肯塔基州癌症协作网络运行20年：从3家社区医院扩展至全州20个站点
肯塔基大学10月22日在其官方新闻平台 UKNow 回顾：该校 Markey 癌症中心附属网络（MCCAN）自2006年创立以来已运行20年，最初只有 Harrison Memorial、Rockcastle Regional 和 St. Claire Regional 三家社区医院，如今已扩展到全州20个站点，把肯塔基州唯一一家获美国国家癌症研究所（NCI）指定综合癌症中心的专业资源输送到各地社区。
网络医疗主任 Tim Mullett 表示，网络的宗旨不是取代患者熟悉的本地医生和医院，而是壮大地方癌症项目，同时为需要更专科治疗的患者打通转诊路径——「更高质量的癌症诊疗，就在患者家门口」是网络的口号。按这一「混合诊疗」模式，化疗、免疫治疗、放疗及部分手术可在社区医院完成，复杂手术、CAR-T 细胞治疗、骨髓移植与临床试验等则转至位于列克星敦的 Markey 中心；目前每年有1000多名患者经网络转诊接受协作诊疗，治疗后原则上回到本地团队继续随访。
作为加入条件，附属项目须取得美国外科医师学会癌症委员会（CoC）的质量认证，网络则提供教育、质量改进与达标支持。自2015年起，网络还把临床研究带进社区医院。Mullett 指出，肯塔基历史上肺癌发病率居全美前列，但近年筛查率已高于全国平均，晚期确诊比例下降、生存率上升；全州发病最高的五种癌症——肺癌、乳腺癌、结肠癌、前列腺癌与黑色素瘤——都有成熟的早筛手段，下一阶段重点是进一步扩大筛查与预防。
来源：GSM·美国
Kentucky Cancer Care Network Marks 20 Years: From 3 Community Hospitals to 20 Sites Statewide
The University of Kentucky looked back on October 22 on its official news platform, UKNow: the Markey Cancer Center Affiliate Network (MCCAN), founded in 2006, has now operated for 20 years. It began with just three community hospitals — Harrison Memorial, Rockcastle Regional and St. Claire Regional — and has grown to 20 sites across the state, carrying the expertise of Kentucky's only National Cancer Institute (NCI)-designated comprehensive cancer center into local communities.
Network medical director Tim Mullett said the network's purpose is not to replace the local doctors and hospitals patients know, but to strengthen local cancer programs while opening referral pathways for patients who need more specialized care — "higher-quality cancer care, right at the patient's doorstep" is the network's motto. Under this hybrid model, chemotherapy, immunotherapy, radiation and some surgeries can be done at community hospitals, while complex surgeries, CAR-T cell therapy, bone marrow transplants and clinical trials are referred to the Markey Center in Lexington. More than 1,000 patients a year now receive coordinated care through network referrals, returning to their local teams for follow-up after treatment.
As a condition of membership, affiliate programs must earn quality accreditation from the American College of Surgeons' Commission on Cancer (CoC), and the network provides education, quality improvement and compliance support. Since 2015 the network has also brought clinical research into community hospitals. Mullett noted that Kentucky historically ranks near the top nationally in lung cancer incidence, but screening rates have risen above the national average in recent years, late-stage diagnoses have fallen and survival has improved. The state's five most common cancers — lung, breast, colorectal, prostate and melanoma — all have established early screening methods, and the next phase will focus on further expanding screening and prevention.
Source: GSM News
来源：GSM·美国（原文链接）
图片来源：图：肯塔基大学 Margaret I. King 图书馆。摄影：Mhuy222，CC BY-SA 4.0（Wikimedia Commons）。Photo: The Margaret I. King Library at the University of Kentucky. Photo by Mhuy222, CC BY-SA 4.0 (Wikimedia Commons).
