Islami Parkoohi Parisa, Zare Hashem, Abdollahifard Gholamreza
Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Med Sci. 2015 Jan;40(1):51-7.
Computerized preventive screening software is a cost effective intervention tool to address non-communicable chronic diseases. Shiraz Smart Screening Software (SSSS) was developed as an innovative tool for qualified screening. It allows simultaneous smart screening of several high-burden chronic diseases and supports reminder notification functionality. The extent in which SSSS affects screening quality is also described.
Following software development, preventive screening and annual health examinations of 261 school staff (Medical School of Shiraz, Iran) was carried out in a software-assisted manner. To evaluate the quality of the software-assisted screening, we used quasi-experimental study design and determined coverage, irregular attendance and inappropriateness proportions in relation with the manual and software-assisted screening as well as the corresponding number of requested tests.
In manual screening method, 27% of employees were covered (with 94% irregular attendance) while by software-assisted screening, the coverage proportion was 79% (attendance status will clear after the specified time). The frequency of inappropriate screening test requests, before the software implementation, was 41.37% for fasting plasma glucose, 41.37% for lipid profile, 0.84% for occult blood, 0.19% for flexible sigmoidoscopy/colonoscopy, 35.29% for Pap smear, 19.20% for mammography and 11.2% for prostate specific antigen. All of the above were corrected by the software application. In total, 366 manual screening and 334 software-assisted screening tests were requested.
SSSS is an innovative tool to improve the quality of preventive screening plans in terms of increased screening coverage, reduction in inappropriateness and the total number of requested tests.
计算机化预防性筛查软件是应对非传染性慢性病的一种具有成本效益的干预工具。设拉子智能筛查软件（SSSS）是作为一种用于合格筛查的创新工具而开发的。它允许同时对几种高负担慢性病进行智能筛查，并支持提醒通知功能。还描述了SSSS对筛查质量的影响程度。
软件开发完成后，以软件辅助的方式对261名学校工作人员（伊朗设拉子医学院）进行了预防性筛查和年度健康检查。为了评估软件辅助筛查的质量，我们采用了准实验研究设计，并确定了与手动和软件辅助筛查相关的覆盖率、不定期出勤率和不适当比例以及相应的所需检查数量。
在手动筛查方法中，27%的员工接受了筛查（不定期出勤率为94%），而在软件辅助筛查中，覆盖率为79%（指定时间后出勤状态将清除）。在软件实施前，空腹血糖不适当筛查检查请求的频率为41.37%，血脂检查为41.37%，潜血检查为0.84%，乙状结肠镜/结肠镜检查为0.19%，巴氏涂片检查为35.29%，乳房X线摄影检查为19.20%，前列腺特异性抗原检查为11.2%。上述所有问题均通过软件应用得到纠正。总共请求了366次手动筛查和334次软件辅助筛查检查。
SSSS是一种创新工具，可在提高筛查覆盖率、减少不适当性和所需检查总数方面提高预防性筛查计划的质量。
