甘肃省基层疾控机构放射性职业病危害因素监测技术能力现状调查与分析

目的 掌握和分析我省基层疾控机构放射性职业病危害因素监测技术能力现状，为我省放射性职业病危害因素职业卫生技术支撑体系能力现代化建设提供相关科学依据。方法 采用发放调查表的方式，汇总并分析我省基层疾控机构放射性职业病危害因素监测技术服务机构的科室设置、人员、仪器设备、检测能力等情况。结果 科室设置方面，市州级设置率为40.0%，县区级设置率为12.8%。人力资源方面，市州级机构平均每家机构2.6人、专职人员占38.9%，县区级机构平均每家机构1.1人、专职人员占4.3%，市县2级专职人员数量差异有统计学意义（t = 2.657，P = 0.019）。市州级及兰州新区机构和县区级机构工作人员学历分布均以本科为主，分别占80.5%和50.0%，市县2级机构工作人员在学历分布上的差异有统计学意义（χ² = 17.820，P < 0.05）。市州级及兰州新区机构工作人员教育背景主要以职业卫生类为主，占58.3%，县区级机构工作人员教育背景主要以其他医学和卫生类为主，占64.1%，市县2级机构工作人员教育背景的差异有统计学意义（χ² = 21.849，P < 0.05）。市县2级平均每家机构配置的相关仪器设备数均不足1台。市州级及兰州新区机构已配备设备具备开展部分检测能力的机构比例占总机构数的33.3%，县区级机构为2.3%，差异有统计学意义（χ² = 19.038，P < 0.05）。市州级及兰州新区机构已通过实验室计量认证的机构数占总机构数的53.3%，县区级机构为22.6%，差异有统计学意义（χ² = 8.503，P < 0.05）。结论 市县2级放射性职业病危害因素监测技术服务机构在人员配备、设施及检测能力存在差异。我省基层疾控机构放射性职业病危害因素监测能力薄弱，各级卫生健康行政部门应支持、指导各级疾控机构按照职业病防治技术支撑体系建设标准，加快推进体系布局和基础能力建设。

Investigation and analysis on the current situation of monitoring technical ability of radioactive occupational hazard factors in grass-roots disease control institutions in Gansu Province

Objective To master and analyze the current situation of the monitoring technical ability of the radiation occupational hazards in the grass-roots CDCs in our province, and to provide relevant scientific basis for the modernization of the occupational health technical support system of the radiation occupational hazards in our province.Methods By means of questionnaire, we investigated, summarized and analyzed the status of the department setting, personnel and equipment of the technical service institutions for monitoring radiation occupational hazards in grassroots CDCs in our province.Results In terms of department setting, the setting rate of city and state level is 40.0%, and that of county and district level is 12.8%. In terms of human resources, the average number of people in each institution is 2.6, of which 61.1% are part-time employees and 38.9% are full-time employees. The average number of employees in each institution at county and district level is 1.1, of which 95.7% are part-time employees and 4.3% are full-time employees. The educational background distribution of municipal and county-level institutions were mainly undergraduate, accounting for 80.5% and 50.0% respectively. The educational background of staff in municipal and state level institutions was mainly occupational health, accounting for 58.3%, while the education background of staff in county and district level institutions was mainly other disciplines of medical and health, accounting for 64.1%.Conclusion Therefore, health administrative departments at all levels should support and guide CDCs at all levels to speed up the system layout and basic capacity-building according to the construction standards of technical support system for occupational disease prevention and control.