Campanella Francesca, Rossi Laura, Giroletti Elio, Micheletti Piero, Buzzi Fabio, Villani Simona
Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini 2, 27100, Pavia, Italy.
Department of Physics, University of Pavia, Via Bassi 6, 27100, Pavia, Italy.
BMC Health Serv Res. 2017 Jun 14;17(1):406. doi: 10.1186/s12913-017-2358-1.
Radiological practices are the first anthropic sources of ionizing radiation exposure of the population. However, a review of recent publications underlines inadequate doctors' knowledge about doses imparted in medical practices and about patient protection that might explain unnecessary radiological prescriptions. We investigated the knowledge of the physicians of Pavia District (Italy) on the risk of radiation exposure.
A cross sectional study was performed involving the Medical Association of Pavia District. Data were collected with a self-administered questionnaire, available on-line with private login and password.
Four hundred nineteen physicians fulfilled the questionnaire; 48% of participants reported training about radiation protection. The average percentage of correct answers on the knowledge on ionizing radiation was 62.29%, with a significantly higher result between radiologist. Around 5 and 13% of the responders do not know that, respectively, ultrasonography and magnetic resonance do not expose patients to ionizing radiations. Only 5% of the physicians properly identified the cancer risk rate associated to abdomen computed tomography.
The findings show a quite good level of the general knowledge about ionizing radiations, higher that reported in literature. Nevertheless, we believe the usefulness of training on the risk linked to radiation exposure in medicine for physicians employed in every area.
放射学检查是人群电离辐射暴露的首要人为来源。然而,近期发表的文献综述强调,医生对医疗检查中的辐射剂量以及患者防护的知识掌握不足,这可能解释了不必要的放射学检查处方。我们调查了意大利帕维亚地区医生对辐射暴露风险的了解情况。
开展了一项涉及帕维亚地区医学协会的横断面研究。通过一份在线的、需使用私人登录名和密码访问的自填式问卷收集数据。
419名医生完成了问卷;48%的参与者报告接受过辐射防护培训。关于电离辐射知识的正确答案平均百分比为62.29%,放射科医生的得分显著更高。分别约有5%和13%的受访者不知道超声检查和磁共振成像不会使患者暴露于电离辐射。只有5%的医生正确识别了腹部计算机断层扫描相关的癌症风险率。
研究结果显示,医生对电离辐射的总体知识水平相当不错,高于文献报道。尽管如此,我们认为对各个领域的医生进行医学辐射暴露相关风险培训是有用的。