In the U.S., care deserts exist across specialties and geographic areas. Represented in a variety of ways, cancer care deserts arise when patients are unable to access appropriate treatments, screenings and clinical trials. Rachel Wagemann, vice president of operations for South Dakota-based Sanford Health's Sioux Falls market, spoke to Becker's about how the largest rural health system in the U.S.

在美国，护理沙漠跨越专业和地理区域。当患者无法获得适当的治疗、筛查和临床试验时，癌症护理沙漠就会以各种方式出现。位于南达科他州的桑福德健康公司的苏福尔斯市场运营副总裁雷切尔·瓦格曼（RachelWagemann）向贝克尔（Becker's）讲述了美国最大的农村卫生系统。

ensures its patients have access to cancer care. Editor's note: Responses have been lightly edited for clarity and length.Question: How is Sanford Sioux Falls addressing access to cancer care? Rachel Wagemann: This year we expanded our diagnostic mammography services so that they can be done remotely, meaning we're able to provide diagnostic mammography services with the physician located in Sioux Falls and the patient located in a small community hospital.

确保患者获得癌症护理。编者按：为了清晰明了和篇幅较长，对回复进行了轻微编辑。问题：桑福德苏福尔斯如何解决获得癌症护理的问题？瑞秋·瓦格曼：今年，我们扩大了乳腺X线诊断服务，以便可以远程进行，这意味着我们能够为位于苏福尔斯的医生和位于一家小型社区医院的患者提供乳腺X线诊断服务。

This helps to reduce transportation and lodging barriers that otherwise would have prevented patients from receiving care.Our mobile mammography looks to provide preventative and screening services throughout rural South Dakota. It is also available in our more urban communities that are otherwise underserved or have difficulties finding transportation.  Our Cancer Community Outreach Coordinator works with a variety of nonprofit organizations throughout the state to reach underserved communities, non-English-speaking communities, and other groups of patients that often find themselves without access to basic information on screening and prevention.

这有助于减少交通和住宿障碍，否则这些障碍会阻止患者接受治疗。我们的移动乳房X光检查旨在为南达科他州农村地区提供预防和筛查服务。它也适用于我们更多的城市社区，否则服务不足或难以找到交通工具。我们的癌症社区外联协调员与全州的各种非营利组织合作，以接触服务不足的社区，非英语社区以及其他经常无法获得筛查和预防基本信息的患者群体。

She's even been known to personally drive patients to their appointments with their oncologists.  Both our medical oncology and radiation oncology practices provide outreach and virtual appointment services, seeing patients from across the state and surrounding states. We've par.

她甚至亲自开车送病人去他们的肿瘤学家那里。我们的医学肿瘤学和放射肿瘤学实践都提供外展和虚拟预约服务，可以看到来自全州和周边州的患者。我们有标准杆。