摘要
2016年,世界卫生组织(WHO)在其发布的关于世界烟草使用情况的报告中指出,每年大约有600万人死于吸烟诱发的疾病,危害居民身心健康的同时,也给社会造成了严重的经济负担。作为社区居民健康的"守门人",全科医生在推动社会控烟事业进步的过程中应扮演重要的角色。本文基于全科医生职业使命的伦理考量,提出全科医生在社会控烟事业中应承担的伦理责任:第一,全科医生应该在行为上树立榜样,自身坚决杜绝烟草;第二,全科医生应尽力规劝其患者戒烟,同时在社区中倡导建立无烟环境;第三,全科医生应在整个医疗体系内积极宣传无烟化的理念,将戒烟辅助纳入常规诊疗服务流程。此外,全科医生还应该致力于促进政府对烟草控制框架公约的履行,推动全社会控烟事业的进步。
In 2016,the World Health Organization(WHO)indicated a fact through its published report concerning global tobacco epidemic that there are approximately 6 million deaths per year due to tobacco induced diseases.Moreover,smoking causes serious economic burden to the society while endangering the physical and mental health of the residents.As the"gatekeeper"for the health of community-dwelling residents,general practitioners(GPs)play an important role in resolving the challenges of tobacco control.From a perspective of professional ethics,this article details the following ethical responsibilities that GPs should take in reducing tobacco use at the societal level:firstly,GPs shall make themselves as a good example of abandoning the use of tobacco absolutely;secondly,GPs shall endeavor to advise their patients to stop smoking and advocate to build tobacco-free communities;thirdly,GPs shall publicize the opinions of creating tobacco-free hospitals in the healthcare system,and list smoking cessation interventions as the routine medical services.Lastly,GPs shall make great efforts to promote the implementation of WHO FCTC at the national level in order to enhance the global tobacco control.
作者
姚弥
徐志杰
李海昕
Joan Mitchell RN(EC)
张晨
YAO Mi;XU Zhijie;LI Haixin;Joan Mitchell RN(EC);ZHANG Chen(Xinjiekou Community Health Center,Xicheng District,Beijing 100034,China;Cadet Brigade,the Second Military Medical University,Shanghai 200433,China;School of Pharmacy,the Second Military Medical University,Shanghai 200433,China;Byron Family Medical Centre,London N5L 1H1,Canada;Department of Humanities and Social Sciences,the Second Military Medical University,Shanghai 200433,China)
出处
《中国全科医学》
CAS
北大核心
2018年第28期3411-3416,共6页
Chinese General Practice
关键词
烟草控制
戒烟
伦理学
医学
社会责任
全科医生
无烟医院
Tobacco control
Smoking cessation
Ethics,medical
Social responsibilities
General practitioners
Smoke-free hospital
