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，相關費用由財政負擔。但是在實際篩查管理中，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定的年度內重復篩查，造成資源的浪費；

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現早期有風險的婦女，及時轉診到上級單位做進一步的檢查和確診，傳統的手工方式，導致基層單位和上級單位對待轉診的都無法控制，轉診情況也無法及時知曉。

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工作量無法準確統計

3. The workload cannot be accurately calculated

兩癌篩查是采用是政府購買服務的方式支付給各相關單位費用，所以前提是準確各個單位在篩查過程中每項工作的開展情況，傳統手工方式，只能依據基層單位上報的報表數據，而無法建立基于個案的精確統計。

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無連續篩查數據

4. No continuous screening data

基于手工或單機版本的篩查系統，無法將適宜婦女多次的兩癌篩查數據集中管理，在診斷時無法查閱既往病史信息，并且影響相關科研項目的開展。

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、系統主要功能

2、 Main functions of the system

1婦女檔案

1 Women's Archives

記錄轄區內婦幼所女的基本檔案，便于主動開展兩癌篩查；

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

宮頸癌篩查按照業務流程，包括知識問卷、婦科檢查、HPV檢查、盆腔B超、宮頸刮片、***鏡檢查、組織學病理、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問卷、一般檢查、臨床檢查、乳腺彩超、鉬靶X線、組織學診斷、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轉診管理

4. Referral Management

包括轉診單申請和轉診處理兩部分。

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

基層單位對篩查中發現的高風險和異常，開具轉診單；

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

上級單位在接診后，記錄轉診情況。

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

5治療

5 Treatment

針對篩查出的陽性患者，詳細記錄治療信息；

Record detailed treatment information for screened positive patients;

6隨訪

6 Follow up

針對篩查出的高危和陽性患者，詳細記錄隨訪信息。

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

7統計分析

7 Statistical analysis

1）兩癌篩查工作統計

1) Statistics of Two Cancer Screening Work

根據體檢時間，可以查詢兩癌篩查病人的人數和結果。并可以導出到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）單位業務量統計

2) Unit business volume statistics

可以按照統計任意一段時間各個單位兩癌篩查的人員數量，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）***鏡統計

3) * * * Mirror statistics

根據體檢時間，可以查詢出每個人***鏡查詢結果，并可以導出到EXCEL中。

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

4）彩超鉬靶統計

4) Ultrasound molybdenum target statistics

根據體檢時間，可以查詢到某個單位彩超鉬靶的結果，并可以導出到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）綜合查詢統計

5) Comprehensive query statistics

可以按照篩查地區、時間段、婦女病分類等對婦女病的普查和治療情況進行查詢統計。

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）分析報表

6) Analysis report

系統能夠按照地區生成國家標準格式的婦女性查治情況調查表，還可以按照管理要求生成其他格式的報表。

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.