一、各地兩癌篩查工作存在的問題

1、 Problems in cancer screening work in various regions

兩癌篩查對(duì)于保障婦女健康有重要意義，全國各地兩癌篩查工作均逐步納入政府惠民工程，相關(guān)費(fèi)用由財(cái)政負(fù)擔(dān)。但是在實(shí)際篩查管理中，存在如下問題：

Two cancer screening is of great significance for ensuring women's health, and cancer screening work across the country has gradually been included in government welfare projects, with related costs borne by the government. However, in actual screening management, there are the following issues:

1重復(fù)篩查

1. Repeated screening

適齡婦女一年中在多地參加兩癌篩查或者在規(guī)定的年度內(nèi)重復(fù)篩查，造成資源的浪費(fèi)；

Women of appropriate age participate in two cancer screenings in multiple locations within a year or repeat screenings within a specified year, resulting in wastage of resources;

2轉(zhuǎn)診情況無法控制

2. The referral situation cannot be controlled

兩癌篩查的目的是在基層發(fā)現(xiàn)早期有風(fēng)險(xiǎn)的婦女，及時(shí)轉(zhuǎn)診到上級(jí)單位做進(jìn)一步的檢查和確診，傳統(tǒng)的手工方式，導(dǎo)致基層單位和上級(jí)單位對(duì)待轉(zhuǎn)診的都無法控制，轉(zhuǎn)診情況也無法及時(shí)知曉。

The purpose of cancer screening is to detect women at early risk at the grassroots level and promptly refer them to higher-level units for further examination and diagnosis. Traditional manual methods have led to uncontrollable treatment of referrals by both grassroots and higher-level units, and the referral situation cannot be known in a timely manner.

3工作量無法準(zhǔn)確統(tǒng)計(jì)

3. The workload cannot be accurately calculated

兩癌篩查是采用是政府購買服務(wù)的方式支付給各相關(guān)單位費(fèi)用，所以前提是準(zhǔn)確各個(gè)單位在篩查過程中每項(xiàng)工作的開展情況，傳統(tǒng)手工方式，只能依據(jù)基層單位上報(bào)的報(bào)表數(shù)據(jù)，而無法建立基于個(gè)案的精確統(tǒng)計(jì)。

Two cancer screening is paid to relevant units through government purchase of services, so the premise is to accurately assess the progress of each unit's work during the screening process. Traditional manual methods can only rely on report data reported by grassroots units, and cannot establish accurate statistics based on individual cases.

4無連續(xù)篩查數(shù)據(jù)

4. No continuous screening data

基于手工或單機(jī)版本的篩查系統(tǒng)，無法將適宜婦女多次的兩癌篩查數(shù)據(jù)集中管理，在診斷時(shí)無法查閱既往病史信息，并且影響相關(guān)科研項(xiàng)目的開展。

Based on manual or standalone versions of screening systems, it is not possible to centrally manage multiple cancer screening data suitable for women, and it is not possible to access past medical history information during diagnosis, which also affects the development of related scientific research projects.

二、系統(tǒng)主要功能

2、 Main functions of the system

1婦女檔案

1 Women's Archives

記錄轄區(qū)內(nèi)婦幼所女的基本檔案，便于主動(dòng)開展兩癌篩查；

Record the basic files of women in maternal and child clinics within the jurisdiction to facilitate proactive cancer screening;

2宮頸癌篩查

Cervical cancer screening

宮頸癌篩查按照業(yè)務(wù)流程，包括知識(shí)問卷、婦科檢查、HPV檢查、盆腔B超、宮頸刮片、***鏡檢查、組織學(xué)病理、治療和隨訪。

Cervical cancer screening follows the business process, including knowledge questionnaire, gynecological examination, HPV examination, pelvic ultrasound, cervical scraping, * * * microscopic examination, histopathology, treatment, and follow-up.

3乳腺癌篩查

3 breast cancer screening

乳腺癌篩查包括知識(shí)問卷、一般檢查、臨床檢查、乳腺彩超、鉬靶X線、組織學(xué)診斷、治療和隨訪。

Breast cancer screening includes knowledge questionnaire, general examination, clinical examination, breast color ultrasound, molybdenum target X-ray, histological diagnosis, treatment and follow-up.

4轉(zhuǎn)診管理

4. Referral Management

包括轉(zhuǎn)診單申請(qǐng)和轉(zhuǎn)診處理兩部分。

This includes two parts: application for referral form and referral processing.

基層單位對(duì)篩查中發(fā)現(xiàn)的高風(fēng)險(xiǎn)和異常，開具轉(zhuǎn)診單；

Grassroots units shall issue referral forms for high-risk and abnormal cases discovered during screening;

上級(jí)單位在接診后，記錄轉(zhuǎn)診情況。

The superior unit records the referral situation after receiving the diagnosis.

5治療

5 Treatment

針對(duì)篩查出的陽性患者，詳細(xì)記錄治療信息；

Record detailed treatment information for screened positive patients;

6隨訪

6 Follow up

針對(duì)篩查出的高危和陽性患者，詳細(xì)記錄隨訪信息。

Record detailed follow-up information for high-risk and positive patients identified through screening.

7統(tǒng)計(jì)分析

7 Statistical analysis

1）兩癌篩查工作統(tǒng)計(jì)

1) Statistics of Two Cancer Screening Work

根據(jù)體檢時(shí)間，可以查詢兩癌篩查病人的人數(shù)和結(jié)果。并可以導(dǎo)出到EXCEL中。

According to the examination time, the number and results of two cancer screening patients can be queried. And it can be exported to Excel.

2）單位業(yè)務(wù)量統(tǒng)計(jì)

2) Unit business volume statistics

可以按照統(tǒng)計(jì)任意一段時(shí)間各個(gè)單位兩癌篩查的人員數(shù)量，便于績效考核。

The number of personnel screened for cancer in each unit during any given period of time can be counted for performance evaluation.

3）***鏡統(tǒng)計(jì)

3) * * * Mirror statistics

根據(jù)體檢時(shí)間，可以查詢出每個(gè)人***鏡查詢結(jié)果，并可以導(dǎo)出到EXCEL中。

According to the examination time, each person's * * mirror query results can be queried and exported to Excel.

4）彩超鉬靶統(tǒng)計(jì)

4) Ultrasound molybdenum target statistics

根據(jù)體檢時(shí)間，可以查詢到某個(gè)單位彩超鉬靶的結(jié)果，并可以導(dǎo)出到EXCEL中。

According to the examination time, the results of a certain unit's ultrasound molybdenum target can be queried and exported to Excel.

5）綜合查詢統(tǒng)計(jì)

5) Comprehensive query statistics

可以按照篩查地區(qū)、時(shí)間段、婦女病分類等對(duì)婦女病的普查和治療情況進(jìn)行查詢統(tǒng)計(jì)。

The census and treatment status of women's diseases can be queried and statistically analyzed based on the screening area, time period, and classification of women's diseases.

6）分析報(bào)表

6) Analysis report

系統(tǒng)能夠按照地區(qū)生成國家標(biāo)準(zhǔn)格式的婦女性查治情況調(diào)查表，還可以按照管理要求生成其他格式的報(bào)表。

The system can generate national standard format survey forms on women's sexual investigation and treatment according to regions, and can also generate reports in other formats according to management requirements.