淮安市2020年放射诊疗资源应用现状调查

Current status of the application of radiodiagnosis and radiotherapy resources in Huai′an City in 2020

目的调查淮安市放射诊疗资源配置现状及医疗照射频度。方法根据"江苏省放射卫生信息管理平台"2020年监测数据,对淮安市放射诊疗机构的人员、设备、照射频次进行描述性分析。结果淮安市共有放射诊疗机构181家,其中三级医院7家(3.9%),二级医院24家(13.3%),一级医院126家(69.6%),未评级医院24家(13.3%);放射工作人员1397人,其中男性948人(67.9%),女性449人(32.1%);放射诊疗设备459台,其中放射诊断设备420台,放疗设备13台,核医学设备4台,介入放射学设备22台;不同级别医院放射工作人员和设备的平均数量相差较大,三级、二级、一级和未评级医院平均放射工作人员分别为80.1、20.9、2.2和2.0人,三级、二级、一级和未评级医院平均放射诊疗设备数量分别为15.7、5.5、1.4、1.6台。淮安市2020年度X射线诊断频次2903246人次,放射治疗27648人次,核医学8078人次,介入放射学17874人次。全市医疗照射频度为599.50人次/千人口,其中常规X射线诊断频度为334.59人次/千人口,CT为239.82人次/千人口,乳腺和牙科共计14.18人次/千人口,介入3.62人次/千人口,放射治疗5.61人次/千人口,核医学1.69人次/千人口。结论各级医院放射诊疗资源不平衡,需加强合理配置。二级医院的放射工作人员可能更容易产生职业倦怠。新冠肺炎疫情防控常态化下,要加大放射卫生监督力度,确保放射诊疗活动的正当性和防护最优化。医疗照射频度与经济水平基本一致,分析不同地区医疗照射频度差异及预测发展趋势,需建立更为精确的预测模型。

Objective To investigate the current status of the radiodiagnosis and radiotherapy resources and medical exposure frequencies in Huai′an City.Methods According to the monitoring data in the"Radiological Health Information Management Platform of Jiangsu Province"in 2020,a descriptive analysis was conducted on the personnel,equipment,and exposure frequencies in the institutes engaged in radiation-based diagnosis and treatment in Huai′an.Results A total of 181 hospitals were investigated in 2020,including 7 tertiary hospitals(3.9%),24 secondary hospitals(13.3%),126 primary hospitals(69.6%),and 24 ungraded hospitals(13.3%).There were 1397 radiation workers,including 948 males and 449 females,and 459 pieces of radiation equipment,including 420 for radio diagnosis,13 for radiotherapy,4 for nuclear medicine,and 22 for interventional radiology.The hospitals of different grades greatly differed in the number of radiation workers and equipment.There were 80.1,20.9,2.2,and 2.0 radiation workers and 15.7,5.5,1.4,and 1.6 pieces of radiation equipment in the tertiary hospitals,secondary hospitals,primary hospitals,and ungraded hospitals,respectively on average.There were 2903246,27648,8087,and 17874 receiving radiodiagnosis,radiotherapy,nuclear medicine,and interventional radiology,respectively in 2020.The medical exposure frequencies in the whole city were calculated to be 599.50 per 1000 population,including 334.59 treated with conventional X-rays,239.82 receiving CT scan,14.18 for breast and dentistry,3.62 receiving interventional radiology,5.61 treated with radiotherapy,and 1.69 receiving nuclear medicine.Conclusions The radiodiagnosis and radiotherapy resources are unbalanced in the hospitals of different grades in Huai′an City.Therefore,it is necessary to pay more attention to the reasonable allocation of medical resources.Meanwhile,radiation workers in secondary hospitals may be more prone to job burnout.Facing the normalization of the prevention and control of COVID-19 epidemic,the supervision and management of radiological health should be strengthened to ensure the legitimacy of radiological diagnosis and radiotherapy and theoptimization of protection.The frequencies of medical exposure are consistent with the local economic level.To analyze the differences in medical exposure frequencies and predict the developmental trends in different regions,it is necessary to establish a more accurate prediction model.