Abstract
In 1956 National Taiwan University Hospital (NTUH) initiated the pioneer health screen service pro gram in Taiwan. That was the mile stone. At that time, the entire course was 6 days. Only university hospitals or big medical centers could offer the service, because it was a complex procedure. In 1970s, the course was refined, and was reduced to 3 days.
From 1980 to now, customer-oriented services are arising. The course was reduced to 2 days or even 1day. Small hospitals or even clinic can offer the service, if they are unique in service quality. The most important part of health screen market is customer self pay, because it is not included in the reimbursement of the national health insurance. The manuals are diverse with different programs. The idea of health promotion and health management are ongoing. The current health screen in Taiwan is the business model of fast, and short duration. Three to 7h is the most popular in running.
From July 2003 to June 2006, totally 20,996 subjects were screened in the health management center of NTUH. One hundred and thirty-six subjects (0.65%) were found with cancers. The age-specific prevalence of metabolic syndrome using Asian modified National Cholesterol Education Program, the third adult treatment panel's criteria was 30% in male, and 24% in female. Those subjects with metabolic syndrome had multiple colorectal neoplasia in both proximal and distal colon. Subjects without metabolic syndrome were prone to have colorectal neoplasia in distal colon.
Ningen Dock in Taiwan is still growing. High quality and short duration screen is the trend of evolution. Health promotion programs are under development, and will be integrated to personal medicine.
