2020年杭州市医疗机构放射诊疗频度调查分析

An investigation of frequency of radiation services in medical institutions in Hangzhou,China,2020

目的 掌握杭州市医疗机构放射诊疗资源和频度现况,为相关主管单位合理配置诊疗资源和科学监管提供依据。方法 于2019年4月1日—2020年3月31日,利用调查表,对杭州市所有医疗机构基本情况、放射工作人员情况、放射诊疗设备配置情况、放射诊疗频度等进行普查。结果 杭州市共有1 001家放射诊疗机构,放射工作人员6 714人,放射诊疗设备2 742台,常规X射线诊断频度为788.43人次/千人口,CT诊断频度为531.93人次/千人口,乳腺及牙科摄影诊断频度为246.34人次/千人口,介入诊疗频度为10.01人次/千人口,放射治疗频度为2.39人/千人口,核医学诊断频度为8.90人次/千人口,核医学治疗频度为0.99人/千人口。结论 杭州市医疗机构发展迅速,但也存在发展不平衡现象,为更好地保护受检者健康,建议相关部门优化诊疗资源配置及加强对医疗机构的放射防护监管。

Objective To investigate radiation resources in medical diagnosis and treatment and their use frequency in medical institutions in Hangzhou,China,and to provide a basis for relevant departments to rationally allocate and scientifically supervise the resources.Methods From April 1,2019 to March 31,2020,a survey was conducted on the basic information,radiation staff,equipment configuration,and frequency of radiation diagnosis and treatment of all medical institutions in Hangzhou using a questionnaire.Results There were 1001 institutions with radiation services in Hangzhou,with 6714 radiation staff members and 2742 pieces of radiation equipment.The frequency of conventional X-ray diagnosis was 788.43 per 1000 population.The frequency of computed tomography diagnosis was 531.93 per 1000 population.The frequency of mammography and dental photography diagnosis was 246.34 per 1000 population.The frequency of interventional diagnosis and treatment was 10.01 per 1000 population.The frequency of radiotherapy was 2.39 per 1000 population.The frequency of nuclear medicine diagnosis was 8.90 per 1000 population.The frequency of nuclear medicine treatment was 0.99 per 1000 population.Conclusion Medical institutions have developed rapidly in Hangzhou,but with an unbalanced situation.In order to better protect the health of examinees,we recommend relevant departments optimize resource allocation and strengthen supervision on radiation protection in medical institutions.