The Development of Monitoring of Colon and Rectal Cancer Risk Groups with Positive FIT Test Results. Wapipathum Hospital, Maha Sarakham Province.

Abstract

Abstract

            This study aimed to develop a follow-up service model for high-risk individuals with positive FIT tests for colorectal cancer and to evaluate the effectiveness of the developed model. This operational research was conducted from October 2024 to September 2025. The study sample included 232 high-risk individuals with positive FIT tests who attended preparation for colonoscopy. Data collection instruments included interview guides, service adherence assessment forms, patient questionnaires, and satisfaction evaluation forms. Data were collected through interviews, brainstorming sessions, and focus group discussions. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed using content analysis.

            The developed model emphasized comprehensive care, including screening, diagnosis, referral, follow-up, and counseling. Implementation of the model increased patient follow-up rates from 76% to 100% and colonoscopy completion rates from 68.33% to 83.62%. The integration of Fast Track and Teleconsultation systems enhanced follow-up efficiency, reduced time-related barriers, and resulted in high levels of satisfaction among both patients and healthcare providers. The findings indicate that establishing local networks combined with proactive follow-up and effective communication significantly improves the quality and safety of care for high-risk individuals.

Keywords : colorectal cancer, FIT test positive, patient follow-up system, Fast Track, Teleconsultation