Pougnet R, Pougnet L, Eniafe-Eveillard B M, Ouedraogo S, Lucas D, Dewitte J D, Loddé B
Service de santé au travail du personnel hospitalier, CHU Morvan, 2, avenue Foch, 29200 Brest, France.
Laboratoire d'études et de recherches en sociologie (LABERS), EA3149, faculté des lettres et sciences humaines, Victor-Segalen, université de Bretagne occidentale, Brest, France.
Ethique Sante. 2022 Dec;19(4):231-238. doi: 10.1016/j.etiqe.2022.09.007. Epub 2022 Oct 17.
During the first months of the Sars-Cov-2 pandemic, French caregivers faced difficult situations, organizational changes, and rapidly changing recommendations. The occupational physicians of the hospital staff had to accompany the caregivers, both to answer their questions, both to better prevent the risks to their health in connection with the pandemic. Recommendations were quickly issued by the Société française de médecine du travail (French Society of Occupational Medicine). In our CHU, an evaluation of exposures was made by department. Occupational physicians advised agents and the institution to limit the risks to the health of agents. However, faced with the uncertainties linked to ignorance of the virus, how can we play both the role of protection of each agent, and that of a doctor registered in a health war? This article revisits from a distance the ethical tensions of the hospital occupational physician and the qualities necessary for the accomplishment of these missions.
在新冠病毒大流行的最初几个月里,法国医护人员面临着艰难的处境、组织架构的变化以及迅速变化的建议。医院工作人员的职业医生必须陪伴医护人员,既要回答他们的问题,也要更好地预防与疫情相关的健康风险。法国职业医学协会很快就发布了相关建议。在我们的大学医疗中心,按部门对接触情况进行了评估。职业医生建议工作人员和机构限制对工作人员健康的风险。然而,面对因对病毒缺乏了解而产生的不确定性,我们如何既能扮演保护每一位工作人员的角色,又能扮演投身健康战的医生的角色呢?本文从远距离回顾了医院职业医生的伦理困境以及完成这些任务所需的品质。