Acta Medica Leopoliensia (Jun 2022)
ANALYSIS OF X-RAY DIAGNOSTIC SERVICE ACTIVITIES IN LVIV REGION FOR THE PERIOD OF 2015-2020 YEARS
Abstract
The aim of this work was to assess the current state of the X-ray diagnostic service in the Lviv region, namely, to identify existing problems and elaboration of ways to solve them. Material and Methods. A retrospective analysis of the current state of the X-ray diagnostic service in the Lviv region was carried out in comparison with the data throughout Ukraine for 2015-2020 years. The information was received according to the data of the State Statistics Service of Ukraine. Results and Discussion. Analysis of changes in the total number of X-ray diagnostic apparatuses in the Lviv region for 2015-2020 years showed a slight downward trend in their number. Thus, as of the end of 2020 year, the total number of such apparatuses on the balance of regional health care institutions was equal to 452 units, which is 7,38% less than in 2015year. In the Lviv region and in Ukraine as a whole, there was a decrease in the number of devices of X-ray image amplifiers (X-ray IA) ((by -10,96% and -5,28%) and fluorographs (by -23,08% and - 17,49% respectively). At the same time, there was a significant increase of angiographic apparatuses (by +66,67% and +81,54%), CT scanners (by+40,00% and +26,32%), and mammography machines (by +33,33% and +12,46% respectively). The number of carried-out diagnostic fluorograms for 1 operating apparatus in the Lviv region during the studied period was decreasing, and the same trend persisted in 2020 year as well: Тgrowth2018/2015=-5,07%, Тgrowth2020/2019=-7,64%, just like the quantity of diagnostic fluorograms for one position of a radiologist: Тgrowth2018/2015=-11,76%, Тgrowth2020/2019=-20,78%. While the number of CT per one operating device and on one position of a radiologist in the Lviv region for the last 5 years significantly increased and in 2020 year was equal to 10605 studies /1 device and 220 studies/1 physician, but only in the last year, the growth was by +29,16% and +41,03%, although the number of operating tomographs remained unchanged for the last 5 years (n=5). Such a significant positive trend is explained by intensive work of the X-ray diagnostic service during the Cоvid-19 pandemic. Conclusions. The decreased frequency of the fluorographic and radiological studies and the increase of the number of diagnostic CT scanners in the Lviv region have been determined. A number of problems in the work of the X-ray diagnostic service have been identified, the most important of which are the significant overload of radiologists, particularly, during the Cоvid-19 pandemic and lack of modern equipment. Modern healthcare is competitive and therefore, in the conditions of today's needs, the development of the most modern visualization technologies is very important, the key of which are computed tomography and magnetic resonance imaging in the field of radiation diagnostics.
Keywords
