Investigation and analysis on the status of radiological health technical service institutions in Hebei province

Objective To further strengthen the management of radiological health technical service institutions, standardize their technical service behaviors, and explore the supervision countermeasures for radiological health and technical service institutions. Methods The radiological health technical service institutions status questionnaires s were designed to survey the basic situation, professionals and technical personnel, the equipment configuration, testing items and workload of service institutions. Results By the end of 2019, there were 23 radiological health technical service institutions in Hebei province, including 8 disease control and occupational prevention institutions (accounting for 34.8%) and 15 third-party institutions (accounting for 65.2%); The distribution of regional agencies were unbalanced; There were 223 professional and technical personnel, of which 29.6% were senior technical professionals, 29.6% were intermediate technical professionals and 40.8% were other professionals. 58.8% had a bachelor’s degree or above, and 41.2% had a college degree or below; The majors of professionals were relatively scattered, with only 6.44% of radiological health, 5.15% of physics-related majors, and 51.07% of medical-related majors. Other majors involve chemical pharmacy, environmental engineering, public relations planning, food, English, accounting and other majors. The professional technical responsible person had no part-time job. The institution were totally equipped with 308 sets of radiation protection detectors and 172 sets of phantoms, basically in line with the configuration requirements; All quality control system documents such as quality management manuals, procedural documents, operating procedures, and work instructions have been established; All test items applied by laboratory measurement certification have passed; Conclusion The CDC institutions were gradually shrinking, the private institutions were gradually increasing and the nature of the institutions was gradually diversified. The allocation of regional resources was unbalanced. It is suggested to strengthen the training on the theoretical basis and professional skills of professionals in testing and evaluation. Increasing on-site practical training is a more important and effective way. It is recommended to strengthen the training of basic-level health administrative departments and supervisory agencies and improve the sense of responsibility of supervisors. 摘要： 目的 进一步加强对放射卫生技术服务机构的管理, 规范其服务行为, 探索对放射卫生技术服务机构的监管对 策。 方法设计调查表, 对服务机构的基本情况、专业技术人员、设备配置及开展检测项目、工作量等进行了调查。 结果至 2019 年底, 我省共有放射卫生技术服务机构 23家, 其中疾控和职防院所类8家, 占 34.8%, 第三方（民营)机 构类 15 家, 占 65.2%; 各区域机构分布不均衡;共有专业技术人员 223名, 其中高级技术人员占29.6%, 中级技术人员 占 29.6%, 其他人员占 40.8%; 本科及以上学历人员占 58.8%, 大专及以下学历的人员占 41.2%; 专业技术人员所学专 业相对分散, 放射卫生专业占 6.44%, 物理相关专业占了 5.15%, 医学相关专业占 51.07%, 其它专业涉及化工制药、环 境工程、公关策划、食品、英语、会计等专业；专业技术负责人无兼职情况;机构共配有放射防护检测仪仪器 308 台 (套), 模体 172 套, 基本符合配置要求; 23 家机构均建立了质量管理手册、程序性文件、操作规程和作业指导书等质量 控制体系文件；申请的检测项目都通过实验室计量认证。 结论 疾控系统机构渐萎缩, 民营机构渐多, 机构性质逐步 呈现多元化;地域资源配置不平衡;建议加强对检测、评价专业技术人员理论基础、专业技能等方面的培训, 增加现场 实际操作训练是更为重要的有效提升方式; 建议加大对基层卫生行政部门和监督机构的培训, 提高监督人员的责任意识。