The population cancer screening for various nosology of tumors in Ukraine.Problems of the adaptation. Outlook based on an evidential medicine (lessons of international experience)

Michailovich Y.I. , Gaysenko A.V., Zhurbenko A.V.

Summary. Reforms in medicine are extremely needed. While universally applicable, these reforms do not constitute a blueprint or a manifesto for action. The details required to give them life in each country must be driven by specific conditions and contexts, drawing on the best available evidence. Nevertheless, there are no reasons why any country — rich or poor — should wait to begin moving forward with these reforms. As the last two decades have demonstrated, substantial progress is possible. United us by the common challenge of primary health care is development prophylactic direction in oncology, the time is ripe, now more than ever. The inability of Ukrainian health services to deliver levels of national coverage that meet stated demands and changing needs, changing indexes of morbidity and death rate from malignant and with their failure to provide of quality medical services in ways that correspond to their expectations. Primary health care and depending on her prophylaxis and specialized medical care can do that stiff task. There is today a recognition that basic from the fundamental methods of prophylaxis and early diagnostics malignant tumours are cancer screening. The evidence base of differential diagnosing for various nosologic forms of malignant tumors that were recommended for programs cancer screening by World Health Organization such as breast cancer, prostate cancer, cervical cancer and colorectal cancer we carried out in this study. The challenge today in Ukraine there is a need for population cancer screening following disease, cervical cancer and colorectal cancer. In our conclusions of international experience in cancer screening were considered. Involvement of the executive and management for this is very important.
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