FOCUS-PDCA循环在适龄妇女“两癌”筛查初筛阳性者结案管理中的应用研究

Application of FOCUS-PDCA cycle in case closure management of "cervical cancer and breast cancer" primary screening positive women

目的探究FOCUS-PDCA循环在东莞市适龄妇女“两癌”筛查初筛阳性者结案管理中的应用效果。方法通过FOCUS-PDCA循环法,分析东莞市适龄妇女“两癌”筛查初筛阳性者结案管理率低的原因,制定“增加系统结案判断功能”“针对项目实施人员开展培训”和“开发导出功能进行质控”3个对策提高结案管理率,对比FOCUS-PDCA循环实施前后“两癌”初筛阳性者结案管理率、目标达标率以及成员综合能力评分进行效果评价。结果FOCUS-PDCA实施后“两癌”初筛阳性者结案管理率(85.38%)高于FOCUS-PDCA实施前结案管理率(50.70%),差异有统计学意义(χ^(2)=122.143,P<0.001);本次改善的目标达标率为103.27%,进步率为68.40%;FOCUS-PDCA实施后圈员的责任心、团队精神、沟通能力、责任荣誉、沟通问题能力、品管手法均得到了明显的提高。结论将FOCUS-PDCA循环应用于“两癌”筛查初筛阳性者的结案管理,可有效提高初筛阳性者结案管理率,并使成员综合能力得到明显的提升。

Objective To explore the application effect of FOCUS-PDCA cycle in the case closure management of women of appropriate age with "cervical cancer and breast cancer" screening positive in Dongguan city.Methods The FOCUS-PDCA cycle method was used to analyze the reasons for the low case closure management rate of the "cervical cancer and breast cance" screening positive women in Dongguan city.Three counter measures were formulated to improve the case closing management rate:"Increasing the system's case closing judgment function" "Conduct training for project implementer" and "Developing export function for quality control".The effect of FOCUS-PDCA cycle was evaluated by comparing the case closure management rate before and after the implementation,target achievement rate and comprehensive ability score of members.Results The case closure management rate of "cervical cancer and breast cance" positive patients after FOCUS-PDCA implementation(85.38%) was higher than the case closure management rate before FOCUS-PDCA implementation(50.70%),and the differerre was statistically significant(χ^(2)=122.143,P<0.001).The target compliance rate of this improvement is 103.27%,and the progress rate is 68.40%;after the implementation of FOCUS-PDCA,the circle members' sense of responsibility,team spirit,communication ability,responsibility and honor,communication problem ability,quality control techniques have been significantly improved.Conclusions The application of FOCUS-PDCA cycle in the case closure management of "cervical cancer and breast cancer" screening patients with positive initial screening can effectively improve the case closure management rate of positive initial screening patients,and improve the comprehensive ability of circle members significantly.