妇幼保健体系子宫颈癌医防一体化管理与技术服务专家共识

Expert consensus on integrated management and technical services for cervical cancer medical and prevention in maternal and child health care system

摘要

子宫颈癌可防可控却仍严重威胁女性健康.人乳头瘤病毒(HPV)疫苗接种、子宫颈癌筛查和早诊早治的综合干预策略是实现全球消除子宫颈癌战略目标的重要路径.目前我国已建立比较完善的妇幼保健体系,承担人群子宫颈癌防控技术服务与管理的重要职能.在妇幼保健体系内建立子宫颈癌医防一体化服务管理模式与协同机制,整合健康教育、疫苗接种、筛查、诊断与治疗、随访管理,对提高防治服务可及性,加速消除子宫颈癌的目标实现具有重要的公共卫生意义.本共识在对我国妇幼保健体系充分调研和专家研讨基础上,系统梳理妇幼保健体系在子宫颈癌防控工作中的作用、服务模式和瓶颈因素,提出构建妇幼保健机构内医防服务一体化和妇幼保健机构间医防服务全流程闭环的双路径模式,以及实现医防一体化模式的关键要素和建设原则,为推动我国妇幼保健体系子宫颈癌防治服务向连续、整合、系统转型提供指导建议.

Abstract

Cervical cancer is preventable and controllable, yet it remains a serious threat to women's health. The comprehensive intervention strategy of human papillomavirus (HPV) vaccination, cervical cancer screening and early diagnosis and treatment is a crucial pathway to achieve the goals of the global goal of eliminating cervical cancer. China has now established a relatively complete maternal and child health care system, which plays an important role in providing technical services and management for cervical cancer prevention and control among the population. Establishing a comprehensive management model and collaborative mechanism for cervical cancer medical and prevention within the maternal and child health care system, which integrates health education, vaccination, screening, diagnosis and treatment, and follow-up management are of great public health importance for improving the accessibility of prevention and treatment services and accelerating the goal of cervical cancer elimination. Based on comprehensive research and expert discussions on China's maternal and child health care system, this consensus systematically reviewed the roles, service modes, and bottleneck factors of the maternal and child health care system in cervical cancer prevention and control, proposing the construction of a dual-path model for integrated medical and preventive services within maternal and child health institutions and a full-process closed-loop model for medical and preventive services between maternal and child health institutions, as well as the key elements and construction principles for realizing the integrated medical and preventive model, providing guidance and recommendations for promoting the transformation of cervical cancer prevention and control services in China's maternal and child health system towards continuity, integration, and systematic transformation.

关键词

子宫颈癌 / 妇幼保健体系 / 医防服务整合 / 专家共识

Key words

cervical cancer / maternal and child health care system / integration of medical and preventive services / expert consensus

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基金资助

中国妇幼健康研究会妇幼体系子宫颈癌医防一体化管理应用研究(2023CAMCHS002)