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[Improving the Pap Smear Screening Rate for Cervical Cancer in a Health Management Center: A Quality Improvement
Pei-Chun Chou1, Hsiu-Chi Chen2, Chien-Ling Yeh3
1MSN, RN, Supervisor, Department of Nursing, and Deputy Director, Quality Management Center, National Taiwan University Hospital, Hsin-Chu Branch, Taiwan, ROC. pcchou@hch.gov.tw.
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.
Results:
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%.
Conclusions:
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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