摘要
目的掌握不同等级和地市医疗机构放射诊疗资源的分布数据并了解资源配置状况,为优化省内放射诊疗资源配置提供政策制定依据和建议,同时为相关研究提供数据和参考。方法对湖南省放射诊疗机构开展基本情况问卷调查,并利用Excel软件进行数据审查、分析和统计,掌握湖南省放射诊疗资源配置情况。结果截至2022年,放射诊疗机构3031家,放射工作人员19770人,放射诊疗设备6617台;放射治疗机构80家,核医学机构49家,介入放射学机构178家,X射线影像诊断机构3028家;放射治疗放射工作人员1077人,核医学放射工作人员461人,介入放射学放射工作人员3369人,X射线影像诊断放射工作人员14863人;放射治疗设备135台,核医学设备56台,介入放射学设备262台,X射线影像诊断设备6164台。结论湖南省一级及以下医疗机构仅在数量上占有优势,大量的放射诊疗资源均在三级医疗机构,地市放射诊疗资源配置不均衡。整体放射诊疗资源配置水平上介入放射学优于全国平均,核医学与X射线影像诊断与全国平均相当,而放射治疗则低于全国平均。GDP总量不是左右当地医疗水平发展的决定性因素,建议相关部门增进放射诊疗资源配置规划合理性,以多种措施促进放射诊疗资源向基层和欠发达地区倾斜,以期达到资源均衡配置的目标。
Objective To obtain the data of radiological diagnosis and treatment resource distribution at medical institutions of different levels and in various cities,understand the status of resource allocation,provide policy-making basis and suggestions for optimizing the allocation of radiological diagnosis and treatment resources within the province,and offer data and references for related research.Methods A basic situation questionnaire survey was conducted on radiological diagnosis and treatment institutions in Hunan Province.Data were reviewed,analyzed,and statistically processed using Excel software to understand the allocation situation of radiological diagnosis and treatment resources in Hunan Province.Results As of 2022,there were 3031 radiological diagnosis and treatment institutions,19770 radiation workers,and 6617 pieces of radiological diagnostic and treatment equipment.There were 80 radiation treatment institutions,49 nuclear medicine institutions,178 interventional radiology institutions,and 3028 X-ray imaging diagnosis institutions.There were 1077 radiation workers in radiation treatment,461 radiation workers in nuclear medicine,3369 radiation workers in interventional radiology,and 14,863 radiation workers in X-ray imaging diagnosis.There were 135 pieces of radiation treatment equipment,56 pieces of nuclear medicine equipment,262 pieces of interventional radiology equipment,and 6164 pieces of X-ray imaging diagnosis equipment.Conclusion Primary and lower grade medical institutions in Hunan Province account for a relatively high proportion of the total number of medical institutions,whereas radiological diagnostic and treatment resources are predominantly concentrated in tertiary medical institutions,demonstrating a unbalanced allocation of radiological diagnosis and treatment resources in various cities.In terms of the overall allocation of radiological diagnosis and treatment resources,interventional radiology is superior to the national average,nuclear medicine and X-ray imaging diagnosis are comparable to the national averages,and radiation treatment is lower than the national average.The total GDP is not the decisive factor in determining the development of local medical levels.It is suggested that relevant authorities should improve the rationality of the planning for the allocation of radiological diagnosis and treatment resources,promote the allocation of radiological diagnosis and treatment resources to the grassroots and underdeveloped areas through various measures,and thus achieve the goal of balanced resource allocation.
作者
曹真伟
许志勇
翟自坡
彭俊哲
陈东辉
聂云峰
CAO Zhenwei;XU Zhiyong;ZHAI Zipo;PENG Junzhe;CHEN Donghui;NIE Yunfeng(Hunan Prevention and Treatment Institute for Occupational Diseases,Changsha 410007,China)
出处
《中国辐射卫生》
2025年第4期500-507,共8页
Chinese Journal of Radiological Health
基金
湖南省卫生健康委科研计划项目(202212075534)。
关键词
放射诊疗
放射工作人员
放射诊疗设备
调查
Radiological diagnosis and treatment
Radiation worker
Radiological diagnosis and treatment equipment
Survey
