北京市社区卫生服务机构基层抗疫中的家庭医生职业精神探析

Analysis on the Professional Spirit of Family Doctors of Community Health Service Institutions in Beijing During the Epidemic Period

新冠疫情发生后,作为社区卫生服务机构中坚力量的家庭医生与各级政府及卫生行政部门通力协作,实施群防群治、联防联控,积极发挥居民“健康守门人”及“疫情防控的前沿哨点”作用。家庭医生在抗疫期间尽管面临常规签约服务中连续性契约式服务关系间歇中断、个人身体机能和工作效率同步衰减、继续教育和进修学习搁浅放缓等现实困境,但他们仍然在筑牢疫情防控“网底”中,积极展现“敬佑生命、救死扶伤”的职业精神;在突发公共卫生事件应急救援中,勉力践行“甘于奉献、大爱无疆”的使命宗旨。在疫情常态化防控时期,医师职业精神对于家庭医生而言,依然需要做到践行不懈并实现日益精进。针对家庭医生的医师职业精神、职业道德规范等他律举措,如何实现从他律走向自律,需要家庭医生在长期的诊疗实践中将制度和舆论监督转变成自身执业时的内心信念,内化为自觉的行为,提升其对医德义务和医德责任的自觉认识与情感认同。在抗疫过程中,家庭医生充分意识到自身职业角色和防疫服务的重要社会价值,并在全方位投入抗疫实践中不断调适执业行为,从而逐渐认同了自己的执业理念,坚持用行动践行利他主义精神。

After the outbreak of COVID-19,family doctors,as the backbone of community health service institutions,cooperated with governments at all levels and health administrative departments to implement mass prevention and treatment,joint prevention and control,and actively played the role as"health gatekeepers"of residents and"frontier outposts for epidemic prevention and control".During the epidemic period,although family doctors were faced with practical difficulties,such as intermittent interruption of continuous contractual service relationship in conventional contracted services,synchronous decline of personal physical function and work efficiency,stranding and slowing down of continuing education and further study,they were still building a"net bottom"for epidemic prevention and control,and actively displayed the professional spirit of"saving lives and saving the wounded".In the emergency rescue of public emergencies,they strived to practice the mission of"willing to contribute and boundless love".In the period of normalized epidemic prevention and control,the professional spirit of doctors still needs to be learned and innovated frequently for family doctors.At the same time,they should practice tirelessly,so as to achieve increasing improvement.In view of family doctors'heteronomy initiatives such as doctors'professional spirit and professional ethics,how to realize the transformation from heteronomy to self-discipline requires family doctors to transform system supervision and public opinion supervision into their own inner beliefs in practice in long-term diagnosis and treatment practice,internalize them into their own conscious behavior,and improve their conscious understanding and emotional identity of medical ethics obligations and medical ethics responsibilities.During the anti-epidemic war,family doctors were aware of their professional role and the important social value of epidemic prevention services,constantly adjusted their professional behavior in all-round anti epidemic practice,gradually identified with their professional philosophy,and adhered to the practice of altruism with action.