浙江省放射性职业健康检查机构现状分析  

Status analysis of radiation occupational health inspection institutions in Zhejiang Province,China

作　　者：张东霞 宣志强[1] 俞顺飞[1] 郭佳娣 郝小吉 赖忠俊 曹艺耀[1] 赵尧贤[1] ZHANG Dongxia;XUAN Zhiqiang;YU Shunfei;GUO Jiadi;HAO Xiaoji;LAI Zhongjun;CAO Yiyao;ZHAO Yaoxian(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051 China)

机构地区：[1]浙江省疾病预防控制中心,浙江杭州310051

出　　处：《中国辐射卫生》2023年第6期656-660,共5页Chinese Journal of Radiological Health

基　　金：浙江省医药卫生科技计划项目(2022KY133);浙江省疾病预防控制中心英才孵育项目(202004)。

摘　　要：目的 了解浙江省放射性职业健康检查机构的运行现状和服务水平,以便为行政部门和质量管理部门制定政策提供依据。方法 收集浙江省内放射性职业健康检查机构现状调查资料,对机构的区域分布、性质和服务资质等进行描述性分析。结果 浙江省共有27家放射性职业健康检查机构,分布于11个地市,公立机构占85.18%,民营机构占14.72%。2021年浙江省放射工作人员体检工作量中,综合医院占比75.90%,民营机构占比4.51%,职防院所占比19.59%;全省放射性职业健康检查机构中单机版和网络版软件配置分别为33.33%和37.04%;完成染色体畸变检查26 986人次(82.97%),甲状腺彩超检查(41.24%),眼晶状体检查(82.97%);岗前、岗中和离岗体检分别占25.81%、70.52%和3.67%,岗中体检不同放射工种中诊断放射学人员占比最高为34.90%。27家放射性职业健康检查机构获得质量控制考核结果优秀、合格和不合格分别占7.41%、88.89%和3.70%。结论 浙江省放射性职业健康检查机构网络完善,主要由综合医院、职防院所和民营机构承担。建议做好自身建设与管理,加强执法监督,积极参加盲样考核,提升信息化水平和规范化服务,以提升职业健康检查质量和水平。Objective To investigate the operation status and service level of radiation occupational health inspection institutions in Zhejiang Province,China,and to provide a basis for administrative departments and quality management departments to develop policies.Methods The investigation data of radiation occupational health inspection institutions in Zhejiang Province were collected for descriptive analysis of the regional distribution,nature,and service qualification of the institutions.Results There were 27 radiation occupational health inspection institutions in Zhejiang Province.These institutions were located in 11 cities,of which 85.18%were public institutions and 14.72%were private institutions.For the physical examination workload of radiation workers in Zhejiang Province in 2021,general hospitals accounted for 75.90%,private institutions accounted for 4.51%,and occupational prevention and treatment hospitals accounted for 19.59%.In the radiation occupational health inspection institutions,the stand-alone and online software installation rates were 33.33%and 37.04%,respectively.A total of 26986 individuals(82.97%)underwent chromosome aberration examination.The examination rates of thyroid color Doppler ultrasound examination and eye lens examination were 41.24%and 82.97%,respectively.Pre-job,on-job,and off-job physical examination accounted for 25.81%,70.52%,and 3.67%,respectively.For radiation workers who underwent on-job physical examination,diagnostic radiology workers accounted for the highest proportion of 34.90%.The excellent,qualified,and unqualified rates of 27 radiation occupational health inspection institutions were 7.41%,88.89%,and 3.70%,respectively.Conclusion The network of radiation occupational health inspection institutions in Zhejiang Province is well-established and located mainly in general hospitals,occupational prevention and control institutions,and private institutions.To enhance the quality and proficiency of occupational health examinations,it is imperative to prioritize self-improvem

关 键 词：放射工作人员 职业健康检查 现状分析 

分 类 号：X591[环境科学与工程—环境工程]