Cockshott W P
AJR Am J Roentgenol. 1979 Mar;132(3):339-44. doi: 10.2214/ajr.132.3.339.
A survey was made of the manpower employed, facilities available and utilization of radiology in countries in tropical Africa and Southeast Asia. The data obtained are compared with those from industralized societies in temperate climates. The level of use of radiographic services varied by a factor as high as 40. The differences between the level of radiology manpower available could be over a hundredfold and for x-ray technologists, many hundred times. The concentration of services in capital cities is characteristic of many tropical societies. Measures to improve radiologic health care in tropical countries, with particular emphasis on rural areas, are discussed. The main need is for availability of radiodiagnosis close to the primary care level in rural areas to deal with the important clinical problems of trauma, chest infections, and obstetrics. Simplification of equipment and employment of technicians with short training can help relieve maldistribution of services.
对热带非洲和东南亚国家放射学方面的人力雇佣情况、可用设施及利用情况进行了一项调查。将所获得的数据与温带气候下工业化社会的数据进行了比较。放射照相服务的使用水平差异高达40倍。可用放射学人力水平之间的差异可能超过一百倍，而对于X光技师来说，则可能相差数百倍。许多热带社会的一个特点是服务集中在首都城市。讨论了改善热带国家放射卫生保健的措施，特别强调农村地区。主要需求是在农村地区基层医疗水平附近提供放射诊断，以应对创伤、胸部感染和产科等重要临床问题。简化设备并雇佣经过短期培训的技术人员有助于缓解服务分配不均的问题。
