广州市越秀区常见恶性肿瘤二级预防的模式的研究

A Study on the patten of Two - level provention for common malignant tumors in Yuexiu district of Guangzhou

目的探索城市社区开展恶性肿瘤二级预防的模式。方法以广州市越秀区为研究对象,依托社区原有的初级卫生保健网,着重建立三级防癌网和肿瘤登记系统,开展居民的防癌知识健康教育和基层卫生人员的培训。以此为基础逐步推行恶性肿瘤的筛查,以求早期发现常见癌瘤。结果在越秀区建立起三级防癌网和肿瘤登记系统,统计出1996～1999年肿瘤发病率和死亡率,摸清当地的癌瘤谱,确定筛查的常见癌瘤。并应用分层捕获-再捕获方法对肿瘤发病登记质量进行评估。在社区培养一支防癌骨干队伍,广泛开展居民防癌知识健康教育,覆盖率达87％。已初步开展常见癌瘤的筛查。结论在初级卫生保健网的基础上建立肿瘤防治网,增加初级保健和社区卫生服务的防癌功能,扩大服务范围,是该研究的主要经验。

Objective To explore a pattern of two - level prevention for malignant tumor in an urban community. Subjects and methods Yuexiu District of Guangzhou was chosen as study community. Depending on the existed network of primary health care in the community, a three - level network of cancer prevention and a cancer registry system were set up.The health education for the prevention of Cawcers and the training for community health workers were carried out, aiming at screening for malignant fumors to discover common neoplasms at early stage. Results The three - level network of cancer prevention and the cancer registry system has been formed. Based on cancer registry data, the incidence rates and mortality rates of cancer have been figured out. A stratified capture - recapture method has been developed to evaluate the quality of cancer registry. The cover rate of health education in community has been 87 % . A team of health workers has been trained readily for cancer screening. Conclusion It is a good way to combine cancer prevention with the work of primary health care.