中国呼吸治疗发展:需要你我共同努力

Great efforts on the development of respiratory therapy in China

呼吸治疗进入中国内地已有28年,呼吸治疗师(RT)对临床工作的贡献,尤其是在重症监护病房患者救治方面的重要性已成为临床共识。2022年我国人力资源和社会保障部颁布的《中华人民共和国职业分类大典》首次收录了RT这一职业,表明RT得到了国家认可。当前,RT职业学历教育初具规模,但还远远不够。2023年中华医学会呼吸病学分会呼吸治疗学组启动了中国内地省会以上城市三级医院RT横断面调查,结果显示调查的590家三甲医院有717名RT,专职RT仅有348人,表明我国RT职业发展道路还很漫长。基于此形势,广大呼吸病学同仁应增强危机感和责任感,尽快建立RT医疗收费目录,解决RT通过劳动获得应有收益这一关键生存问题;建立RT职业认证体系,壮大RT队伍;全力推动建立RT职称体系和认证。中国呼吸治疗事业发展困难和机遇共存,需要你我共同努力。

Respiratory therapy has been practiced in China's Mainland for 28 years.The contribution of respiratory therapists(RTs)to clinical work,especially in the treatment of critically ill patients in intensive care unit(ICU),has become a clinical consensus.In 2022,the Occupational Classification Code of the People′s Republic of China released by the Chinese Ministry of Human Resources and Social Security for the first time described the occupation of RT,indicating that RTs have been nationally recognized.Currently,the academic education of RT begins to take shape,but it is still far from enough.In 2023,a cross-sectional survey of RTs in tertiary hospitals with urban hospitals in China's Mainland was launched by Respiratory Therapy Group of Chinese Thoracic Society.It is found that among the 590 tertiary hospitals,there are only 717 RTs and 348 full-time RTs,indicating that the development path of RTs in China is still very long.Based on the current situation,respiratory medicine colleagues should enhance their sense of crisis and responsibility,establish a catalog of RT medical charges as soon as possible,and solve their key survival issue of the income through labor.In addition,a professional certification system of RTs is needed to expand the team.The title system and certification of RTs are urgently to be created.Challenges and opportunities coexist in the development of respiratory therapy in our China that need everyone′s great efforts.