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Handbook of Primary Care Ethics [Minkštas viršelis]

(Health Education England, UK),
  • Formatas: Paperback / softback, 420 pages, aukštis x plotis: 246x189 mm, weight: 860 g, 18 Tables, black and white; 13 Line drawings, black and white; 2 Halftones, black and white; 15 Illustrations, black and white
  • Išleidimo metai: 22-Jan-2018
  • Leidėjas: Radcliffe Publishing Ltd
  • ISBN-10: 1785230905
  • ISBN-13: 9781785230905
Kitos knygos pagal šią temą:
  • Formatas: Paperback / softback, 420 pages, aukštis x plotis: 246x189 mm, weight: 860 g, 18 Tables, black and white; 13 Line drawings, black and white; 2 Halftones, black and white; 15 Illustrations, black and white
  • Išleidimo metai: 22-Jan-2018
  • Leidėjas: Radcliffe Publishing Ltd
  • ISBN-10: 1785230905
  • ISBN-13: 9781785230905
Kitos knygos pagal šią temą:

This enterprising collection spans the breadth of primary care in multiple ways. Contributions from general practitioners, philosophers, nurses, physiotherapists, dentists, health economists, educationalists, patients and others reflect the rich variety that makes up primary care. Authors embrace the uncertainty inherent in the day-to-day reality of primary care, and practical advice sits alongside heartfelt accounts of issues that challenge practitioners. There is something here for everyone, whether the reader is looking for guidance on duties in primary care, a framework for analysing a difficult consultation, insights into the voice of the patient, or an understanding of the economics of primary care.

Wendy Rogers, Professor of Clinical Ethics, Macquarie University

 

With chapters revolving around practical issues and real-world contexts, this Handbook offers much-needed insights into the ethics of primary healthcare. An international set of contributors from a broad range of areas in ethics and practice address a challenging array of topics. These range from the issues arising in primary care interactions, to working with different sources of vulnerability among patients, from contexts connected with teaching and learning, to issues in relation to justice and resources. The book is both interdisciplinary and inter-professional, including not just ‘standard’ philosophical clinical ethics but also approaches using the humanities, clinical empirical research, management theory and much else besides.

This practical handbook will be an invaluable resource for anyone who is seeking a better appreciation and understanding of the ethics ‘in’, ‘of’ and ‘for’ primary healthcare. That includes clinicians and commissioners, but also policymakers and academics concerned with primary care ethics. Readers are encouraged to explore and critique the ideas discussed in the 44 chapters; whether or not readers agree with all the authors’ views, this volume aims to inform, educate and, in many cases, inspire.

Recenzijos

This enterprising collection spans the breadth of primary care in multiple ways. Contributions from general practitioners, philosophers, nurses, physiotherapists, dentists, health economists, educationalists, patients and others reflect the rich variety that makes up primary care. Authors do not shy away from the messy complexity of primary care. Instead, they embrace the uncertainty inherent in the day-to-day reality of primary care. Numerous stakeholder perspectives are used to identify and analyse ethical issues, using a diversity of frameworks and models. The theoretical perspectives represented in the book (ranging from Hippocrates to post-modernism) mirror the eclecticism of primary care itself. Practical advice sits alongside heartfelt accounts of issues that challenge practitioners.

The book is helpfully organised into four sections, on the primary care interaction, vulnerable patients, teaching and learning, and justice and resources. The section on teaching and learning is particularly valuable, with its strong focus on reflective practice and the practical challenges of combining service delivery with educational goals. The section on the primary care encounter is wide-ranging, including discursive explorations of important concepts as well as discussion of the specific features of primary care that warrant its own ethical analysis. Case studies provide tantalising glimpses into the consultation, thereby showcasing the richness of the primary care environment. Chapters in the section on justice and resources do not shy away from political topics such as funding models and workforce issues.

The Handbook focuses on general practice as delivered within the National Health Service, which may limit its appeal to other members of the primary care team. However, there is something here for everyone, whether the reader is looking for guidance on duties in primary care, a framework for analysing a difficult consultation, insights into the voice of the patient, or an understanding of the economics of primary care. Throughout there is a welcome focus on ethics of the ordinary or everyday ethics, reflecting the ethical nuances of the millions of interactions that occur each day in primary care.

Wendy Rogers, Professor of Clinical Ethics, Macquarie University

Foreword ix
Preface xi
Acknowledgements xv
Editors xvii
Contributors xix
How to use this book xxix
PART 1 THE PRIMARY CARE INTERACTION
1(94)
1 Autonomy and consent in family medicine
3(8)
Iona Heath
Jay Bowden
2 Benefits, harms and evidence -- Reflections from UK primary healthcare
11(6)
Margaret McCartney
3 Why it can be ethical to use placebos in clinical practice
17(8)
Jeremy Howick
4 Compassion in primary and community healthcare
25(10)
Joshua Hordern
5 The ethics of the family in primary care
35(10)
Michael Weingarten
6 Culture and ethics in healthcare
45(8)
David Misselbrook
7 The ethics of complementary and alternative medicine (CAM)
53(8)
Nevin Mehmet
Christine Stacey
8 The oughts of omnipractice
61(10)
John Spicer
9 Micro-ethics of the general practice consultation
71(10)
Roger Neighbour
10 Analysing an ordinary consultation
81(10)
Rafik Taijbee
11 The voice of the patient
91(4)
Rosamund Snow
PART 2 ON VULNERABLE PATIENTS
95(116)
12 Children and the ethics of primary care
97(8)
Pekka Louhiala
13 On frailty and ethics: Negotiating narratives
105(8)
Deborah Bowman
14 Achieving a good death in primary care: Ethical challenges at the end of life
113(10)
Benedict Hayhoe
15 The ethics and challenges in caring for vulnerable migrants in primary care
123(14)
Paquita de Zulueta
16 Proximity, power and perspicacity: Ethical issues in primary care research
137(8)
Jonathan Ives
17 Integrating ethical theory with musculoskeletal primary care practice
145(14)
Clare Delany
18 Power, prejudice and professionalism: Fat politics and medical education
159(10)
Jonathon Tomlinson
19 Genethics and genomics in the community
169(10)
Imran Rafi
John Spicer
20 Confidentiality and forensic disclosure in the primary healthcare setting
179(8)
Helen Salisbury
Sharon Dixon
Selena Knight
21 Mental health and ethics in primary care
187(10)
Selena Knight
Andrew Papanikitas
John Spicer
22 Veterans and the ethics of reciprocity in UK primary healthcare
197(6)
Hilary Engward
23 On residential care ethics
203(8)
Michael Dunn
PART 3 TEACHING AND LEARNING
211(84)
24 Ethics and the professional identity of a general practitioner in twenty-first century Britain
213(12)
John Gillies
25 Teaching and learning ethics in primary healthcare
225(8)
Andrew Papanikitas
John Spicer
26 Interprofessional ethics in the primary care setting
233(8)
Hilary Engward
27 The ethics of teaching and learning in primary care
241(10)
John Spicer
Andrew Papanikitas
28 Evidence-based primary care ethics
251(8)
Roger Newham
Andrew Papanikitas
29 Narrative ethics and primary care
259(8)
John Launer
30 Learning from the assessment of ethics in UK general practice
267(12)
David Molyneux
31 Try this at home: Values-based practice and clinical care
279(8)
Bill (KWM) Fulford
Ed Peile
32 Adopting an alternative worldview: Perspectives from postmodernism
287(8)
Chris Caldwell
Sanjiv Ahluwalia
PART 4 ON JUSTICE AND RESOURCES
295(116)
33 Beyond rationing: The ethics of commissioning in and by primary healthcare
297(10)
Dennis Cox
Andrew Papanikitas
34 The moral atom: Mapping out the relational world of healthcare professionals
307(8)
Ioanna Psalti
35 Moral ecosystems: Exploring the business dimension in healthcare reforms
315(12)
Ioanna Psalti
Michael Paschke
36 The duty of candour in primary care
327(14)
Suzanne Shale
37 The inescapability of conscience in primary healthcare
341(12)
Andrew Papanikitas
38 Professional self-care in primary care practice -- An ethical puzzle
353(8)
Emma McKenzie-Edwards
39 Global primary care ethics
361(8)
Bridget Kiely
Carwyn Rhys Hooper
40 Primary care, the basic necessity: Part I: Explorations in economics
369(8)
Malcolm Torry
41 Primary care, the basic necessity: Part II: Explorations in ethics
377(8)
Malcolm Torry
42 The special ethics of dentistry
385(8)
David Obree
Andrew Trathen
43 The ethics of administration
393(8)
Peter Toon
44 From professionalism to regulation and back again
401(10)
Surendra Deo
Index 411
Andrew Papanikitas

Dr Andrew Papanikitas qualified as a general practitioner in 2008. His PhD in medical education was awarded in June 2014 and is entitled, "From the classroom to the clinic: ethics education and general practice." Dr Papanikitas is part of an informal network of academics, educators, and clinicians with an interest in the study of ethics in, of, and for primary healthcare. He welcomes conversations on this topic, especially via the 'Primary Care Ethics' LinkedIn Group which is has an international and influential membership.

Dr Papanikitas is also Director of the Society of Apothercaries Course in Ethics and Philosophy of Healthcare. He has taught medical ethics and law as well as inter-professional and clinical communication skills at King's College London (KCL). He has co-led a postgraduate medical ethics course at KCL and an online Bioethics course at the University of Oxford. Dr Papanikitas holds degrees the History of Medicine, and Medical Law & Ethics, as well as postgraduate diplomas in history, philosophy and child health. Most recently he was awarded a diploma in teaching and learning in higher education by the University of Oxford, and has become a Senior fellow of the Higher Education Academy.

He is one of the founding members of the Royal Society of Medicine Student Members' Group and has served on the Trainees Section and is currently also on the council the GP and Primary Healthcare Section. He was President of the RSM Open Section from 2012-15.

John Spicer

Dr Spicer is Head of Primary Care Education and Development at Health Education England - South London, and a GP in Croydon, South London. In 2017 he marked 40 years of clinical practice in the UK National Health Service and overseas.

Having previously been a Senior Lecturer at St George's University of London for 10 years, he now has particular interests in the medical humanities and the nature of personal responsibility in health.

Over the last 15 years he has written widely on primary care, clinical ethics and associated educational issues. He is an editor for the London Journal of Primary Care and a Board member of the London Arts in Health Forum.