《职业性放射性疾病诊断总则》(GBZ 112—2017)卫生标准追踪评价

Health standards tracking evaluation on"General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017)

目的了解《职业性放射性疾病诊断总则》(GBZ 112—2017)卫生标准应用情况,为标准的修订、宣贯和标准化管理提供依据。方法针对标准宣贯、实施、质量和效益四个评价目标,采用调查表,对八省一集团中的职业病诊断机构、职业病诊断医师、卫生行政监督人员和放射工作人员进行问卷调查和统计学分析,对标准实施状况和实施效果追踪评价。结果共调查了21家职业病诊断机构、93名职业病诊断医师、70名卫生行政监督人员、1329名放射工作人员;诊断机构中有85.7%建立了诊断标准学习制度,57.1%配备了诊断医师标准培训经费;标准知晓率为75.6%~80%,标准培训率为48.4%~55.7%;GBZ 112—2017标准采用率为0;42.9%和48%诊断机构分别具备物理剂量估算和生物剂量估算能力,同时具备两种能力的诊断机构仅占42.9%;对标准11项条款判定的可行率分别为90%~97%,认可标准与法律法规一致性95%~97%,标准的满意度86%~87.1%。结论本文为卫生标准跟踪评价工作积累了材料,为职业性放射性疾病诊断总则卫生标准的修订、宣贯和管理提供了客观依据。

Objective To understand the application of health standards in the"General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017),and to provide basis for revision,publicity and standardization of the standards.Methods Aiming at the of propaganda,implementation,quality and efficiency,statistical analysis was performed by using questionnaires.Investigation was carried out to track the implementation status and effect of evaluation GBZ 112—2017 among occupational disease diagnostic institutions,occupational disease diagnostic physicians,health administrative supervisors and radiation workers in eight provinces and one group.for tracking the implementation status and effect of evaluation GBZ 112—2017.Results A total of 21 occupational disease diagnostic institutions,93 occupational disease diagnostic physicians,70 health administrative supervisors and 1329 radiation workers were measured.85.7%of diagnostic institutions had established a learning system of diagnostic criteria,57.1%of which were equipped with standard training funds for diagnostic physicians.The standard awareness rate was 75.6%~80%and the standard training rate was 48.4%~55.7%.The adoption rate of standard was 0.42.9%and 48%of the diagnosis institutions have the ability of physical dose estimation and biological dose estimation respectively,and only 42.9%of the diagnosis institutions owned both of them at the same time;The probability of judging 11 items of standard is 90%~97%,the consistency of approved standard with laws and regulations was 95%~97%,and the satisfaction of standard is 86%~87.1%.Conclusion Through tracing the evaluation of health standards,the study provides objective basis for the revision,publicity and management of health standards of general principles for diagnosis of occupational radiation diseases.