【摘要】：目的調查上海市松江區(qū)區(qū)域影像聯合體成立5年來放射診斷同質化發(fā)展狀況,探討如何進一步提高放射診斷同質化水平。方法于2016年6—8月,選取松江區(qū)影像聯合體內15家社區(qū)醫(yī)院的全體放射工作人員(放射醫(yī)生、放射技師)及與放射科相關醫(yī)務人員、到放射科攝片患者或體檢人員300例。采用自行設計問卷進行調查,問卷內容包括被調查人員的基本情況、聯合體知曉度、聯合體成立5年來成效、放射診斷同質化狀況。共發(fā)放問卷300份,回收有效問卷286份,問卷有效回收率為95.3%。結果 73.1%(209/286)的被調查人員對社區(qū)醫(yī)院放射報告的審核單位回答正確,47.6%(136/286)的被調查人員認為區(qū)內放射檢查更加便捷,58.4%(167/286)的被調查人員認為區(qū)內重復性放射檢查減少,41.7%(118/283)的被調查人員認為區(qū)內放射檢查費用減少,49.3%(141/286)的被調查人員認為社區(qū)放射醫(yī)生業(yè)務水平有所提高。是否為醫(yī)務人員及不同在業(yè)情況、學歷的被調查人員認為社區(qū)放射醫(yī)生業(yè)務水平有所提高的選擇率比較,差異無統計學意義(P0.05)。47.0%(134/285)的被調查人員認為社區(qū)醫(yī)院與區(qū)中心醫(yī)院放射科業(yè)務水平無差距。是否為醫(yī)務人員的被調查人員認為社區(qū)醫(yī)院與區(qū)中心醫(yī)院放射業(yè)務水平無差距的選擇率比較,差異有統計學意義(P0.05);不同在業(yè)情況、學歷的被調查人員認為社區(qū)醫(yī)院與區(qū)中心醫(yī)院放射業(yè)務水平無差距的選擇率比較,差異無統計學意義(P0.05)。75.9%(217/286)的被調查人員認為將社區(qū)放射醫(yī)生的業(yè)務學習納入區(qū)影像診斷中心管理有利于提高社區(qū)醫(yī)院放射業(yè)務水平。是否為醫(yī)務人員及不同在業(yè)情況、學歷的被調查人員對各問題不知道的選擇率比較,差異有統計學意義(P0.05)。結論松江區(qū)影像聯合體在放射診斷同質化方面取得一定成績,同時需要進一步提高放射診斷同質化水平,如將社區(qū)放射醫(yī)生業(yè)務學習納入區(qū)診斷中心管理。另外加大對低學歷、非在業(yè)、非醫(yī)務人員的宣傳,有利于提高百姓獲得感。
[Abstract]:Objective to investigate the development of radiologic diagnosis homogenization in the five years since the establishment of the regional imaging association in Songjiang District of Shanghai, and to explore how to further improve the level of radiation diagnosis homogenization. Methods from June to August 2016, 300 radiographers (radiologists, radiographers) and medical personnel associated with radiology were selected from 15 community hospitals in Songjiang District. A self-designed questionnaire was used to conduct the survey, which included the basic information of the respondents, the degree of knowledge of the association, the effectiveness of the association in the past 5 years, and the status of radiology diagnosis homogeneity. A total of 300 questionnaires were sent out, 286 valid questionnaires were collected, and the effective recovery rate was 95.3%. Results 73.1% (209 / 286) of the respondents responded correctly to the unit that examined the radiation reports in community hospitals. 47.6% (136 / 286) of the respondents thought that the area's radiological examination was more convenient, 58.4% (167 / 286), and the respondents said that the number of repetitive examinations in the region was reduced by 41.7% (118 / 283). Investigators said 49.3 percent (141 / 286) of the cost of radiation screening in the region had been reduced by 49.3 percent, and that community radiologists had improved their skills. Whether it is the medical staff and the different working conditions, and whether the respondents with academic qualifications think that the professional level of the community radiologists has improved in the selection rate, The difference was not statistically significant (P0.05). 47.0% (134 / 285) of the respondents believed that there was no difference in the level of radiology between community hospitals and regional central hospitals. There were significant differences in the rate of choice between community hospitals and district central hospitals in terms of the level of radioactivity among those surveyed (P0.05); in different employment situations, there was a significant difference in the selection rate between the two groups (P0.05), and the difference was statistically significant (P0.05). The survey staff with academic qualifications considered that there was no difference in the level of radiological work between community hospitals and district central hospitals. The difference was not statistically significant (P0.05). 75.9% (217 / 286) of the respondents believed that the integration of community radiologists' professional learning into the management of regional imaging diagnosis center was beneficial to improve the level of radiation business in community hospitals. There were significant differences in the selection rate of medical staff and different working conditions among the survey staff who had no knowledge of each question (P0.05). Conclusion the imaging consortia in Songjiang district have made some achievements in the aspect of radiology diagnosis homogeneity, and the level of radiology diagnosis homogeneity should be further improved, for example, the community radiologists' professional study should be brought into the management of the district diagnosis center. In addition, the increase of low education, non-employment, non-medical personnel publicity, conducive to improve the people's sense of access.
【作者單位】： 上海市松江區(qū)中心醫(yī)院放射科;
【基金】：上海市衛(wèi)生和計劃生育委員會政策研究課題(2016HP039)
【分類號】：R197.32;R814

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