海 200336 |
摘要:中国作为癌症新发病例和死亡人数最多的国家,面临着癌症人口基数大,相对生存率低,癌症筛查依从性不高的严峻形势。邻国日本是世界上最长寿的国家,尽管患癌率同样偏高,但是相对生存率远超中国,原因是其在癌症防控上建立了完备的体系。同为亚洲国家,中日主要流行的癌谱相似,可参考性较大。本文从日本癌症防治事业的三大目标入手,介绍日本“癌症预防”“癌症照护”“与癌症共存”的癌症全生命周期防控体系的建构,重点阐述了日本提高癌症筛查率的手段与方式,以期对中国癌症防控事业提供参考。 |
关键词:癌症 三级预防 行为经济学 助推理论 日本 |
基金项目:上海市卫生健康委员会卫生健康政策研究课题(2023HP87) |
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The construction and its implication of the cancer life-cycle prevention and control system in Japan |
HONG Dong-ni1, WANG Sheng2, WANG Xian-ji3, WU Chun-feng4, RONG Chun-yu1, ZHOU Ping1 |
1. School of Public Health, Fudan university, National Health Commission Key Laboratory of Health Technology Assessment, Shanghai 200032, China; 2. School of Public Administration, East China Normal University, Shanghai 200062, China; 3. Shanghai Municipal Health Commission, Shanghai 200125, China; 4. Shanghai Municipal Center for Disease Control & Prevention, Shanghai 200336, China |
Abstract:As the country with the largest number of new cancer cases and deaths, China faces a serious situation with a large cancer population base, low relative survival rate, and low adherence to cancer screening. Neighboring Japan, which has the longest life expectancy in the world, has a much higher relative survival rate than China, despite having a similarly high cancer rate, due to its well-established system of cancer prevention and control. Being an Asian country, the major prevalent cancers in China and Japan are similar in spectrum and can be referred to more. This article introduces the construction of Japan's cancer life-cycle prevention and control system of “cancer prevention”, “cancer care”, and “coexistence with cancer” starting from the three major goals of Japan's cancer prevention and control program, and focuses on the improvement of cancer screening in Japan and the improvement of cancer survival in China. It also highlights the means and methods used to increase the cancer screening rate in Japan, with a view to providing suggestions for cancer prevention and control in China. |
Key words:Cancer Tertiary prevention Behavioral Economics Nudge Theory Japan |
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