Abstract
Objective: Our clinic performs occupational breast cancer screening. The screening items vary depending on the health insurance association and workplace. Aiming to achieve breast cancer screening tailored to individual situations, based on screening results, we created a system providing optimal screening for examinees.
Methods: For those undergoing breast cancer screening, we established recommended items for the next screening. These are items recommended for the next year’s screening on the basis of presence or absence of abnormal findings and mammary gland structure seen in images by mammography specialists. They are recorded in a results management system and printed out as a results report after the screening to clarify the items for the next year’s screening. On the day of screening, if the examinee selects items that do not match the recommended items for the next screening, he or she is encouraged to add items or make changes to them through printed explanations or those from the various departments concerned.
Results: The provision of recommended items for the next screening is an educational activity for those undergoing breast cancer screening. Over time, the recommendation of items for the next screening to examinees has been spreading. Encouraging examinees to have additional screening items or make changes to them has been useful in raising the cancer discovery rate. Inputting recommended items for the next screening to the results management system has enabled information sharing not just among doctors but also with nurses, radiologists, medical technologists, reception staff, Information Management and other departments concerned.
Conclusion: The system that we created can provide optimal breast cancer screening for various situations.
