Optimalisasi Layanan Laboratorium Kanker Payudara di Daerah Terpencil melalui Inovasi Teknologi dan Pendekatan Berbasis Komunitas
Keywords:
Kanker Payudara, Layanan Laboratorium, Daerah Terpencil, Kesehatan Digital, Diagnosis DiniAbstract
Kanker payudara tetap menjadi salah satu penyebab utama kematian terkait kanker di kalangan wanita di seluruh dunia, dan diagnosis dini sangat penting untuk meningkatkan hasil pasien. Namun, akses ke layanan laboratorium di daerah terpencil sering terhambat oleh keterbatasan infrastruktur, kekurangan tenaga kesehatan terampil, logistik yang tidak memadai, dan hambatan geografis. Tinjauan ini bertujuan untuk merangkum strategi saat ini untuk meningkatkan akses ke layanan laboratorium kanker payudara di daerah yang kurang terlayani. Literatur yang relevan dianalisis untuk mengidentifikasi pendekatan utama, termasuk memperkuat infrastruktur perawatan kesehatan, menerapkan sistem rujukan hub-and-spoke, memanfaatkan telepatologi dan perangkat diagnostik portabel, meningkatkan kapasitas tenaga kesehatan, dan mengintegrasikan teknologi kesehatan digital. Intervensi berbasis masyarakat, pembiayaan berkelanjutan, dan kolaborasi multisektoral juga diakui sebagai komponen penting untuk keberlanjutan program jangka panjang. Selain itu, sistem transportasi yang inovatif dan pendekatan yang sensitif secara budaya dapat membantu mengatasi tantangan sosial dan geografis. Secara keseluruhan, meningkatkan akses ke layanan laboratorium kanker payudara membutuhkan strategi terintegrasi dan konteks khusus yang melibatkan inovasi teknologi, dukungan kebijakan, dan partisipasi aktif masyarakat. Upaya ini diharapkan dapat mengurangi kesenjangan dalam akses perawatan kesehatan dan memfasilitasi diagnosis dini dan hasil pengobatan yang lebih baik di antara pasien kanker payudara di daerah terpencil.
References
A. Afaya et al., “Health system barriers influencing timely breast cancer diagnosis and treatment among women in low and middle-income Asian countries: evidence from a mixed-methods systematic review,” BMC Health Serv Res, vol. 22, no. 1, p. 1601, Dec. 2022, doi: 10.1186/s12913-022-08927-x.
A. D. Wilkerson, C. K. Gentle, C. Ortega, and Z. Al-Hilli, “Disparities in Breast Cancer Care—How Factors Related to Prevention, Diagnosis, and Treatment Drive Inequity,” Healthcare, vol. 12, no. 4, p. 462, Feb. 2024, doi: 10.3390/healthcare12040462.
X. Xiong et al., “Breast cancer: pathogenesis and treatments,” Sig Transduct Target Ther, vol. 10, no. 1, p. 49, Feb. 2025, doi: 10.1038/s41392-024-02108-4.
I. Mupunga et al., “A qualitative evaluation of access to essential laboratory services for communicable diseases at the primary health care level in the Western Pacific Region,” Trop Med Health, vol. 53, no. 1, p. 156, Nov. 2025, doi: 10.1186/s41182-025-00797-3.
D. Erku et al., “Digital Health Interventions to Improve Access to and Quality of Primary Health Care Services: A Scoping Review,” IJERPH, vol. 20, no. 19, p. 6854, Sep. 2023, doi: 10.3390/ijerph20196854.
A. Owoyemi et al., “Digital Solutions for Community and Primary Health Workers: Lessons From Implementations in Africa,” Front. Digit. Health, vol. 4, p. 876957, Jun. 2022, doi: 10.3389/fdgth.2022.876957.
S. Burlacu, C.-V. Rădulescu, E. P. Bălu, and F. Dobre, “Socio-cultural Sustainability for Resilience in Public Services: Strategies for Achieving Inclusive and Equitable Service Delivery,” EJSD, vol. 12, no. 3, p. 29, Oct. 2023, doi: 10.14207/ejsd.2023.v12n3p29.
WHO, Health Systems Resilience Toolkit: A WHO Global Public Health Good to Support Building and Strengthening of Sustainable Health Systems Resilience in Countries with Various Contexts, 1st ed. Geneva: World Health Organization, 2022.
L. Chuvita, E. A. M. Sampetoding, Y. S. Pongtambing, E. Christiana, and Y. A. M. Ambabunga, “Studi Litelatur Penerapan Internet of Things pada Kesehatan Mental: A Literature Review: The Application of IoT in Mental Health,” dynamicsaint, vol. 7, no. 1, Jan. 2023, doi: 10.47178/dynamicsaint.v7i1.1458.
J. M. Petersen, “The Critical Value of Telepathology in the COVID-19 Era,” Federal Practitioner, vol. 40, no. 6, Jun. 2023, doi: 10.12788/fp.0381.
J. Shi et al., “Telepathology and Mobile Health System for Province-Wide Pathology Consultation in Henan, China: Retrospective Evaluation Study,” J Med Internet Res, vol. 28, p. e75172, Mar. 2026, doi: 10.2196/75172.
L. Wang, F. Cui, and X. He, “Telepathology Development and Stakeholder Perspectives in China: Cross-Sectional Survey,” JMIR Med Inform, vol. 14, pp. e83514–e83514, Mar. 2026, doi: 10.2196/83514.
D. K. Lintang, K. Widatama, and I. Y. Pasa, “Bridging Data Sistem Informasi Rumah Sakit (SIMRS) Dan Laboratory Information System (LIS),” Jurnal Sistem Cerdas, vol. 05, no. 02, pp. 92–106, 2022.
C. M. Sergi, “Implementing Epic Beaker Laboratory Information System for Diagnostics in Anatomic Pathology,” RMHP, vol. Volume 15, pp. 323–330, Feb. 2022, doi: 10.2147/RMHP.S332109.
W. Shan et al., “Community boat service to promote institutional delivery in the Philippines: a mixed-methods study of a social innovation,” bmjph, vol. 2, no. 2, p. e001419, Nov. 2024, doi: 10.1136/bmjph-2024-001419.
R. Syafitri, S. Suryaningsih, C. Casiavera, N. Niko, and S. Wahyuni, “Breaking Barriers: Healthcare Access for the Suku Laut’s Elderly, Mothers, and Children,” BIO Web Conf., vol. 134, p. 07003, 2024, doi: 10.1051/bioconf/202413407003.
E. Austin, N. Ward, J. Otto, K. Green, and H. Watson, “Assessing the Impact of Culture: A Systematic Analysis of Culture-Based Interventions and Evaluations,” Front. Future Transp., vol. 3, p. 917915, Jul. 2022, doi: 10.3389/ffutr.2022.917915.
D. A. Cipta et al., “Culturally sensitive patient-centered healthcare: a focus on health behavior modification in low and middle-income nations—insights from Indonesia,” Front. Med., vol. 11, p. 1353037, Apr. 2024, doi: 10.3389/fmed.2024.1353037.
I. Subhi, W. H. Cahyati, and I. Zainafree, “Service Strengthening Strategy Primary Through Engagement Health Cadres in The Community,” vol. 8, no. 2, 2025.
WHO, “Strengthening primary health care as a key element towards achieving universal health coverage,” World Health Organization of South-East Asia, vol. SEA/RC76/3, pp. 1–10, 2023.
M. A. Price et al., “Region-specific laboratory reference intervals are important: A systematic review of the data from Africa,” PLOS Glob Public Health, vol. 2, no. 11, p. e0000783, Nov. 2022, doi: 10.1371/journal.pgph.0000783.
AIIC, “Digital Pathologyb E AI-L’esperienza Dell’aou Federico II Di Napoli.” Accessed: Apr. 27, 2026. [Online]. Available: https://www.convegnonazionaleaiic.it/2024/digital-pathology-e-ai-lesperienza-dellaou-federico-ii-di-napoli/index.htm
S. Sayed et al., “Training health workers in clinical breast examination for early detection of breast cancer in low- and middle-income countries,” Cochrane Database of Systematic Reviews, vol. 2023, no. 4, Apr. 2023, doi: 10.1002/14651858.CD012515.pub2.
A. Uwimana et al., “Integrating Breast Cancer Early Detection Into a Resource-Constrained Primary Health Care System: Health Care Workers’ Experiences in Rwanda,” JCO Global Oncology, no. 8, p. e2200181, Dec. 2022, doi: 10.1200/GO.22.00181.
O. Ayaad et al., “Breast Cancer Awareness, Screening Practices, Barriers, and Educational Interventions in Middle Eastern Countries: Challenges and Successes,” Asian Pac J Cancer Biol, vol. 10, no. 1, pp. 251–260, 2025.
R. K. Sangwan et al., “Strengthening breast cancer screening program through health education of women and capacity building of primary healthcare providers,” Front. Public Health, vol. 11, p. 1276853, Nov. 2023, doi: 10.3389/fpubh.2023.1276853.
D. Boccia, S. Maritano, C. Pizzi, M. G. Richiardi, S. Lioret, and L. Richiardi, “The impact of income-support interventions on life course risk factors and health outcomes during childhood: a systematic review in high income countries,” BMC Public Health, vol. 23, no. 1, p. 744, Apr. 2023, doi: 10.1186/s12889-023-15595-x.
A. Whitman, N. D. Lew, A. Chappel, V. Aysola, R. Zuckerman, and B. D. Sommers, “Addressing Social Determinants of Health: Examples of Successful Evidence-Based Strategies and Current Federal Efforts,” 2022.
E. A. Andoh and H. Yu, “A two-stage decision-support approach for improving sustainable last-mile cold chain logistics operations of COVID-19 vaccines,” Ann Oper Res, vol. 328, no. 1, pp. 75–105, Sep. 2023, doi: 10.1007/s10479-022-04906-x.
J. Gillespie et al., “Real-Time Anomaly Detection in Cold Chain Transportation Using IoT Technology,” Sustainability, vol. 15, no. 3, p. 2255, Jan. 2023, doi: 10.3390/su15032255.
Advotics, “Rantai Dingin (Cold Chain) & Penerapannya dalam Distribusi Vaksin.” Accessed: Apr. 27, 2026. [Online]. Available: https://www.advotics.com/sistem-rantai-dingin/Rantai Dingin (Cold Chain) & Penerapannya dalam Distribusi Vaksin
P. Allen, C. Walsh-Bailey, J. Hunleth, B. J. Carothers, and R. C. Brownson, “Facilitators of Multisector Collaboration for Delivering Cancer Control Interventions in Rural Communities: A Descriptive Qualitative Study,” Prev. Chronic Dis., vol. 19, p. 210450, Aug. 2022, doi: 10.5888/pcd19.210450.
C. Myers, B. Durvy, J. Ghattas, G. Scarpetti, S. Merkur, and F. Tille, “Reducing inequalities in cancer care; A health system approach,” Europian Observatory on Health Systems and Policies a Partnership Hosted by WHO, pp. 1–30, 2025.
Q. Zhao, C. Zhang, W. Zhang, S. Zhang, Q. Liu, and Y. Guo, “Applications and challenges of biomarker-based predictive models in proactive health management,” Front. Public Health, vol. 13, p. 1633487, Aug. 2025, doi: 10.3389/fpubh.2025.1633487.
Intellitec, “Laboratory Information System (LIS) for Small to Mid-Sized Medical Laboratories.” Accessed: Apr. 27, 2026. [Online]. Available: https://www.intellitec.de/lis-solutions/
R. Mushasha et al., “Existing operational standards for field deployments of rapid response mobile laboratories: a scoping review,” Front. Public Health, vol. 12, p. 1455738, Nov. 2024, doi: 10.3389/fpubh.2024.1455738.
BPOM, “Balai Besar POM di Makassar Melaksanakan Mobil Laboratorium Keliling Kosmetika Aman (Molkika) di Kabupaten Bantaeng, Sulawesi Selatan.” Accessed: Apr. 27, 2026. [Online]. Available: https://www.pom.go.id/berita/balai-besar-pom-di-makassar-melaksanakan-mobil-laboratorium-keliling-kosmetika-aman-(molkika)-di-kabupaten-bantaeng,-sulawesi-selatan
K. Arredondo, H. N. Touchett, S. Khan, M. Vincenti, and B. V. Watts, “Current Programs and Incentives to Overcome Rural Physician Shortages in the United States: A Narrative Review,” J GEN INTERN MED, vol. 38, no. S3, pp. 916–922, Jul. 2023, doi: 10.1007/s11606-023-08122-6.
P. Phanthunane, A. Suwatmakin, N. Konglumpun, and S. Pannarunothai, “Job incentives influencing health professionals working in rural and remote areas in Thailand: finding from discrete choice experiment to policy recommendation,” BMC Health Serv Res, vol. 25, no. 1, p. 254, Feb. 2025, doi: 10.1186/s12913-025-12408-2.
Paramacitra : Jurnal Pengabdian Masyarakat licensed under a 