Development of Cholangiocarcinoma Screening System in Community

Abstract

This research and development study aimed to develop a screening service system for cholangiocarcinoma
among at-risk populations under the strategic plan for the elimination of liver fluke and cholangiocarcinoma
in Lamphun Province. The study was conducted in three phases: (1) situation survey and problem analysis,(2)
development of the screening service system, and (3) monitoring and evaluation. Data were collected from October 2023 to April 2025. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using descriptive statistics, including frequency, percentage, and mean.
The results showed that the developed service model comprised five key components: (1) integration of collaboration between the Department of Disease Control and partner networks to support mobile royal ultrasound units, increase the number of ultrasound machines in the area, and provide skilled screening personnel; (2) proactive communication through multiple channels of health promotion and initial risk assessment conducted by village health volunteers and community health leaders; (3) provision of proactive screening services in communities; (4) development of an information system for recording risk behaviors and abdominal ultrasound results; and
(5) assignment of a primary responsible physician in each area for referral management when further investigation was required. The outcomes revealed that the number of people receiving cholangiocarcinoma screening services increased by 9.8%, which exceeded the Ministry of Public Health’s target by 12.1%.
In conclusion, the development of this screening service system improved access to cholangiocarcinoma
screening, enhanced the efficiency of resource utilization, and enabled timely management of suspected
cholangiocarcinoma cases.