以強弱分析子宮頸癌篩檢防治策略

SWOT analysis for screening and prevention of cervical cancer

子宮頸癌是台灣婦女常見癌症，也是全球的健康議題，本文使用強弱分析（SWOT）方法作政策分析，「優勢」為有立法基礎、已列入評鑑及督考、免費、有品質監測機制。「劣勢」為篩檢不適感及不方便影響篩檢、自覺健康影響受檢意願。「機會」為世界衛生組織將子宮頸癌防治列入衛生重點、列入癌症品質認證。「威脅」為涵蓋率不足、醫療資源不均、民眾認知不足。1995年起辦理全國性子宮頸抹片計畫，已達到早期發現的效益，成功地降低發生率和死亡率，國民健康署正研議癌症篩檢走向精準預防保健服務，朝向提供個人化之服務方向發展，預防保健子宮頸抹片檢查服務應持續辦理。

Cervical cancer is the common female cancer in Taiwan and also a global health issue. The strengths, weaknesses, opportunities, and threats (SWOT) analysis technique was used to test the strategy. Strengths include the legislative groundwork available, accreditation and supervision/evaluation, free of charge, and current quality monitoring scheme. Weaknesses include the affected screening resulted from discomfort and inconvenience in screening, and the intention to receive screening affected by the self-perceived health. Opportunities are the quality certification of prevention of cervical cancer organized by the World Health Organization. Threats include insufficient coverage, unevenly distributed medical resources, and inadequate public perception. The national Pap smear program implemented in 1995 has reached the benefits of cervical cancer, including an early detection, and the decrease of incidence and mortality of the disease. The Health Promotion Administration has been working on the refinement of cancer screening as a precise preventive healthcare service, and subsequent personalized services. Pap smear screening is encouraged to be continuous in preventive healthcare service.