上海市松江区区域影像联合体放射诊断同质化发展状况调查
发布时间：2018-08-03 11:31
【摘要】：目的调查上海市松江区区域影像联合体成立5年来放射诊断同质化发展状况,探讨如何进一步提高放射诊断同质化水平。方法于2016年6—8月,选取松江区影像联合体内15家社区医院的全体放射工作人员(放射医生、放射技师)及与放射科相关医务人员、到放射科摄片患者或体检人员300例。采用自行设计问卷进行调查,问卷内容包括被调查人员的基本情况、联合体知晓度、联合体成立5年来成效、放射诊断同质化状况。共发放问卷300份,回收有效问卷286份,问卷有效回收率为95.3%。结果 73.1%(209/286)的被调查人员对社区医院放射报告的审核单位回答正确,47.6%(136/286)的被调查人员认为区内放射检查更加便捷,58.4%(167/286)的被调查人员认为区内重复性放射检查减少,41.7%(118/283)的被调查人员认为区内放射检查费用减少,49.3%(141/286)的被调查人员认为社区放射医生业务水平有所提高。是否为医务人员及不同在业情况、学历的被调查人员认为社区放射医生业务水平有所提高的选择率比较,差异无统计学意义(P0.05)。47.0%(134/285)的被调查人员认为社区医院与区中心医院放射科业务水平无差距。是否为医务人员的被调查人员认为社区医院与区中心医院放射业务水平无差距的选择率比较,差异有统计学意义(P0.05);不同在业情况、学历的被调查人员认为社区医院与区中心医院放射业务水平无差距的选择率比较,差异无统计学意义(P0.05)。75.9%(217/286)的被调查人员认为将社区放射医生的业务学习纳入区影像诊断中心管理有利于提高社区医院放射业务水平。是否为医务人员及不同在业情况、学历的被调查人员对各问题不知道的选择率比较,差异有统计学意义(P0.05)。结论松江区影像联合体在放射诊断同质化方面取得一定成绩,同时需要进一步提高放射诊断同质化水平,如将社区放射医生业务学习纳入区诊断中心管理。另外加大对低学历、非在业、非医务人员的宣传,有利于提高百姓获得感。
[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.
【作者单位】： 上海市松江区中心医院放射科;
【基金】：上海市卫生和计划生育委员会政策研究课题(2016HP039)
【分类号】：R197.32;R814
本文编号：2161611
[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.
【作者单位】： 上海市松江区中心医院放射科;
【基金】：上海市卫生和计划生育委员会政策研究课题(2016HP039)
【分类号】：R197.32;R814
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