北京市放射诊疗资源分布现状与集聚度分析

目的 开展北京市放射诊疗资源分布现状与集聚度分析，为合理统筹放射诊疗资源配置、制定政策、促进放射诊疗资源稳定发展与高效利用提供参考。方法 基于2019—2020年北京市医疗卫生机构医用辐射防护监测数据，通过放射诊疗资源数量、平均服务量、资源构成等指标描述放射诊疗资源现状，借助集聚度指标评价北京市放射诊疗资源分布均衡程度。结果 三级医院放射诊断设备配备数量、服务人次及放射工作人员数最多；单台设备服务人次三级医院占比较大，且放射治疗、核医学服务集中于三级医院。三级医院的人力资源与设备服务压力均相对较大，一级医院主要承担放射诊断服务，二级医院与三级医院人均放射诊断服务量差别不大，三级医院核医学和放射治疗人均服务量显著高于二级医院。放射诊疗资源在城区集聚程度较大。结论 不同级别医院放射诊疗资源利用率存在明显差异，各区放射诊疗资源存在显著集聚现象，北京市放射诊疗资源存在一定程度的分布不均衡、利用不充分问题。

Analysis on the distribution status and concentration degree of radiological diagnosis and treatment resources in Beijing

Objective To analyze the distribution status and agglomeration degree of radiological diagnosis and treatment resources in Beijing, and provide references for rationally coordinating the allocation of radiological diagnosis and treatment resources, formulating resource allocation policies, and promoting the stable development and efficient use of radiological diagnosis and treatment resources.Methods Based on the medical radiation protection monitoring data of Beijing medical and health institutions from 2019 to 2020, the current situation of radiological diagnosis and treatment resources is described by the number of radiological diagnosis and treatment resources, the average service volume, and the resource composition, and the distribution of radiological diagnosis and treatment resources in Beijing is evaluated with the aid of the agglomeration degree.Results The number of radiological diagnostic equipment, the number of service personnel, and the number of radiological workers engaged in third-level hospitals is the largest; for the number of service personnel for each type of single equipment, third-level hospitals account for a larger proportion, and radiotherapy and nuclear medicine services are concentrated in third-level hospitals. Human resource pressure and equipment service pressure are relatively high in third-level hospitals. First-level hospitals mainly undertake radiological diagnosis services. There is little difference in the amount of radiological diagnosis services per capita between second-level hospitals and third-level hospitals. Nuclear medicine and radiotherapy in third-level hospitals per capita service volume is significantly higher than that insecond-level hospitals. Radiological diagnosis and radiotherapy resources are concentrated in urban areas to a large extent.Conclusion There are obvious differences in the utilization of radiological diagnosis and treatment resources in different levels of hospitals. There is a significant concentration of radiological diagnosis and treatment resources in various districts. There is a certain degree of unbalanced distribution and inadequate utilization of radiological diagnosis and treatment resources in Beijing.