Sekiguchi J, Collens S R
Yokogawa Medical Systems, Tokyo, Japan.
Bull World Health Organ. 1995;73(1):65-9.
The provision of basic radiological services in rural, first-referral hospitals is an essential component of any country's attempt to achieve health for all. We report the results of a review of examination frequency trends, operator training background, and machine operational and safety status in the X-ray facilities in rural mission hospitals in Ghana in 1991-92. The radiological workload at the reporting hospitals was low and declined by more than 50% over the study period. Although most of the X-ray operators had little or no formal training, they produced adequate imaging results. Most of the X-ray machines seen were over 20 years old, yet remained functional, but less than 25% had standard radiation safety (beam limitation) devices. These results suggest that many rural, first-referral hospitals in developing countries could benefit from a careful review of their services and adoption of the WHO Basic Radiological System (WHO-BRS).
在农村一级转诊医院提供基本放射服务，是任何国家实现全民健康努力的重要组成部分。我们报告了1991 - 1992年对加纳农村教会医院X射线设施的检查频率趋势、操作人员培训背景以及机器运行和安全状况进行审查的结果。报告医院的放射工作量较低，在研究期间下降了50%以上。虽然大多数X射线操作人员很少或没有接受过正规培训，但他们仍能获得足够的成像结果。所见到的大多数X射线机使用年限超过20年，但仍能正常运行，不过只有不到25%的机器配备了标准辐射安全（束流限制）装置。这些结果表明，发展中国家的许多农村一级转诊医院可能会受益于对其服务进行仔细审查并采用世界卫生组织基本放射系统（WHO - BRS）。
