Cura-Gonzalez Isabel, Polentinos-Castro Elena, Bolaños-Gallardo Eva, Conde-Espejo Paloma, Martinez-Manrique Lucia, Martínez-Hernáez Angel
Research Unit, Primary Care Management, Madrid Health Service, Madrid, Spain
Department of Medical Specialities and Public Health, Rey Juan Carlos University, Alcorcón, Madrid, Spain.
BMJ Open. 2025 Jul 24;15(7):e090248. doi: 10.1136/bmjopen-2024-090248.
To explore the experience of primary healthcare (PHC) professionals in their professional role during the pandemic and to describe collective coping strategies.
We conducted a qualitative study using interviews, focus groups and photovoice techniques from February to September 2021. The qualitative data were transcribed, aggregated and analysed, from a hermeneutic perspective, using applied thematic analysis and ethnographic approaches.
Primary Care Health Madrid region (Spain).
Convenience sampling was used to select 71 multidisciplinary primary care professionals who were working in 12 PHCs representing diverse socioeconomic, social vulnerability and COVID impact levels in the Madrid region (Spain).
Findings from this study show how lack of protection in the early days, uncertainty about how the disease would evolve and the daily challenges they faced have had an impact on the participants' perceptions of their professional role. Nuanced differences in impact were found between men and women, age groups, professional roles and territories. The questioning of the basic foundations of primary care and the lack of prospects led to a feeling of demotivation. They perceive a wide gap between their levels of involvement and commitment, the recognition they receive and the attention to resources they need to do their work to a high standard. The support of their colleagues was seen as the most valuable resource for coping with the crisis.
The practitioners' discourses offer knowledge that could help to face new global health threats; they also identify an urgent need to restore the role and motivation of PHC professionals as part of a wider regeneration of health systems.
探讨基层医疗保健（PHC）专业人员在疫情期间的职业角色体验，并描述集体应对策略。
我们于2021年2月至9月采用访谈、焦点小组和照片声音技术进行了一项定性研究。从诠释学角度，运用应用主题分析和民族志方法对定性数据进行转录、汇总和分析。
西班牙马德里地区初级医疗保健机构。
采用便利抽样法，从马德里地区（西班牙）12个代表不同社会经济、社会脆弱性和新冠疫情影响水平的基层医疗保健机构中选取了71名多学科基层医疗保健专业人员。
本研究结果表明，早期缺乏防护、疾病发展的不确定性以及他们每天面临的挑战如何影响了参与者对其职业角色的认知。在性别、年龄组、职业角色和地区之间发现了细微的影响差异。对初级保健基础的质疑和前景的缺乏导致了一种消极情绪。他们认为自己的参与程度和投入、所获得的认可与他们为高标准开展工作所需的资源关注度之间存在很大差距。同事的支持被视为应对危机最宝贵的资源。
从业者的论述提供了有助于应对新的全球健康威胁的知识；他们还指出迫切需要恢复基层医疗保健专业人员的角色和积极性，作为更广泛的卫生系统再生的一部分。
