資料庫管理系統運用於子宮頸抹片檢查異常追蹤

本研究嘗試以個案管理師自行使用資料庫管理系統建置子宮頸抹片檢查異常個案追蹤系統。透過系統有效率的整理出子宮頸抹片檢查記錄，進而提高病人個案追蹤回診率，取代以人工方式回溯病歷與登錄資料之資料管理困境。本研究系統的介面層採用雛型法開發系統，系統分析邏輯層採用統一塑模語言(UML)快速產生出程式片段，後端資料庫採用Access資料庫管理系統。子宮頸抹片檢查異常追蹤系統分成三個子系統包括：ASC-US/LSIL、ASC-H/HSIL、判讀不良。子宮頸抹片檢查異常追蹤系統可以即時掌握異常個案追蹤狀態，不僅幫助篩檢個案管理師追蹤瞭解每一位個案的身體狀況之外，還可以透過品質監測指標統計報表於婦科腫瘤小組會議報告及檢討改善，以確保落實執行，為個案帶來更優質的個人化服務。未來個案管理師可以自行運用使用者自建模式擴展自不同工作領域中，提升工作效率更能深入照護個案服務。

關鍵字

子宮頸抹片；雛型法開發；統一塑模語言；使用者自建模式

並列摘要

In this study, we approach electronic database creation and case management from the perspective of the end-user computing environment. By utilizing the capabilities of Microsoft Access, case managers can resolve difficulties of retrieve medical records for retrospective review or record entry manually. Therefore, case managers, on their own, can use Microsoft Access to create a case management system for Abnormal Pap Smear cases for the purpose of increase the efficiency of tracking these cases. The prototyping method is applied for creating graphic user interface layer of the tracking system. We use Unified Modeling Language (UML) to analyze the system logic and workflow to generate code snipe automatically. The MS Access software is the back-end database for data store. The tracking system is divided into three subsystems including ASC-US/LSIL, ASC-H/HSIL and Inadequacy of the specimen. The tracking system of Abnormal Pap Smear can ensure follow-ups in the timely manner. A case manager not only understand and keep tracking the status of each case, but also use the index of quality report is used to review and does action for providing better personal services. The case manager can apply the self-build model for different fields´ manner and achieving better work efficiency and service quality.