提升健康管理中心子宮頸抹片檢查率之改善方案

Improving the Pap Smear Screening Rate for Cervical Cancer in a Health Management Center: A Quality Improvement Program

10.6224/JN.202308_70(4).10

周佩君(Pei-Chun CHOU)；陳秀姬(Hsiu-Chi CHEN)；葉倩玲(Chien-Ling YEH)；許麗貞(Li-Chen HSU)；羅郁華(Yu-Hua LO)

健康管理中心 ； 子宮頸癌篩檢 ； 抹片檢查率 ； health management center ； cervical cancer screening ； screening rate of Pap smear

護理雜誌

70卷4期（2023 / 08 / 01）

77 - 86

繁體中文;英文

背景：透過及早發現與治療，能有效預防子宮頸癌，而某健檢中心女性受檢者2020年子宮頸抹片檢查率僅為54.3%。目的：藉由此專案改善提升受檢者子宮頸抹片篩檢率，提升健康檢查照護品質。解決方案：透過修改健檢檢查項目、增加資訊平台預約、設計醫病共享決策（shared decision making）輔助工具、擬真模型衛教指導、檢前健保卡查詢等進行改善。結果：由改善前2020年的54.3%提升至改善後2021年9月至12月81.2%，且2022年平均達96.6%。結論：透過醫病共享決策提供所有可考量的選擇，有助於民眾做出符合偏好的醫療決策，選擇適合的子宮頸抹片檢查。

Background & Problems: Early detection tests are highly effective in helping adult women prevent the onset of cervical cancer. However, the cervical Pap smear screening rate in a health management center was only 54.3% in 2020. Purpose: This project was developed to improve the Pap smear screening rate for cervical cancer in a health management center. Resolution: The strategies developed included revising the health examination lists, developing an online appointment booking system, designing a patient decision aid, creating a standardized simulation moulage for education, and rechecking patient's National Health Insurance cards. Result: After implementation of these strategies, the Pap smear screening rate for cervical cancer rose from 54.3% to 81.2%. The screening rate at the health management center in 2022 reached 96.6%. Conclusion: Shared decision-making can elucidate the comprehensive options available to clients and support them in considering their options and achieving informed choices regarding Pap smear preferences.

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