台灣呼吸治療師人力調查初探

台灣呼吸治療師（Respiratory Therapist, RT）的專業起源於1973年，2002年1月16日總統公佈呼吸治療師法後成為正式醫事人員。歷經多年醫療機構設置標準、醫院與教學醫院評鑑條文、醫療資源受限與民眾就醫需求的衝擊下，目前沒有實際上班的人力資料。此研究目的是調查目前呼吸治療師在各層級醫院的人力分布，以提供國內各呼吸治療科／室在專業人力需求與提供相關服務之參考。研究方法:以「問卷調查法」設計，從106年3月1日至4月30日止。以焦點式選出醫學中心、區域醫院與地區醫院後寄發問卷，包括醫院人力與服務面等項目進行調查。結果:發出問卷77份，有效問卷率為100%，其中呼吸治療隸屬於胸腔內科占51.9%，單獨立的呼吸治療科佔29.9%，醫院呼吸治療師總編制數方面，19家醫學中心總編制數是761人，39家區域型總編制為590人，19家地區級總編制67人。提供服務最多的是呼吸器相關業務，其他呼吸治療業務略顯不足，而提供三班服務以醫學中心級醫院的94.7%最佳，而地區級醫院僅有佔47.4%。結論與建議:本研究初探國內呼吸治療服務仍以提供白班服務為主，夜班人力劇減或甚至少數夜班無呼吸治療師服務，提供服務部分除呼吸器外的呼吸治療相關之業務尚未普遍，服務人力與業務的配置間仍有本專業期待的落差，建議醫院評鑑條文的增修，能提升呼吸治療連續性照護人力與服務範圍以增進病人呼吸照護品質及安全。

關鍵字

呼吸治療師；醫事人員；醫院人力

並列摘要

Introduction: The professional development of the Respiratory Therapist (RT) in Taiwan originated in 1973, but after the Respiratory Therapist Law announced on January 16, 2002, Respiratory Therapist became a formal profession in Taiwan. In the past few years, under the impact of hospital establishment standards, Hospital and teaching accreditation, limited medical resources and people's medical needs, but the RT workforce of shifts hasn't actually as the references. Therefore, the purpose of the study is to investigate the current distribution of the respiratory therapist. In order to adapt to the current environmental challenges. Method: Designed by the ＂Questionnaire Method＂ from March 1 to April 30, 2006. Questionnaires selected after focusing on selected medical centers, regional hospital and district hospitals; the data collection included the RT workforce and service areas. The results showed that 77 questionnaires were received, the response effective questionnaire rate was 100%, the RT unit was subordinate to the Department of Chest, accounting for 51.9%, and 29.9% of the hospitals had their respiratory therapy department. The invasive ventilators were up to 6191, and the non-invasive type had1552 ventilators as well. The total RT number of the19 medical centers that is 761, in the 39 regional hospitals, the RT amount is 590, in the 19 district hospitals at a total amount is 67 RTs, the ratio of job vacancies is meager. The work service is primary on ventilator-patients, less involved with other respiratory care except for ventilator patient care, and every 8 hours, the three shifts. The medical center is the best, 94.7% of the medical centers are in three shifts, and only 47.4% of the regional hospitals have three shifts. Still, it is impossible to find the distribution of the workforce in each shift of hospitals. RT workforce response to the relationship between the number of patients cared for and the number of services. Conclusions and recommendations: It is initially found that day shift the type is still more workforce, and the number of RT in night shift and graveyard shift is much reduction. However, it is impossible to analyze the RT workforce in each shift of hospitals that should cover the relationship between the number of patients cared for and the number of services. On the other hand, the service focus on patients with ventilators; another related respiratory therapy service is not widespread. This study indicates that the reevaluated the hospital accreditation criterion in the RT workforce requirements to receive more professional respiratory care in a patient.

並列關鍵字

respiratory therapist ； professional practitioner ； hospital workforce

國際替代計量

台灣呼吸治療師人力調查初探

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