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30 Years of Radiotherapy Service in Southern Thailand: Workload vs Resources

  • Phungrassami, Temsak (Division of Therapeutic Radiology and Oncology, Songklanagarind Hospital) ;
  • Funsian, Amporn (Division of Therapeutic Radiology and Oncology, Songklanagarind Hospital) ;
  • Sriplung, Hutcha (Epidemiology Unit, Faculty of Medicine, Prince of Songkla University)
  • Published : 2013.12.31

Abstract

Background: To study the pattern of patient load, personnel and equipment resources from 30-years experience in Southern Thailand. Materials and Methods: This retrospective study collected secondary data from the Division of Therapeutic Radiology and Oncology and the Songklanagarind Hospital Tumor Registry database, Faculty of Medicine, Prince of Songkla University, during the period of 1982-2012. Results: The number of new patients who had radiation treatment gradually increased from 121 in 1982 to 2,178 in 2011. Shortages of all kinds of personnel were demonstrated as compared to the recommendations, especially in radiotherapy technicians. In 2011, Southern Thailand, with two radiotherapy centers, had 0.44 megavoltage radiotherapy machines (cobalt or linear accelerator) per million of population. This number is suboptimal, but could be managed cost-effectively by prolonging machine operating times during personnel shortages. Conclusions: This study identified a discrepancy between workload and resources in one medical school radiotherapy center in Southern Thailand. This information is crucial for future strategic planning both regionally and nationally.

Keywords

References

  1. American College of Radiation Oncology (2013). Manual for ACRO Accreditation.
  2. Barbera L, Jackson LD, Schulze K, et al (2003). Performance of different radiotherapy workload models. Int J Radiat Oncol Biol Phys, 55, 1143-9. https://doi.org/10.1016/S0360-3016(02)04400-0
  3. Barton MB, Frommer M, Shafiq J (2006). Role of radiotherapy in cancer control in low-income and middle-income countries. Lancet Oncol, 7, 584-95. https://doi.org/10.1016/S1470-2045(06)70759-8
  4. Bureau of Policy and Strategy and Ministry of Public Health (2011). Public Health Statistics. Retrieved October 24, 2013, from http://bps.ops.moph.go.th/Healthinformation/2.3.1_54.pdf.
  5. Bureau of Registration Administration and Department of Provincial Administration Ministry of Interior (2013). General Population Herald 2012.
  6. Delaney G, Jacob S, Featherstone C, Barton M (2005). The role of radiotherapy in cancer treatment: estimating optimal utilization from a review of evidence-based clinical guidelines. Cancer, 104, 1129-37. https://doi.org/10.1002/cncr.21324
  7. Evans TG, Chowdhury AMR, Evans DB, et al (2012). Thailand's Universal Coverage Scheme: Achievements and Challenges: An independent assessment of the first 10 years (2001-2010) Synthesis Report. Nonthaburi, Health Insurance System Research Office.
  8. Graham P (2001). New patient per radiation oncologist annual workload: comment. Australas Radiol, 45, 257. https://doi.org/10.1046/j.1440-1673.2001.0915a.x
  9. Holmberg O, McClean B (2003). A method of predicting workload and staffing level for radiotherapy treatment planning as plan complexity changes. Clin Oncol (R CollRadiol), 15, 359-63. https://doi.org/10.1016/S0936-6555(03)00159-6
  10. Khuhaprema T, Attasara P, Sriplung H, et al (2012). Cancer in Thailand Vol. VI, 2004-2006. Bangkok, Ministry of Public Health, Ministry of Education.
  11. Mazur LM, Mosaly PR, Jackson M, et al (2012). Quantitative assessment of workload and stressors in clinical radiation oncology. Int J Radiat Oncol Biol Phys, 83, 571-6. https://doi.org/10.1016/j.ijrobp.2012.01.063
  12. Prechawittayakul P (2013). Hospital-based Cancer Registry: Songklanagarind Hospital Annual Report 2011. Songkhla.
  13. Sriplung H, Sontipong S, Martin N, et al (2003). Cancer in Thailand Vol. III, 1995-1997. Bangkok, Bangkok Medical Publisher.
  14. Thai Society of Therapeutic Radiology and Oncology (2011). Minimal Requirement of Personnel in Radiotherapy Center.
  15. Thai Society of Therapeutic Radiology and Oncology (2012). Services, Manpower and Equipments in Thailand Radiotherapy Centers.
  16. World Health Organization (2008). Are the number of cancer cases increasing or decreasing in the world? Retrieved October 24, 2013, from http://www.who.int/features/qa/15/en/index.html.
  17. World Health Organization (2008). Diagnosis and Treatment: Cancer control: knowledge into action. WHO guide for effective programmes.

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