Dept of Radiation Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Radiother Oncol. 2013 Feb;106(2):266-70. doi: 10.1016/j.radonc.2013.02.006. Epub 2013 Mar 7.
In the late 1990s a period of shortage of radiotherapy capacity caused long waiting times in The Netherlands. Investments in treatment vaults, equipment and training capacity were made. The developments since then are described and the actual situation is compared with the predictions throughout the years.
Data are based on annual surveys on production, personnel and equipment of all 21 Dutch radiotherapy centers.
An annual increase in patients, radiotherapy treatments and a corresponding increase in equipment and personnel was seen, on average 3.5-4% per year. After an initial shift to more 3D conformal treatments, a subsequent change from 3D conformal to intensity modulated and image guided techniques was observed. There has been no increase in the number of radiotherapy centers and the average size of a Dutch department in 2010 was 5.7 linacs, 10.4 fte radiation oncologists, 4.8 fte physicists and 45.8 fte technologists.
The number of linacs increased as anticipated. The increase in staffing was in balance with the need, resulting in only a limited number of vacancies. In 2010 there were virtually no waiting lists, and no overcapacity. The predicted need and the actual number of radiotherapy treatment series per year correspond very well. A national program for a planned increase of radiotherapy capacity is feasible. Expansion of existing departments instead of increasing the number allows for a more rapid introduction of new technologies and sufficient subspecialization of the staff.
20 世纪 90 年代末，荷兰放疗能力短缺，导致等待时间延长。因此进行了治疗室、设备和培训能力的投资。描述了此后的发展情况，并将实际情况与多年来的预测进行了比较。
数据基于对所有 21 个荷兰放射治疗中心的生产、人员和设备的年度调查。
平均每年患者、放疗治疗以及相应的设备和人员增加 3.5-4%。在最初转向更多的 3D 适形治疗后，随后观察到从 3D 适形到强度调制和图像引导技术的转变。放疗中心的数量没有增加，2010 年荷兰每个部门的平均规模为 5.7 台直线加速器、10.4 名全职肿瘤放射科医生、4.8 名全职物理学家和 45.8 名全职技术员。
直线加速器的数量如预期的那样增加。人员配备的增加与需求保持平衡，导致空缺职位数量有限。2010 年实际上没有等待名单，也没有产能过剩。预测的需求和每年实际的放疗治疗系列数量非常吻合。一个计划增加放疗能力的国家方案是可行的。在现有部门的扩张而不是增加数量，可以更快地引入新技术，并使员工得到充分的专业化。
