爱尔兰一家三级转诊中心医学影像科的实践演变和放射科医生短缺
Evolution of practice and radiologist shortage in an Irish medical imaging department at a tertiary referral centre.
摘要(中文译文)
2000年至2020年间，全球医学放射学检查数量增加了70%。然而，放射科顾问医师的数量并未随着影像检查数量的增加而相应增长。本研究旨在比较戈尔韦大学医院放射科2009年与当前的放射科顾问医师工作量，并计算该科室所需的最佳放射科顾问医师人数。研究从科室PACS系统中获取了戈尔韦大学医院放射科2009年至2024年间所执行的影像检查的详细数据。基于科室内的“可计数”和“不可计数”活动以及各位顾问医师所阅读的相对价值单位，计算了所需的放射科顾问医师人数。CT的使用量翻了一番，2009年为12900例次，2024年为26118例次（p < 0.001）。值班CT检查量也随时间增加。2009年执行了3913例MRI检查，2024年为18147例（p < 0.001）。超声（从13903增至23805）和核医学（从1468增至1713，p < 0.001）的工作量也显示增加。心脏影像和前列腺/乳腺MRI等专科检查的数量也有所增加。15年间介入放射学（IR）活动量增加了2.5倍（p < 0.001）。我们计算出完成该工作量需要50.57名放射科顾问医师，按当前人员配置水平短缺33.57名。与国际趋势一致，本中心的医学影像利用率呈指数级增长。当前放射科顾问医师人数远不足以提供安全有效的诊断和介入放射学服务。
Abstract
There has been a 70% increase in medical radiological examinations worldwide between 2000 and 2020. The number of consultant radiologists has not increased alongside the increasing number of imaging studies performed. The aim of this study was to compare the consultant radiologist workload within the radiology department at Galway University Hospital in 2009 to its current workload and calculate the optimum number of consultant radiologists to employ within this department. Details of the imaging studies performed within the department of radiology at Galway University Hospital between 2009 and 2024 were obtained from the departmental PACS. Calculation of the required number of consultant radiologists was performed based on "countable" and "non-countable" activity within the department and the relative value units read by individual consultants. Use of CT has doubled with 12900 studies in 2009 compared to 26118 in 2024 (p < 0.001). On call CT has increased also over time. 3913 MRI studies were performed in 2009 compared to 18147 in 2024 (p < 0.001). Increased workload has been demonstrated with ultrasound (13903 to 23805) and nuclear medicine (1468 to 1713, p < 0.001). There has also been an increase in the number of specialist studies such as cardiac imaging and prostate/breast MRI. There has been a 2.5-fold increase in IR activity over 15 years (p < 0.001). We have calculated that 50.57 consultant radiologist are required for this workload, a shortfall of 33.57 by current staffing levels. Utilisation of medical imaging is increasing exponentially at our centre in line with international trends. Current numbers of consultant radiologists are far short of those required to provide a safe and effective diagnostic and interventional radiological service.
如何引用
AMA
Niamh O'Halloran, Enda Gavin, Gearoid O'Laimhin, Declan Sheppard, Gerard O'Sullivan, Rachel Ennis, et al. Evolution of practice and radiologist shortage in an Irish medical imaging department at a tertiary referral centre.. Irish journal of medical science. 2026; doi:10.1007/s11845-026-04520-x.
APA
Niamh O'Halloran, Enda Gavin, Gearoid O'Laimhin, Declan Sheppard, Gerard O'Sullivan, Rachel Ennis, et al (2026). Evolution of practice and radiologist shortage in an Irish medical imaging department at a tertiary referral centre.. Irish journal of medical science. https://doi.org/10.1007/s11845-026-04520-x
GB/T 7714
Niamh O'Halloran, Enda Gavin, Gearoid O'Laimhin, Declan Sheppard, Gerard O'Sullivan, Rachel Ennis, et al. Evolution of practice and radiologist shortage in an Irish medical imaging department at a tertiary referral centre.[J]. Irish journal of medical science, 2026 doi:10.1007/s11845-026-04520-x.
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