以強弱危機分析簡述我國癌症防治政策

The Disclosure of National Cancer Prevention Policy by SWOT Analysis

盧怜君(Ling-Chun Lu) ； 李亭亭(Ting-Ting Lee) ； 謝佳容(Chia-Jung Hsieh) ； 張蓓貞(Pei-Jen Chang)

《馬偕護理雜誌》 11卷2期 (2017/07) Pp. 7-14

https://doi.org/10.29415/JMKN.201707_11(2).0001

摘要

由於癌症發生率持續上升，健保支出日益沉重，政府為促進國人健康和降低國家負擔，致力推行防癌政策，但仍無法有效控制發生率、死亡率和醫療支出，因此本文藉由檢視國內民眾、國家法規和計畫、醫院和民間癌症組織等層面防癌現況，並將之與世界衛生組織四大防癌指標（監控發生率和死亡率、防治危險因子、提供國家支持資源和附加指標）進行比較，再透過強弱危機分析（Strengths, Weaknesses, Opportunities & Threats analysis）檢視三段防癌政策問題並提出建言，以做為未來施政參考。我國防癌政策整體優勢為具法源依據、執法層級高（行政院衛福部）、制度架構具規模；劣勢為民眾因認知不足，造成防癌資源利用率不佳，而導致發生率持續增加，且國家癌症醫療支出日益攀升等危機。因此，建議政府應藉由整合現有資源，強化民眾癌症防治認知，優化住院醫療和出院照護，設置社區支持系統，以增進防治成效。

關鍵字

癌症防治 ； 危機強弱分析 ； 三段防治策略

並列摘要

The incidence of cancer has increased continuously which resulted in high national health insurance expenditure in Taiwan. In order to promote public health and to cut the cost of care and relieve the cancer burden, thus, we reviewed the current policies in cancer prevention (including dimensions of populations, national legal regulations and plans, hospital and civil cancer associations), ＆ attempted to compare the indicators of World Health Organization (including monitoring incidence and mortality, controlling risk factors, supporting from national resources and additional indices). Furthermore, we analyzed the cancer prevention policy using Strengthens, Weaknesses, Opportunities, and Threats model on problems and propose suggestions as references for future policy implementation. The strengths included the presence of the policy and legislation of ＂Cancer Prevention and Therapy＂ act, effecient implementation in the highest institute (Ministry of Health and Welfare, Executive Yuan), and integration of framework in policy implantation. The weaknesses were poor awareness in control and prevention and delaying in seeking medical management in public, inadequate usage of cancer prevention screening methods which lead to the increased cancer incidence and the risk of raising national cancer prevention expenditure. The government should integrate current resources, improve the public awareness and compliance, enhance hospital and outpatient care quality, as well as set up community support system to enhance cancer prevention outcomes.

並列關鍵字

cancer prevention ； strengthen ； weakness ； opportunity & threats analysis ； three-level-prevention policy