Le Gales C, Lefaure C, Fagnani F, Obadia Y, Heran F
INSERM U 240, Fontenay-aux-Roses.
J Radiol. 1988 Mar;69(3):187-92.
From May to September 1986, a sample of 748 CT-scanner examinations, representative of the total annual activity, has been collected in Provence-Alpes-Côte d'Azur Region. The regional activity of CT-scanner has been estimated to 91,200 examinations in 1986 (total France: 628,500 in 1985) or 22.7 procedures per 1,000 inhabitants (total France: 11,4 in 1985). CT-scanner is now a routine diagnostic imaging device with an annualized average of 6,080 procedures per machine (5,770 in public sector and 8,415 in the for-profit private one). The mean effective utilization time for a machine in one year was 2,700 hours in a regional, public, teaching hospital (PTH) and 3,100 in private, for-profit establishment (PPE). The number of procedures per machine-use hour was 2,4 in PTH and 2.8 PPE. No procedural difference has been observed between the two sectors in carrying out the technique. CT-Scanner diffusion in the private for profit sector has meant: - an increase in the demand from general medical practionners (more than 1/4 examinations); - a larger range of indications concerning less serious health conditions.
1986年5月至9月,在普罗旺斯-阿尔卑斯-蓝色海岸大区收集了748份CT扫描检查样本,这些样本代表了全年的总检查量。据估计,1986年该大区的CT扫描检查量为91,200次(1985年法国全国为628,500次),即每1000名居民中有22.7次检查(1985年法国全国为11.4次)。如今,CT扫描仪已成为一种常规诊断成像设备,每台机器的年平均检查量为6,080次(公共部门为5,770次,营利性私立机构为8,415次)。在一家大区公立教学医院(PTH),一台机器一年的平均有效使用时间为2,700小时,在营利性私立机构(PPE)为3,100小时。在PTH,每机器使用小时的检查次数为2.4次,在PPE为2.8次。在实施该技术方面,两个部门之间未观察到程序差异。CT扫描仪在营利性私立部门的普及意味着:- 普通医疗从业者的需求增加(超过四分之一的检查);- 涉及不太严重健康状况的适应症范围扩大。