2023年山东省济南市医疗卫生机构放射诊疗资源配置情况调查分析  

Survey and analysis on allocation of radiological diagnosis and treatment resources in medical institutions in Jinan city,Shandong province in 2023

作　　者：宁国英 周敬文[1] 翟爱华 辛江波 秦艺文 顾玉江 NING Guo-ying;ZHOU Jing-wen;ZHAI Ai-hua;XIN Jiang-bo;QIN Yi-wen;GU Yu-jiang(Department of Radiation Health,Jinan City Center for Disease Control and Prevention,Shandong 250021,China)

机构地区：[1]济南市疾病预防控制中心放射卫生所,山东250021

出　　处：《预防医学论坛》2024年第10期783-787,共5页Preventive Medicine Tribune

摘　　要：目的调查2023年山东省济南市医疗卫生机构的放射诊疗资源配置和分布情况,为卫生行政部门合理规划和配置放射诊疗资源提供依据。方法根据2023年山东省济南市放射卫生监测项目工作方案,使用统一调查表,对济南市放射诊疗机构基本情况、放射诊疗设备配置情况、放射工作人员数量等信息进行调查。结果2023年济南市共有放射诊疗机构299家,放射诊疗设备1601台,放射工作人员5784人;平均每万人口拥有放射诊疗机构数、放射诊疗设备数和放射工作人员数分别为0.32家、1.70台、6.14人。59.20%(177/299)的放射诊疗机构分布在中心城区5个区县,5个区县分别拥有三级医院和二级医院33家和41家,占三级医院和二级医院总数的比例分别为80.49%(33/41)和71.93%(41/57)。一级医院数量最多,占比36.79%(110/299);三级医院数量最少,占比13.71%(41/299)。X射线影像诊断机构、放射治疗机构、核医学机构和介入放射学机构分别占99.67%(298/299)、9.03%(27/299)、5.69%(17/299)、16.05%(48/299)。1601台放射诊疗设备中,X射线影像诊断设备数量最多,占86.63%(1387/1601);其次为介入放射学设备,占7.00%(112/1601);核医学设备最少,占2.44%(39/1601)。不同等级医院放射诊疗设备数量差距较大,三级医院各类放射诊疗设备均有配备且数量最多,占比49.59%(794/1601);一级医院仅配置X射线影像诊断设备,占比15.87%(254/1601)。5784名放射工作人员中从事X射线影像诊断、介入放射学、放射治疗、核医学的人员分别占60.41%(3494/5784)、26.28%(1520/5784)、9.42%(545/5784)、3.89%(225/5784)。三级医院、二级医院、一级医院和未定等医院的放射工作人员占比分别为69.16%(4000/5784)、19.35%(1119/5784)、6.74%(390/5784)、4.75%(275/5784)。结论济南市放射诊疗资源在不同等级、不同区县放射诊疗机构间分布不均衡,三级医院放射诊疗资源配置较充足,一级医院相对薄弱,整体资�Objective To investigate the allocation and distribution of radiological diagnosis and treatment resources in Jinan city of Shandong province in 2023,so as to provide a basis for the health administration to plan and allocate the radiological diagnosis and treatment resources in a rational way. Methods In accordance with 2023 programme of the Jinan Radiological Health Surveillance Project, the basic situation of radioactive medical institutions, the configuration of radioactive medical equipment and workers in Jinan city was investigated with special questionnaires. Results There were 299 radioactive medical institutions, 1 601 radioactive medical equipment and 5 784 workers in Jinan city in 2023.The average number of radioactive medical institutions, equipment and workers per 10 000 population was 0.32,1.70 and 6.14 respectively.About 59.20%(177/299) of the radioactive medical institutions located in 5 districts of the central urban area.There were 33 tertiary hospitals and 41 secondary hospitals in 5 districts respectively, accounting for 80.49%(33/41) and 71.93%(41/57) of the total number of tertiary hospitals and secondary hospitals respectively.The number of primary hospitals was the largest, accounting for 36.79%(110/299),while the number of tertiary hospitals was the smallest, accounting for 13.71%(41/299).The proportions of X-ray imaging diagnosis institutions, radiotherapy institutions, nuclear medicine institutions and interventional radiology institutions were 99.67%(298/299),9.03%(27/299),5.69%(17/299) and 16.05%(48/299),respectively.Among the 1 601 radioactive medical equipment, the number of X-ray imaging diagnosis equipment was the largest, accounting for 86.63%(1 387/1 601),followed by interventional radiology equipment, which accounted for 7.0%(112/1 601).The number of nuclear medicine equipment was the least, accounting for 2.44%(39/1 601).There was a significant disparity in the number of radioactive medical equipment among hospitals of different levels.Tertiary hospitals were equipped with all

关 键 词：放射诊疗 放射机构 放射设备 卫生资源配置 

分 类 号：R148[医药卫生—公共卫生与预防医学] R197.39