惡性腫瘤自71年起連續蟬聯國人10大死因之首，國民健康署積極推動防癌政策，本院自99年起成立癌症篩檢暨資源整合中心，參與推動四癌(子宮頸癌、口腔癌、乳癌、大腸直腸癌)篩檢。在院方的支持下，由副院長主持，成立跨部科推動小組，透過門診電腦提示系統及提示單，志工引導等方式，全院動員。分析完成篩檢地點以診間或癌症篩檢暨資源整合中心為主，來源比率各佔一半，社區醫療服務佔3.2%-5.1%。護理人員的轉介效益最高佔49%-81%，除門診病人轉介外，由病房護理人員轉介的量由17.6%逐年升高到44.2%。各項民眾獎勵及宣導活動的運用有助於提高民眾篩檢的意願，佔篩檢來源的18.3%-32.0%。四癌篩檢為國家的既定政策，本院自99-103年共篩檢147,437人次，發現陽性個案11,852人，確診人數857人，癌症篩檢為救命工程，期望政府透過策略，營造分層分工的合作機制，製造雙贏的契機。

Cancer was the leading cause of death in . This study aims to analyze promotional measures for four-cancers screening, examining the effectiveness in four-cancers screening. Methods: Results in numbers and percentage sequencing are provided based on practice statistic data from Cancer Screening and Resource Integration Center, practice statistic reports from Information Management Office, and practice performance reports published by the Health Promotion Administration. Results: Establishment of the Promotion Committee and OPD prompting system, as well as utilization of prompting sheets are important strategies for promotion of four-cancers screening. Consulting rooms and the Cancer Screening and Resource Integration Center are major locations in completing screening, sharing roughly half in coverage respectively, with only 3.2% to 5.1% from community medical services. Referral by nursing staff sharing 49% to 81% indicates the highest efficiency, in addition to OPD patient referral, the number of referral by ward nursing staff increases from 17.6% to 44.2% within several years. Utilization of guidance events facilitates increasing public’s willingness to perform screening, which contributes 18.3% to 32.0% in screening motives. Conclusions: Cancer has been at the top among national ten leading causes of death, and four-cancers screening is an established policy of central government; 147,437 person-times of screening have been performed in the Hospital from 2010 to 2014, with 11,852 persons of positive cases and 857 diagnosed cases. Cancer screening is a lifesaving work in preventive care, and we expect the government to develop a cooperative mechanism for practices with decentralized authorities by means of appropriate policies, creating win-win opportunities.