- 期刊
提昇某區域教學醫院婦女子宮頸抹片執行率
The Project to improve the Screening Rate of Pap Smear in a Regional Teaching Hospital
摘要
根據統計2009年子宮頸癌為女性癌症死亡排行第六位，子宮頸抹片檢查是早期發現子宮頸癌前病變最佳方式。本院2008年30歲以上抹片人數為3,632人／年（61.64%），低於國健局設定本院抹片率閾值。因而成立專案小組，執行改善方案以提昇抹片篩檢率。經現況分析，發現本院子宮頸抹片篩檢率低的主要原因為缺乏社區到點服務、缺乏誘因、流程繁瑣、醫院宣導及醫護人員指導不足。專案小組擬定解決方案包含社區到點服務、簡化流程、衛生教育宣導、醫護及行政人員提示競賽，專案實施後，2009年子宮頸抹片率達目標值80%（4,682位30歲以上婦女）。透過本專案實施過程，本院的服務與社區資源結合，不但提高子宮頸抹片率，也擴展社區到點服務，進而提供婦女高品質的服務。
並列摘要
According to the statistics of Department of Health, Executive Yuan, in Taiwan, the mortality of cervical cancer is in the sixth of women's cancers in 2009. However, Pap smear is a screening test which allows doctors to predict effectively the cervical cancer in time to prevent it developing. In 2007, our hospital conducted Pap smear in 3,632 (61.64 %) women above 30 years old being lower than target value. We organized the project team for improving Pap smear screening rate. Based on data analysis, we identity the following causes as inconvenient accessibility in the community, lack of inducements, screening flow was tedious, insufficient Pap smear information, and the lack of useful informatics from medical staff. The project team proceeded to arrange community services, simplified screening flow, promoted campaigns, and provided inducement to encourage hospital staff. After implementing these strategies, we improved the Pap smear screening rate to the target 80% (4,682 women above 30 years old) in 2009. This project improved Pap smear test rate effectively while our services integrate with community resources for approaching women health service.