- 期刊
提昇牙科門診病人口腔黏膜篩檢率
Enhance the Rate of Oral Mucosal Screening in Dental Outpatient
摘要
近年來口腔癌已躍升為國人十大死因的第六位，雖然口腔黏膜篩檢為早期發現口腔癌的有效方法，但本院18歲以上牙科門診病人口腔癌篩檢率相當低，故本專案主旨是為提升牙科門診病人的口腔黏膜篩檢率。經現況分析發現：病人對口腔癌認知不足、不知道做定期口腔黏膜篩檢時程的重要性、工作人員忙碌、政策宣導不足、缺乏專人管理與流程的追蹤，導致口腔黏膜篩檢率僅達6.3%。經設置專責人員負責、建立口腔癌篩檢與異常個案追蹤流程、增加宣導次數、張貼宣導海報、推動人員獎勵辦法、增加團體衛教課程及衛教單張、建置電腦提示系統、回寫紀錄及電腦輸出報表等措施後，口腔黏膜篩檢率提昇至55.1%，篩檢異常個案回診率為100%，病人對口腔黏膜篩檢的服務滿意度為84.5分。本專案能有效提升口腔黏膜篩檢率，確實能達到疾病的預防及早期治療之成效。
並列摘要
In recent years, oral cancer has risen to become the sixth leading cause of death in Taiwan. Although oral mucosal screening is known to be effective in the early detection of oral cancer, the actual screening rate in our hospital is very low, especially for the dental clinic patient population of age 18 and over. In view of this, the focus of this project is to address the root cause and remedial measures, to significantly enhance the screening rate of oral mucosa. Current analysis shows many underlying causes. For example, the patient lacks general awareness on the risk of oral cancer, and the importance of undertaking oral mucosal screening at regular intervals. In addition, the healthcare system (and its policy) is deficient in the advocacy, administration, and follow-up of such screening. All these factors have contributed to the low screening rate of 6.3%. From the establishment of dedicated healthcare staff for this project; standardize the screening and cancer tracking procedures; expand on the promotion program and promotion posting; provide additional staff incentives; increase community health education curriculum and educational materials; establish computer alert system for return visits and record tracking and reporting; which had elevated the oral mucosal screening rate to 55.1%, the rate for return treatment (in malignant cases) to 100%, and patient satisfaction to a score of 84.5 out of 100.