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目的:通过对2012-2013年对北京市海淀区医疗机构放射卫生量化分级干预项目的数据进行分析,为探讨量化分级管理制度在放射卫生领域的应用提供理论依据。方法:于2012年对北京市海淀区269家医疗机构进行第一次量化分级普查,根据调查情况有针对性地对放射诊疗机构进行干预,并要求其按照《量化分级表》项目进行自查管理。2013年对257家医疗机构进行再次普查,与干预项目实施前的情况进行对比分析,评价干预效果。结果:被调查的医疗机构放射卫生平均标化分从干预前的(87.96±8.37)分增长到干预后的(92.69±6.86)分,前后比较t=-7.653,P<0.000,被评为A级的医疗机构从30.1%增加到73.5%。结论:本次量化分级干预项目提高了海淀区医疗机构整体的放射诊疗管理水平,尤其对一级以下医疗机构的干预效果最为明显。
OBJECTIVE: To provide a theoretical basis for exploring the application of quantitative grading management system in the field of radiation health by analyzing the data of quantitative and grading interventions for radiation health in medical institutions of Haidian District in 2012-2013. Methods: In 2012, the first quantitative grading survey was conducted on 269 medical institutions in Haidian District, Beijing. According to the investigation, the radiology clinic was intervened in a targeted manner and required to carry out self-examination and management in accordance with the “Quantitative Classification Table” . In 2013, another 257 medical institutions conducted another census and conducted comparative analysis with the situation before the implementation of the intervention project to evaluate the effect of the intervention. Results: The standardization of radioactive health in the investigated medical institutions increased from (87.96 ± 8.37) points before intervention to (92.69 ± 6.86) points after intervention, t = -7.653 before and after comparison, P <0.000, and was rated as A The level of medical institutions increased from 30.1% to 73.5%. Conclusion: The quantitative grading intervention project has raised the overall level of radiation treatment and management of medical institutions in Haidian District. In particular, interventions at the first-class medical institutions are the most obvious.