我国医疗照射与保健水平的相关性研究  

Study on correlation between medical exposure and healthcare level in China

作　　者：崔诗悦 苏垠平[1] 徐辉[1] 牛延涛[2] 卓维海[3] 刘建香[1] 程金生[1] 孙全富[1] Cui Shiyue;Su Yinping;Xu Hui;Niu Yantao;Zhuo Weihai;Liu Jianxiang;Cheng Jinsheng;Sun Quanfu(WHO Collaborating Centre on Radiation and Health,Key Laboratory of Radiological Protection and Nuclear Emergency,China CDC,Notional Institute for Radiological Protection,Chinese Center for Disease Control and Prevention,Beijing 100088,China;Department of Medical Technology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Institute of Radiation Medicine,Fudan University,Shanghai 200032,China)

机构地区：[1]中国疾病预防控制中心辐射防护与核安全医学所,世界卫生组织辐射与健康合作中心,辐射防护与核应急中国疾病预防控制中心重点实验室,北京100088 [2]首都医科大学附属北京同仁医院医学技术部,北京100730 [3]复旦大学放射医学研究所,上海200032

出　　处：《中华放射医学与防护杂志》2023年第6期440-446,共7页Chinese Journal of Radiological Medicine and Protection

基　　金：国家重点研发计划项目(2019YFC0121803)。

摘　　要：目的对我国保健水平(HCL)及其影响因素进行研究。方法利用国家统计局《中国统计年鉴》和公开文献中的数据,以全国和各省份人口和医师数量计算HCL。采用多元回归分析HCL与地区人口、面积、行政区划数量、国内生产总值(GDP)等因素间的关系。采用Pearson相关分析保健水平与医疗照射频度间关系。结果我国从2015年起HCL值低于1000,到2019年尚有两个省份HCL值>1000;人口、GDP是HCL的影响因素,相关系数分别为0.416和-0.583;HCL和人群的医疗照射频度间具有一定相关性(r=-0.620,P=0.028)。结论我国2020年的HCL值为542,各省份之间差异较大。HCL在中国作为医疗照射水平的评价指标需要进一步研究。Objective To study the healthcare level(HCL)in China and its influencing factors.Methods By using the data reported in the China statistical yearbook published by the National Bureau of Statistics and in other public literature,HCL was calculated in terms of the number of population and physicians in the whole country and various provinces.Multiple regression was used to analyze the relationship between HCL and regional population,area,number of administrative divisions and gross domestic product(GDP).Pearson correlation analysis was applied to analyze the relationship between healthcare level and medical radiation frequency.Results Since 2015,Chinese HCL value was lower than 1000,but there were two provinces with HCL value greater than 1000 in 2019.Population and GDP were the influencing factors for the HCL,with correlation coefficients of 0.416 and-0.583,respectively.There was a correlation between HCL and medical exposure frequency of Chinese population(r=-0.620,P=0.028).Conclusions Chinese HCL value was 542 in 2020,but there has been great differences between various provinces.HCL as an indicator of medical exposure assessment needs further research in China.

关 键 词：保健水平 医疗照射 医疗照射频度 

分 类 号：R144[医药卫生—公共卫生与预防医学]