[Permanent values of traditional radiology].
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The total projected number of units (including tables and potters) has been estimated at 16 325 in 1982, at the exclusion of radiological dental systems and unit exclusively devoted to mass X-Ray examinations. Almost half of this total equipment is located in public hospitals (including University hospitals), where the departments have a mean size which is markedly greater than the private sector (clinics and physicians' offices). One of the main feature of the French equipment is the high rate of remote controlled machines (almost 40%). The total labor forces involved directly in this activity has been estimated to 46 000; of which 14 580 are physicians (radiologists or not) and 18 680 are radiographers. The mean productivity, computed in annual mean number of examinations per person (medical and para-medical) is estimated at 1 000. These results are examined and compared throughout the different sectors (public and private; hospital, clinic and ambulatory care).
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A computer system was developed for two private radiology offices, consisting of six modular components, a history file, registration file, assisted reporting module, appointment management module, accounting module and statistical module. Effectiveness and efficiency of patient care have been increased substantially.
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About an experience of 7,757 investigations and after study of the published series in the literature, it appears the frequency of the accidents following vascular roentgenology has not really changed since ten years. -- 0,5% complications; 0,07% death in aortographies; -- 0,4% complications; 0,09% death in femoral artery catheterization; -- 3% complications; no death in axillary artery catheterization. The authors use the term "complications" when a surgical operation is necessary or after effects are present in the evolution. The study of the recent literature proves no significant amelioration in comparison with the last ten years. The accidents are analysed in aortography, in arterial catheterization using femoral or axillary arteries: the latter is the most dangerous. The considerable increment of the number of investigations suppressed the progresses provided by the material improvements. An explanation: in hospitals, it is necessary to train the students for roentgenology.
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