Objective To evaluate the situation and problems in the supervision management of radiodiagnosis and radiotherapy in Shanghai, and to put forward corresponding countermeasures.
Conclusion Data were collected from the Shanghai Health Supervision and Comprehensive Application Platform (an integrated management system including on-site supervision, administrative penalties, license information, and customer-specified file archiving) and the annual evaluation reports about supervision status in Shanghai to analyze the supervision and administrative punishment levels of radiotherapy radiation protection during 2009-2012 in Shanghai. Radiation-involved medical institutions (n=710) were selected using stratified random sampling method by the national medical institutional grading system to assess radiotherapy radiation protection levels.
Results The overall qualified rate of radiotherapy radiation protection was nearly 100%, while the unlawful practice rate and administrative penalty rate were 8.0% and 4.0%, respectively, and thus 50.4% of the institutions with unlawful practice were issued administrative penalties. From 2009 to 2012, the administrative penalty rates were 2.5%, 3.4%, 4.0%, and 6.3%, respectively; and there were 35.7%, 44.9%, 57.3%, and 61.2%, respectively, of the institutions with unlawful practice were received administrative penalties, showing an increasing trend (χ2=54.24, 36.53, P< 0.001). For the 458 cases of administrative penalty, the leading causes included no personal dose monitoring or health examination conducted to radiotherapy staff, providing radiodignosis and radiotherapy services beyond the licensed service areas, and no radiation protection conducted in radiotherapy workstations.
Conclusion The radiation protection is generally at a high level in Shanghai, except for some deficiencies that still exist in health surveillance, radiodiagnosis and radiotherapy licensing, and radiation protection detection. We propose to strengthen self-regulation of radiation involved medical practices in relevant institutions, law enforcement, and self-protection awareness of radiation protection in medical practitioners and patients.
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