Page 83 - TAIWAN TOBACCO CONTROL ANNUAL REPORT 2019

(e) 350 multifunctional dementia care service stations have been established in communities to provide cognition promotion, disability alleviation, visiting, and family support services. In addition, 73 dementia shared care centers have been created to provide a community-based case management mechanism for dementia patients and supportive services for caregivers. (f) The Family Caregiver Support Project was officially launched in 2015 to provide family caregivers with convenient and localized professional services. Currently, it has already expanded to 20 counties and cities with 30 service bases. 9. Cancer prevention effects: (a) Taiwan is the first country in the world that has fully implemented the four cancer screening tests recommended by the World Health Organization (oral cancer screening is only administered in Taiwan). Since the adoption of the four cancer screening tests in 2010 until 2018, a total of 5.097 million individuals have received screening services. A total of 47,000 precancerous lesions and 11,000 cancer cases have been detected. (b) A cancer care accreditation program has been adopted for hospitals. By 2018, a total of 58 hospitals have passed their accreditations and 94 hospitals have participated in guidance programs with the goal of enhancing the quality of cancer care. Assistance is provided for hospitals in the measurement of core indicators for cancer care quality and medical care navigation for newly diagnosed cancer cases. Shared decision making (SDM) in medicine has been promoted to treat major cancers (oral, breast, lung, colorectal, and prostate cancer), while SDM process for decision aids has been formulated for diagnosis or treatment, and the implementation processes and promotion and execution teams has also been established. (c) Subsidies are offered to 4 NGOs that provide social support and care services for cancer patients. In addition, assistance has been provided in the establishment of cancer resource centers to offer navigation services for newly diagnosed patients from confirmation to the therapy stage. As of 2018, a total of 73 centers provide services for cancer patients and their family members (services are provided for 93,000 people a year). (d) 94 hospitals have provided hospice care for 27,000 terminal cancer patients. The coverage rate was increased from 7% in 2000 to 60.9% in 2017. The quality of death in Taiwan has been ranked 6th in the world and 1st in Asia in international evaluations. To improve the knowledge of professionals on hospice care, 5 relevant institutes or schools has been entrusted to conduct staff training courses. In 2018, more than 300 education and training courses were conducted, with over 20,000 participants. (e) Prevention of betel nut caused health hazards: Oral cancer screening services have been provided for around 740,000 individuals. 3,611 cases of precancerous lesions and 1,294 cases of oral cancer were detected. Betel nut chewing rates dropped to 6.2% in 2018. (f) The free HPV vaccination for female students in junior high school began on December 25, 2018. In 2018, there were already four counties and cities that provided vaccination services, including Keelung City, Yilan County, Penghu County and Tainan City, whereas the other counties and cities will gradually provide services according to the daily routine of students in 2019. (g) We have 19 integrated projects which subsidized 13 cancer centers, research institutes and public associations, and had dedicated efforts in the major aspects in Taiwan relative to cancer, such as lung cancer, liver cancer, and breast cancer. There were 6 epidemiological 81 Reducing the Demand for Tobacco