徐州市2016年X射线影像诊断资源调查分析

目的 全面了解和掌握X射线影像诊断资源，为合理配置放射诊疗资源和放射诊疗卫生的监管提供科学依据。方法 采用现场调查方式，调查对象为2016年12月底徐州市范围内取得《放射诊疗许可证》的医疗机构。调查内容包括放射诊疗机构基本信息、放射诊疗设备和放射工作人员配备情况。结果 至2016年底，徐州市共有X射线影像诊断设备713台，DR机数量最多，其次是CT机。一级及其他医疗机构X射线影像诊断设备最多，三级医疗机构没有直接荧光屏透视机。平均每百万人口拥有81.86台X射线诊断设备、每百万人口有193.46名X射线诊断工作人员。从事X射线诊断人数随着X射线诊断设备数增加而增加；X射线诊断设备数和从事X射线诊断人数均随着常住人口增加而增加；徐州市从事X射线影像诊断的放射工作人员共有1 685人，男性多于女性，一级及其他医疗机构从事X射线影像诊断的放射工作人员最多（700人）。结论 徐州市X射线影像诊断设备高端设备为主，X射线影像诊断资源配置与常住人口的数量存在正相关，应加大对人口相对较多地区提出了更高的监督管理要求，保证放射防护安全。

Investigation and analysis of X-ray imaging diagnostic resources in Xuzhou in 2016

Objective To understanding and master X-ray imaging diagnostic resources, and to provide a scientific basis for rational allocation of radiological diagnosis or treatment resources and their supervision and management.Methods The on-site investigation was carried out at the medical institutions with the license for conducting radiological diagnosis or treatment in Xuzhou City at the end of December, 2016. The contents of the survey included basic information on the institution, equipment and staff related to the radiological diagnosis.Results By the end of 2016, Xuzhou had a total of 713 sets of diagnostic X-ray equipment. Among them the largest number was for DR, followed by CT. The first-level and others without rating institutions had the most X-ray imaging diagnostic equipment, and the tertiary medical institutions did not have the direct fluorescent screen fluoroscopy machine. On average, for per million population in Xuzhou, they had 81.86 sets of X-ray diagnostic equipment and 193.46 X-ray diagnostic staff. The number of people engaged in X-ray diagnosis increased with the number of X-ray diagnostic equipment. The number of X-ray diagnostic equipment and the number of people engaged in X-ray diagnosis increased with the increase of residents. There were 1 685 radiation workers engaged in X-ray imaging diagnosis in Xuzhou City, more men than women. Among them, most (700 persons) were working in the institutes with the first level or not rated level.Conclusion Most of the X-ray imaging diagnostic equipment in Xuzhou are advanced. There is a positive correlation between the allocation of X-ray diagnostic resources and the number of permanent residents. It is necessary to enhance the supervision and management for areas with relatively large populations to ensure the safety of radiation protection.