提昇子宮頸抹片篩檢率之改善專案

A Project to Improve the Screening Rate of Pap Smear for Cervical Cancer

台灣婦女罹患子宮頸癌的比率高居世界第七名，高雄縣子宮頸抹片篩檢率為28.4%。本院隸屬公辦民營之醫院，賦予社區保健之責任，然而子宮頸抹片受檢率僅有13.2%，為了達到社區民眾早期發現早期治療的目的，故引發本專案改善動機，期望藉此專案改善促進婦女保健觀念進而將子宮頸抹片篩檢率提升為28.0%。經調查發現子宮頸抹片檢查知識不足，受檢流程繁瑣，耗費時間為50.86±5.88分、受檢地點可近性低、醫護人員無主動提醒抹片檢查相關訊息，為了改善上述問題本專案採用的解決辦法有加強子宮頸癌衛教、簡化抹片檢查流程、舉辦社區健檢，定期提供抹片車到點服務、加強門診電腦系統主動提示檢查訊息等。經介入方案實施後，抹片花費時間降低為20.48±2.28分鐘，篩檢人數增為1,305人，而抹片篩檢率更由原來的13.2%提昇至28.4%，透過專案持續改善進而提昇婦女子宮頸抹片篩檢率。

The incidence of cervical cancer in Taiwan is high and ranks as the seventh highest in the world. However, only 28.4% of the women in Kaohsiung underwent Pap smear screening. Ironically, the screening rate for female patients in our hospital was even lower at 13.2%. As medical staff in a public, community hospital, we have the responsibility to promote the health of our residents. The aim of this project was to increase the Pap smear screening rate to 28.0% in our community. The prior data analysis revealed that the low rate of Pap smear screening was related to inadequate information about the Pap smear, poor health knowledge among the women in this community, long processing time (50.86±5.88 minutes), inconvenient accessibility, and the lack of good explanation from our medical staff. The situation has significantly improved after we made adjustments including: providing an education program for women in our community, reduction of processing time, and convenient home services. The Pap smear screening rate increased from 13.2% to 28.4. The entire processing time was reduced to 20.48±2.28 minutes. We encourage women of all ages to take Pap smear tests regularly, which would be helpful for the prevention of cervical cancer.