陕西省放射诊疗机构基本情况调查

Investigation on basic situation of radiation diagnosis and treatment institutions in Shaanxi Province

目的 了解陕西省放射诊疗机构放射诊疗设备配备、防护设备配套和工作人员数结构,为进一步优化陕西省资源配置提供参考依据。方法 采用普查方式对2021年1月-2022年1月陕西省各级放射诊疗机构进行基本情况调查,调查内容包括放射诊断、放射治疗、核医学、介入放射学等4类放射诊疗设备配备、防护设备配套和工作人员数结构情况以及放射诊疗频度调查情况,并对数据进行分析。结果 共调查放射诊疗机构1 971家,放射工作人员共12 948人,其中三级医院放射工作人员占比最高为51.72%,4种放射诊疗类型放射工作人员中男性占比大于女性;1 971家放射诊疗机构中放射诊疗设备共3 984台,其中放射诊断、放射治疗、核医学、介入放射学设备分别3 517、82、46、339台,放射诊断设备中二级医院放射诊断设备占比最高为34.63%,放射治疗、核医学及介入放射学设备主要分布在三级医院,分别为77台(93.90%)、46台(100.0%)、261台(75.87%);1 971家放射诊疗机构中放射诊疗防护用品共21 471台/件,其中放射诊断防护用品/设备配备15 944件(74.26%)、放射治疗防护用品/设备配备444台/套(2.07%)、核医学防护用品/设备配备512台/套(2.38%)、介入放射学防护用品/设备配备4 571件(21.29%);频次调查显示X射线诊断人次中常规X射线诊断14 503 457人次,二级医院占比较高,CT诊断8 206 699人次,三级占比较高,介入治疗人次、放射治疗人数、核医学诊断人次和治疗人数,均集中在三级医院。结论 三级医院放射治疗、核医学及介入放射学设备数量、放射工作人员数量均高于二级及以下级别医院,二级医院放射诊断设备数量略高于三级医院,各等级医院防护用品均按照要求配备。

Objective To investigate and analyze the configuration of radiation diagnosis and treatment equipment,protective equipment and the number of staff in the radiation diagnosis and treatment institutions in Shaanxi Province,provide a reference for further optimizing the allocation of resources in Shaanxi Province.Methods A general survey was used to investigate the basic situation of radiological diagnosis and treatment institutions at all levels in Shaanxi Province from January 2021 to January 2022.The survey content included the allocation,protective equipment and staff structure of four types of radiation diagnosis and treatment equipment,which are radiological diagnosis,radiotherapy,Nuclear medicine,interventional radiology,as well as the investigation of the frequency of radiological diagnosis and treatment,and the data were analyzed.Results A total of 1971 radiological diagnosis and treatment institutions were investigated,with a total of 12948 radiological workers,of which the highest proportion of radiological workers in tertiary hospitals was 51.72%.In the four types of radiological diagnosis and treatment,the proportion of male radiological workers was greater than that of females.There were a total of 3984 radiation diagnosis and treatment equipment in 1971 radiation diagnosis and treatment institutions,including 3517,82,46 and 339 sets of radiological diagnosis,radiotherapy,nuclear medicine and interventional radiology respectively.The highest proportion of radiation diagnostic equipment in secondary hospitals was the highest(34.63%),while the equipment for radiotherapy,nuclear medicine and interventional radiology were mainly distributed in tertiary hospitals,with 77(93.90%),46(100.0%)and 261(75.87%)respectively.Among 1971 radiation diagnosis and treatment institutions,a total of 21471 sets/pieces of radiation diagnosis and treatment protective appliances,including 15944(74.26%)sets/pieces of radiological diagnosis protective appliances/equipment,444(2.07%)sets/pieces of radiation therapy protective appliances/equipment,512(2.38%)sets/pieces of nuclear medicine protective appliances/equipment,and 4571(21.29%)sets/pieces of interventional radiology protective appliances/equipment.The frequency survey showed that there were 14503457 people undergoing conventional X-ray diagnosis among the number of X-ray diagnosis,with a relatively high proportion being in secondary hospitals,there were 8206699 people undergoing CT diagnosis with a relatively high proportion being in tertiary hospitals.The number of interventional treatment,radiotherapy,nuclear medicine diagnosis and treatment were all concentrated in tertiary hospitals.Conclusion The number of radiotherapy,nuclear medicine and interventional radiology equipment and the number of radiological staff in the tertiary hospitals are higher than those of the secondary hospitals and below,the number of radiological diagnostic equipment in the secondary hospitals is slightly higher than that in the tertiary hospitals,and the protective equipment of the hospitals at all levels are equipped as required.