The Coordinated Pap Smear Screening Program Worked with Knowledge Management
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Abstract
Objective: To evaluated the outcome of the Coordinated Pap Smear Screening (CO-PAPS) Program worked with knowledge management carried out in 25 primary care units from Oct, 2005 to Sept, 2009. Materials & Method: An action research was divided into 4 main steps: 1) Formulating the CO-PAPS with knowledge management program 2) Implementing the program to the 25 PCUs by modifying the program to be appropriate for each PCU-Contact. 3) Empowering community participation and setting up anti-cancer club in community 4) Setting up the common goals between anti-cancer club and the knowledge exchange group movement. The progress of screening program was collected and examined periodically. Descriptive statistics were used. Result: After the implement action of CO-PAPS Program among the subjects who were 35, 40, 45, 50, 55, 60 years old and 13 active anti-cancer clubs were established, the screening coverage rates were up to 80.6% in 2006, 86.1% in 2007, 82.1% in 2008, and 63.5 % in 2009. The last figure was decreased due to error in PAP-register program. The prevalences of the precancerous lesion, the carcinoma in situ and the early invasive lesion were 0.17, 0.05 and 0.01 % respectively and 100 percent of them were successively referred and treated. Conclusion: CO-PAPS program with knowledge management increased the coverage rate of screening of cervical cancer in community.
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References
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