Promoting Cancer Screening in Routine Health Services · 2017-03-04 · colorectal cancer screening...
Transcript of Promoting Cancer Screening in Routine Health Services · 2017-03-04 · colorectal cancer screening...
Promoting Cancer Screening in
Routine Health Services
Tumor Center, Changhua Christian Hospital
Dr. Chang Tung-Hao
Program
Introduction
Integration / Promotion in CCH
Adding value and saving lives
Conclusion
Introduction
From Taiwan government’s regulation and the support of
Health and Welfare Surcharge, Health Promotion
Administrtion designed ”cancer quality improvement
project”.
Introduction
Cancer screening program
After the explanation session of this project in late 2009,
we prompted our action within 3 months.
Introduction
2012
2013
Introduction
Our service area covers a population of more than 1.3 million.
We have more than 60 subspecialties
OPD:5,000 visits/day
Total beds:1,676 beds
Program
Introduction
Integration / Promotion in CCH
Adding value and saving lives
Conclusion
Integration / Promotion in CCH
In this large-scale hospital, our cancer prevention and
control programs are under the same leadership.
Superintendent
Dr. Kuo
Cancer committee
Chairman, vice superintendent
Dr. Soon Chemotherapy audit team
Tumor centerExecutive unit
Cancer registry audit team
Multidisciplinary teams
Cancer screening committee
Chairman, vice superintendent
Dr. Soon
Integration / Promotion in CCH
Integration / Promotion in CCH
11
Case managers for cancer
screening
Integration / Promotion in CCH
Integration / Promotion in CCH
After brain storming and process design for cancer screening,
we extensively use information systems in our daily works.
Integration / Promotion in CCH
SOP
Integration / Promotion in CCHInformation systems
1. screening referral system
Integration / Promotion in CCHInformation systems
2. screening integration system
Integration / Promotion in CCHInformation systems
3. follow-up system for positive cases
Integration / Promotion in CCHInformation systems
4. systems for cancer screening case managers
Cervix smear (Clinic 140)
Oral cancer screening (Clinic 119)
Screening mammography (Clinic 170)
Colorectal cancer screening (Clinic 42)
Integration / Promotion in CCH
Integration / Promotion in CCH
Personal Incentive
Team Incentive
Promotion in different media
20/
72
Electronic bulletin board OPD list Publication
News letters Web page Notes
Integration / Promotion in CCH
Promotion in our lobby
Integration / Promotion in CCH
Deliver cancer screening services in rural areas
Integration / Promotion in CCH
Program
Introduction
Integration / Promotion in CCH
Adding value and saving lives
Conclusion
Adding value and saving lives
Once our patients fit the screening criteria, we invite
them to have these adding value services.
Cervical cancer screening
Colorectal cancer screening Oral cancer screening
Breast cancer screening
Completion rates in 2013
Adding value and saving lives
Adding value and saving lives
We also established the colorectal cancer screening
criteria for Taiwan (this is supported by the project from
Health Promotion Administrtion) and we always teach
case managers of different hospitals.
workshopsymposium
Adding value and saving lives
Our people did get adding value when they visited
their near-by hospitals and we did save more lives
after cancer screening program.
year
Coverage rate(%)
2004 2005 2006 2007 2008 2009 2010 2011 2012
The screening rate for colorectal
cancer was around 10% before
the support of Health and Welfare
Surcharge.
Adding value and saving lives
Screening number Positive cases Cancer cases
year 2010 2011 2012 2010 2011 2012 2010 2011 2012
Cervical cancer
screening18899 5741 5476 418 129 136 11 47 50
Screening
mammography11272 10841 11639 873 949 1070 94 79 102
Oral cancer
screening7502 3387 4923 2447 922 1566 156 90 129
Colorectal
cancer
screening
12490 7208 11522 1075 614 924 22 18 32
total 50163 27177 33560 4813 2614 3696 283 234 313
colorectal cancer screening
Cases
screene
d
Positive
cases
Call-back
completedpercentage
全部(222 hospitals) 451,998 32,585 18,036 55.4%
國立臺灣大學醫學院附設醫院(NTUH)8,456 562 349 62.1%
行政院國軍退除役官兵輔導委員會臺北榮民總醫院(VGH)7,580 678 192 28.3%
新光醫療財團法人新光吳火獅紀念醫院(SKH)7,612 768 469 61.1%
中國醫藥大學附設醫院(CMUH)7,878 751 366 48.7%
奇美醫療財團法人奇美醫院(Chi-Mei Hospital)8,676 955 636 66.6%
長庚醫療財團法人高雄長庚紀念醫院(CGMH-Kaohsiung)14,498 1,146 752 65.6%
長庚醫療財團法人基隆長庚紀念醫院(CGMH-Keelung)8,804 654 368 56.3%
醫療財團法人徐元智先生醫藥基金會亞東紀念醫院(FEMH)7,900 412 289 70.1%
長庚醫療財團法人林口長庚紀念醫院(CGMH-Linko)10,347 777 438 56.4%
財團法人彰化基督教醫院(CCH) 9,321 771 556 72.1%
資料來源:國民健康局管考系統 (統計時間101.01.01-101.08.30,篩檢量7500案以上醫院)
Positive cases call-back in colorectal cancer
screening (2012-1~2012-8)
Adding value and saving lives
No. 1
Program
Introduction
Integration / Promotion in CCH
Adding value and saving lives
Conclusion
Conclusion
Conclusion
Eventually, we hope that we can get stage-shift in the
cancers we screened and save more lives just like what
we achieved in cervical cancer.
Thanks for your attention