背景：大腸癌若能早期發現，則有極佳的治癒率。國内大腸癌篩檢陽性個案追蹤完成率低的原因為民眾自
覺身體無異狀、出血為痔瘡所致、藉口沒時間返診或不知道相關資訊等；本院篩檢陽案追蹤完成率為四大癌症篩檢中最差者，經調查發現由於病人認知不足、無制訂明確篩檢追蹤流程及教育宣導不足所致，故激起成立專案小組來改善，以期提昇追蹤完成率。
目的：提昇大腸癌篩檢陽性個案追蹤完成率達65%。
解決方案：由明確的策略介入，包含：製作衛教單張及複檢提醒單、増加篩檢推廣講座場次、提供專人專線諮詢管道、訂定大腸癌篩檢陽性個案追蹤流程、舉辦院内在職教育宣導、建立跨單位合作模式及他院 標竿學習等方案。
結果：大腸癌篩檢陽性個案追蹤完成率由53.63%提昇至66.08%。
結論：本專案應用教育推廣及團隊合作加強個案對確診追蹤的認知，確實可有效提昇大腸癌篩檢陽性個案
追蹤完成率及醫療服務品質。

Background: Colorectal cancer is the third leading cause of cancer-related deaths in Taiwan. Patients diagnosed early have excellent cure rates. Mackay Memorial Hospital, working on a Bureau of Health Promotion (BHP) project, found the colorectal cancer screening completion rate for positive patients to be the lowest among four cancer screen¬ings reviewed. We thus formed a project team to improve the follow-up completion rate for colorectal cancer screen¬ing-positive patients.
Purpose: T his project was designed to raise the follow-up completion rate for colorectal cancer screening-positive pa-tients to 65%.
Methods: Explicit interventions implemented included making health education leaflets and return visit reminder sheets, holding/organizing screening seminars, opening a consultation helpline, formulating follow-up colorectal can¬cer screening procedures for screening-positive patients, holding hospital educational training courses, establishing cross-unit collaboration models, and benchmarking other hospitals.
Results: The follow-up completion rate increased from 53.63% to 66.08%.
Conclusions: Conducting health education programs and strengthening team awareness of follow-up completion rates effectively enhanced the follow-up completion rate for colorectal cancer screening-positive patients and improved medical care quality.