《职业性放射性疾病诊断总则》(GBZ 112—2017)在全国部分省市诊断医师中的追踪调查

Follow-up investigation of “General guideline for diagnosis of occupational radiation diseases”(GBZ 112—2017) among diagnostic physicians in some provinces and cities of China

目的通过对全国部分地区诊断医师使用《职业性放射性疾病诊断总则》(GBZ 112—2017)的情况开展问卷调查,了解该标准的掌握和实施情况,对标准使用中存在的问题进行收集、分析,为标准修订提供依据。方法采用文献搜集、调查问卷、比较分析研究相结合的方式,以四川、江苏、广东、湖北、河南、新疆、安徽和核工业系统即"七省一集团"21家诊断机构共计93名具有职业性放射性疾病诊断资质的医师为调查对象,搜集诊断医师对《职业性放射性疾病诊断总则》(GBZ 112—2017)各条款的评价信息进行分析。结果调查显示职业性放射性疾病诊断医师对《职业性放射性疾病诊断总则》(GBZ 112—2017)正文11项条款判定可行率范围在89.3%~95.7%,有10项可行率大于90.0%;判定部分可行率范围在0%~5.4%;判定不可行率范围在3.2%~5.4%;80.0%诊断医师未对标准提出具体意见,94.6%诊断医师认可该标准的法律法规一致性。结论《职业性放射性疾病诊断总则》(GBZ 112—2017)整体达标情况良好,但少部分条款应适当修改,标准的宣贯力度不够,应进一步加强宣贯。

Objective Through a questionnaire survey on the popularization of "General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017) among diagnostic physicians in some parts of the country, the study aims to understand the mastery and implementation of the standard, collect and analyze the existing problems in the implementation of the standard. The research will provide the basis for the revision of the standard. Methods By means of literature collection, questionnaire and comparative analysis, a total of 93 doctors with diagnostic qualifications for occupational radioactive diseases in 21 diagnostic institutions were investigated to collect and analyze the evaluation information of the "General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017). The study objects used to work in Sichuan, Jiangsu, Guangdong, Hubei, Henan, Xinjiang, Anhui and the nuclear industry system, namely, the "Seven provinces and one Group". Results The survey showed that the feasible rate of 11 articles in the text of the "General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017) was 89.3%~95.7%, 10 items were more than 90.0%, the range of partial feasible rate was 0%~5.4%, the range of unfeasible rate was 3.2%~5.4%, 80.0% of the diagnostic doctors did not give specific opinions on the standard, and 94.6% of the diagnostic doctors approved the consistency of standard laws and regulations. Conclusion The standard of the "General guideline for diagnosis of occupational radiation diseases"(GBZ 112—2017) is in good condition, but a few of the provisions should be amended properly, and the propaganda and implementation of the standard should be further strengthened.