2017—2019年河北省放射卫生“双随机”抽查结果分析

目的 对2017—2019年国家“双随机”监督抽查的河北省放射诊疗机构情况进行分析，为完善“双随机”抽查机制，提升监管效能提供有效数据和参考依据。方法 收集2017—2019年抽查的河北省放射诊疗机构有关信息和工作数据进行汇总分析。结果 2017—2019年国家“双随机”抽查共抽取河北省各级各类放射诊疗机构1 733家，其中一级以上医院790家，比例为45.59%；影响“双随机”抽检的主要因素是抽检人员力量不足、缺乏相关专业知识，且由于“双随机”系统数据库的单位数与被监督单位实际数据不一致，关闭、注销的单位数占抽检总数的14.54%，出现完成率低而完结率高的现象；存在的主要问题及违法行为集中在放射诊疗许可、建设项目及放射诊疗场所管理与其防护措施方面。结论 完善“双随机”抽查机制，强化宣传培训，督促放射诊疗机构落实整改，增强法律意识，做到依法规范执业；加强“双随机”手段的运用，合理配置监督执法人员，提升卫生健康执法效能和服务水平。

Analysis of radiological health “double random” inspection results in Hebei from 2017 to 2019

Objective To analyze the situation of radiation diagnosis and treatment institutions which were selected from national "double random" inspection in Hebei from 2017 to 2019, to provide data support and reference for the improvement of "double random" inspection mechanism and management effectiveness.Methods Relevant information and work data of radiation diagnosis and treatment institutions sampled in Hebei from 2017 to 2019 were summarized and analyzed.Results There were totally 1733 radiation diagnosis and treatment institutions sampled form national "double random" inspection in Hebei from 2017 to 2019, of which 790 were hospitals at or above the first level, accounting for 45.59%. The main factors affecting the "double random" inspection were that the supervisors were insufficient, and lacked relevant professional knowledge. In addition, due to the number of radiation diagnosis and treatment institutions in the "double random" system database was inconsistent with the actual data of the supervised units, the number of closed and cancelled units accounted for 14.54% of the total units selected from national "double random" inspection, so there was a phenomenon of low completion rate and high achieving rate. The main problems and punishment cases were mainly centered on radiation diagnosis and treatment licenses, construction projects, management of radiation diagnosis and treatment sites and their protective measures.Conclusion It is necessary to improve the "double random" random inspection mechanism, strengthen publicity and training, supervise and urge radiological institutions to implement rectification, enhance legal awareness, standardize practice according to law, strengthen the use of "double random" means, and rationally allocate and supervise supervisors, then as a result, the health law enforcement effectiveness and service level will be improved.