2020年南京市放射诊疗资源配置现况调查与分析

目的分析和掌握南京市放射诊疗资源配置和分布情况,为卫生行政部门合理规划和配置全市放射诊疗资源提供依据。方法采用普查的方法,使用放射诊疗机构基本情况调查表,对全市医疗机构放射诊疗设备数量、放射诊疗类型、放射工作人员数等信息进行调查。结果南京市共有各级放射诊疗机构347家,放射工作人员3 999人,放射诊疗设备1 342台;市区放射诊疗机构有2 798名放射工作人员,占总数的69.99%,高于郊区(1 201人);市区放射诊疗机构有放射诊疗设备842台,占总数的62.74%,高于郊区(500台);三级放射诊疗机构27家,占总数的7.78%,其拥有放射诊疗设备629台(46.87%),高于一级(287台)、二级(189台)及未定级诊疗机构(237台)。南京市每百万人口拥有放射诊疗设备158台,每百万人口拥有放射工作人员470人。结论南京市放射诊疗设备在市区和郊区以及各级诊疗机构存在分布不均衡现象,需要政府、卫生行政部门加强宏观调控,促进医疗资源的合理化配置。

An investigation and analysis of the status of radiological diagnosis and treatment resource allocation in Nanjing,China, 2020

Objective To analyze and master the allocation and distribution of radiological diagnosis and treatment resources in Nanjing, China, and to provide a basis for the health administrative departments to reasonably plan and allocate the radiological diagnosis and treatment resources in the whole city. Methods A general survey using the questionnaire on general information of radiological diagnosis and treatment institutions was conducted to investigate the amount and type of radiological diagnosis and treatment equipment and number of radiation workers in medical institutions in the whole city. Results There were totally 347 radiological diagnosis and treatment institutions at all levels involving 3999 radiation workers and 1342 sets of radiological diagnosis and treatment equipment in Nanjing. In urban radiological diagnosis and treatment institutions, there were 2798 (69.99%) radiation workers and 842 (62.74%) sets of radiological diagnosis and treatment equipment, more than those in the suburbs (1201 and 500 sets). There were 27 (7.78%) tertiary radiological diagnosis and treatment institutions, with 629 (46.87%) sets of radiological diagnosis and treatment equipment, which was more than those in the primary (287), secondary (189), and ungraded (237) medical institutions. There were 158 sets of radiological diagnosis and treatment equipment and 470 radiation workers per million people in Nanjing. Conclusion The distribution of radiological diagnosis and treatment equipment in Nanjing is uneven between urban and suburban areas and between various levels of medical institutions. The government and health administrative departments need to enhance the macroscopic readjustment and control, thus promoting the reasonable allocation of medical resources.