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作 者:陈星宇 赵田地 孙博 王济东[1] 王皓[2] 徐飞 王俊杰[2] 江萍[2] Chen Xingyu;Zhao Tiandi;Sun Bo;Wang Jidong;Wang Hao;Xu Fei;Wang Junjie;Jiang Ping(Department of Radiation Oncology,Peking University International Hospital,Beijing 102206,China;Department of Radiation Oncology,Peking University Third Hospital,Beijing Radiation Therapy Quality Control and Improvement Center,Beijing 100191,China)
机构地区:[1]北京大学国际医院放疗科,北京102206 [2]北京大学第三医院放疗科,北京市放射治疗质量控制和改进中心,北京100191
出 处:《中华放射肿瘤学杂志》2025年第3期233-239,共7页Chinese Journal of Radiation Oncology
摘 要:目的调查北京市非公立医院放疗科临床和科研工作情况及存在的问题,提出相应的改进建议。方法2024年3—6月,对北京市的8家非公立医院放疗科2023年度医教研情况开展电子问卷调研并进行现场质量控制督导检查,内容包括设备配备情况,放疗相关人员的学历、职称、年龄、工作年限构成,以及医院运行情况等。对有疑问的调查表,进行电话复核。录入质控方式为双人录入交叉核对。采用频数和构成比进行统计描述。结果北京市开设放疗科的8家非公立医院主要分布在主城区和近郊区。放射治疗工作从业人员105人,其中放疗医师共37人、医学物理师19人(中级职称14人)、放射治疗师49人(初级职称42人,占86%)。5家医院医疗队伍缺少3级职称梯队。放射治疗师工作年限≤5年占67%(33/49)。共有医用直线加速器10台、后装放射治疗设备2台、CT模拟定位机8台、X线模拟定位机1台、放疗质控仪器35套。8家医院均可同时开展适形调强放疗和容积弧形调强放射治疗。2023年全年接受医用直线加速器治疗的患者5010人,后装放射治疗的患者171人。开展科研工作的医院2家、接收进修生的医院1家、带教实习生的医院2家。质控督导检查结果显示,8家非公立医院在设备配备方面基本可以满足放射治疗及日常设备质控的需求。结论北京市开展放射治疗的非公立医院放疗从业人员组成基本合理,放疗相关的设备设施配置较齐全。但在人员数量以及组成结构上,合理性差、工作年限短、职称偏低、科研教学能力不足等现象普遍存在,需进一步改进。ObjectiveTo investigate the construction and existing problems of radiotherapy departments in non-public hospitals in Beijing,and to propose improvement suggestions.MethodsAn electronic questionnaire survey of 2023 medical education and research situation of the radiotherapy departments of 8 non-public hospitals in Beijing was conducted from March 2024 to June 2024,and on-site quality control supervision and inspection were conducted.The survey covered the equipment allocation,the educational background,professional title,age,working experience of radiotherapy-related personnel,and the operation of the hospital,etc.The questionable questionnaires were reviewed by telephone.The quality control method of entry was double entry and cross-checking.Frequency and composition ratio were used for statistical description.ResultsThe radiation oncology departments of 8 non-public hospitals in Beijing were mainly located in the main urban areas and suburbs.There were 105 radiotherapy practitioners,including 37 radiation oncologists,19 medical physicists(14 with intermediate titles)and 49 radiotherapists(42 with junior titles,accounting for 86%).The medical teams of 5 hospitals lacked of a 3-level professional title echelon.A total of 67%(33/49)of radiotherapists had≤5 years of working experience.There were 10 medical linear accelerators,2 sets of after-loading radiotherapy equipment,8 sets of CT simulation positioning equipment,1 X-ray simulation positioning machine,and 35 sets of radiotherapy quality control instruments.Conformal intensity-modulated radiotherapy and volumetric arc-modulated radiotherapy could be simultaneously carried out in 8 hospitals.In 2023,5010 patients were treated with medical linear accelerators and 171 patients were treated with after-loading radiotherapy.Two hospitals carried out scientific research,1 hospital accepted trainees,and 2 hospitals provided teaching for interns.The results of quality control supervision and inspection showed that the equipment from 8 non-public hospitals could basica
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