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日本当前放射科医生的工作量与短缺情况:需要多少全职放射科医生?

Current radiologist workload and the shortages in Japan: how many full-time radiologists are required?

作者信息

Nishie Akihiro, Kakihara Daisuke, Nojo Takeshi, Nakamura Katsumasa, Kuribayashi Sachio, Kadoya Masumi, Ohtomo Kuni, Sugimura Kazuro, Honda Hiroshi

机构信息

Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan,

出版信息

Jpn J Radiol. 2015 May;33(5):266-72. doi: 10.1007/s11604-015-0413-6. Epub 2015 Mar 19.

DOI:10.1007/s11604-015-0413-6
PMID:25787900
Abstract

PURPOSE

To clarify the workload of certified radiologists and to estimate the current manpower shortages in Japan.

METHODS

We conducted a questionnaire survey for accredited training institutions. The contents included the radiologist employment pattern (full vs. part time), the number of computed tomography (CT) and magnetic resonance imaging (MRI) examinations and their radiology reports, the number of radiation therapy planning sessions, and the time per week spent for each work activity. We also used the hospital survey reports of Japan's Ministry of Health, Labor, and Welfare in our analyses.

RESULTS

The estimated numbers of CT and MRI interpretation reports and radiation treatment plans that one full-time radiologist could complete within 1 hospital day (8 h) were 19.9 and 1.22, respectively. To complete all CT and MRI reports, at least 2.09 times more full-time diagnostic radiologists are needed in Japan. For radiation therapy, at least 1.23 times more full-time radiation oncologists are necessary at large- and medium-scale hospitals, although the number of radiation oncologists needed in Japan is balanced to the current number.

CONCLUSION

The number of full-time certified diagnostic radiologists for CT and MRI interpretation in Japan is insufficient. Centralized radiation therapy facilities may be more efficient for meeting the increasing demand.

摘要

目的

明确日本认证放射科医生的工作量,并估算当前人力短缺情况。

方法

我们对经认可的培训机构进行了问卷调查。内容包括放射科医生的就业模式(全职与兼职)、计算机断层扫描(CT)和磁共振成像(MRI)检查的数量及其放射学报告、放射治疗计划会议的数量,以及每项工作活动每周花费的时间。我们在分析中还使用了日本厚生劳动省的医院调查报告。

结果

一名全职放射科医生在1个医院工作日(8小时)内能够完成的CT和MRI解读报告以及放射治疗计划的估计数量分别为19.9份和1.22份。为完成所有CT和MRI报告,日本所需的全职诊断放射科医生至少要多出2.09倍。对于放射治疗,大中型医院所需的全职放射肿瘤学家至少要多出1.23倍,不过日本所需放射肿瘤学家的数量与当前数量相平衡。

结论

日本用于CT和MRI解读的全职认证诊断放射科医生数量不足。集中式放射治疗设施可能在满足不断增长的需求方面更具效率。

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