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      Current status of application of resources on medical exposure in Dongying, China

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          Abstract

          Objective To investigate the current status of application of resources on medical exposure in Dongying, China, and to provide fundamental data for setting up the health information management system of occupational radiation diseases and implementing health supervision and management strategies.

          Methods According to the requirements of monitoring program on radiation health of Dongying in 2021, a general survey was carried out in all medical institutions (other than dental clinics) providing radiodiagnosis and radiotherapy services by the field investigation method using the unified questionnaires and survey content, and a descriptive analysis was conducted on the results.

          Results There were 92 institutions of radiodiagnosis and radiotherapy in Dongying, 1 112 radiation workers who accounted for 5.9% of all workers on duty, including 679 (61.1%) males and 433 (38.9%) females, and 364 pieces of radiation equipment, including 339 for X-ray diagnosis, 8 for radiotherapy, 2 for nuclear medicine, and 15 for interventional radiology. The allocation of personal protective equipment for interventional radiology staff in tertiary hospitals was higher than that in secondary hospitals, in which there were 0.36 and 0.23 pieces of lead-rubber aprons, 0.43 and 0.30 pieces of lead-rubber hats, 0.50 and 0.35 pieces of leadrubber collars, 0.05 and 0 pairs of lead-rubber gloves, and 0.31 and 0.17 pairs of lead protection glasses per capita, respectively. The allocation rates of lead-rubber collars and lead protection glasses in the nuclear medicine staff were higher than those in the interventional radiology staff, with 0.63 collars and 0.88 pairs per capita, respectively. The annual frequency of medical exposure was calculated to be 864.3 person-times per 1 000 population for radiodiagnosis and 5.2 patients per 1 000 population for radiotherapy.

          Conclusion The allocation and application of resources on medical exposure in Dongying is unbalanced, so it is demanded to set up a health information management system of occupational radiation diseases for continuously mastering the application of medical exposure and adopting differentiated regulatory measures such as rating classification in Dongying.

          Abstract

          摘要: 目的 调查东营市医疗照射资源辐射应用状况, 为建立东营市放射性职业病健康信息管理系统和实施卫生监 督管理策略提供基础数据。 方法 依据 2021 年东营市放射卫生监测项目工作方案要求, 采用现场调查方法, 对辖区 内所有开展放射诊疗的医疗机构(口腔诊所除外), 采用统一制定的调查表格和调查内容进行基本情况调查, 对调查结 果进行描述性分析。 结果 东营市共有放射诊疗机构 92 家;放射工作人员 1 112 人, 占全部在岗职工 5.9%, 其中男 性 679 人, 占 61.1%, 女性 433 人, 占 38.9%;放射诊疗设备 364 台, 其中 X 射线诊断设备 339 台, 放疗设备 8 台, 核医 学设备 2 台, 介入放射学设备 15 台;介入放射学工作人员个人防护用品配置三级医院高于二级医院, 人均配备铅橡胶 围裙分别为 0.36 件和 0.23 件, 铅橡胶帽子分别为 0.43 件和 0.30 件, 铅橡胶颈套分别为 0.50 件和 0.35 件, 铅橡胶手套 分别为 0.05 副和 0 副, 铅防护眼镜分别为 0.31 副和 0.17 副, 核医学工作人员铅橡胶颈套和铅防护眼镜配置率高于介 入工作人员, 人均分别为 0.63 件和 0.88 副;全市放射诊疗诊断年频度为 864.3 人次/千人口, 治疗年频度为 5.2 人/千人 口。 结论 东营市医疗照射资源配置及应用不平衡, 应建立放射性职业病健康信息管理系统, 动态掌握辖区内的辐射 应用状况, 并采取分级分类等差异化监管措施。

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          Author and article information

          Journal
          CJRH
          Chinese Journal of Radiological Health
          Chinese Preventive Medical Association (Ji’an, China )
          1004-714X
          01 December 2022
          01 March 2023
          : 31
          : 6
          : 713-718
          Affiliations
          [1] 1Department Of Public Health, Dongying Center for Disease Control and Prevention, Dongying 257091 China
          [2] 2Institute For Public Health, Shandong Center for Disease Control and Prevention, Jinan 250014 China
          Author notes
          Corresponding author: YANG Ke, E-mail: ayyangke@ 123456163.com
          Article
          j.issn.1004-714X.2022.06.013
          10.13491/j.issn.1004-714X.2022.06.013
          9e1216af-5a3d-4de9-8cf3-f74a5a847565
          © 2022 Chinese Journal of Radiological Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/

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          Categories
          Journal Article

          Medicine,Image processing,Radiology & Imaging,Bioinformatics & Computational biology,Health & Social care,Public health
          Resources,Medical exposure,Radiation application,Radiodiagnosis and radiotherapy

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