确诊往往即晚期！基层肿瘤防控之难如何破

Core Viewpoint - The article discusses the challenges and strategies of Shantou University Medical College Affiliated Cancer Hospital in retaining patients for cancer treatment in the context of healthcare disparities in the eastern Guangdong region [4][6]. Group 1: Hospital Overview - Shantou University Medical College Affiliated Cancer Hospital is the only tertiary cancer specialty hospital in eastern Guangdong, with an outpatient volume of 192,000 in 2024, ranking 17th nationally among public cancer hospitals [3]. - The hospital faces challenges similar to many hospitals in third-tier cities, particularly in retaining local patients who often seek treatment in first-tier cities like Guangzhou due to a lack of confidence in local medical capabilities [4][6]. Group 2: Cancer Prevention and Treatment Challenges - The uneven distribution of medical resources in eastern Guangdong leads to a lack of multi-disciplinary collaboration in cancer treatment, with many hospitals lacking specialized departments such as radiation therapy [7]. - There is a significant need for improved cancer prevention and treatment capabilities in rural areas, as highlighted by the National Health Commission's focus on enhancing cancer control in these regions [8]. - Early diagnosis rates for cancer in China are low compared to developed countries, with many patients diagnosed at advanced stages due to insufficient screening and preventive measures [8][9]. Group 3: Strategies for Patient Retention - The hospital aims to retain more cancer patients locally by enhancing awareness of its strengths and addressing its weaknesses through collaboration with leading hospitals [12]. - The establishment of the Eastern Guangdong Cancer Management Alliance aims to connect various medical institutions to improve cancer care and facilitate expert consultations for complex cases [13]. - The hospital has implemented an integrated cancer management model that encompasses prevention, screening, diagnosis, treatment, rehabilitation, and follow-up, breaking down barriers between different healthcare stages [13][14]. Group 4: Integrated Cancer Care Model - The Breast Cancer Integrated Center at the hospital has developed a comprehensive service system that integrates screening, diagnosis, treatment, rehabilitation, and follow-up, allowing for a "one-stop" treatment experience [14]. - This integrated model not only reduces patient costs and time but also enhances collaboration among multi-disciplinary teams, leading to improved treatment outcomes and patient benefits [14].