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Practical Ethics for General Practice 2nd Revised edition [Minkštas viršelis]

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(Associate Professor in Ethics, Discipline of Public Health, School of Population Health and Clinical Pra), (Associate Professor of Medical Ethics and Health Law, Department of Medical Education, Flinders University, Adelaide, Australia)
  • Formatas: Paperback / softback, 252 pages, aukštis x plotis x storis: 233x155x15 mm, weight: 398 g
  • Išleidimo metai: 11-Dec-2008
  • Leidėjas: Oxford University Press
  • ISBN-10: 019923552X
  • ISBN-13: 9780199235520
Kitos knygos pagal šią temą:
Practical Ethics for General Practice 2nd Revised editionDidesnis paveikslėlis
  • Formatas: Paperback / softback, 252 pages, aukštis x plotis x storis: 233x155x15 mm, weight: 398 g
  • Išleidimo metai: 11-Dec-2008
  • Leidėjas: Oxford University Press
  • ISBN-10: 019923552X
  • ISBN-13: 9780199235520
Kitos knygos pagal šią temą:
Pastovi nuoroda: https://www.kriso.lt/db/9780199235520.html
Raktažodžiai:
General practice provides the first point of contact to medical care for patients across the world. GPs have obligations to patients in their care, to the government for responsible use of resources, and to communities for the standard of health services provided. Ethics is at the heart of health services, dealing with fundamental questions about what ought to be valued, and why. The two disciplines inevitably impact upon each other, and this book brings them together to focus on practical ethics for general practitioners.

In this update of a successful first edition, the authors aim to: help GPs appreciate the ethically significant nature of general practice, drawing attention to the ethical complexity of apparently mundane and everyday experience; present a thoughtful and thought-provoking account of the moral foundations of general practice, exploring how moral concepts such as trust, beneficence, respect for autonomy, and fairness take on unique meanings in the general practice setting; and to discuss some specific ethical issues in detail, offering solutions that are practical as well as ethically sound.

The focus is on practice throughout, ensuring through real cases and discussions with practitioners that the book is not abstract and esoteric in its discussion of philosophical principles, but that it is applicable in the real world of the doctor's surgery. The authors guide their readers through basic approaches to ethical reasoning and use of a practical ethics analysis framework suitable for use in all ethical dilemmas in medicine. Themes covered include the authors' research-based account of trust and the doctor-patient relationship, acting in the patient's best interests, confidentiality, making decisions with patients, beginning and end of life issues, treating children and adolescents, and role conflicts in general practice.
Foreword to the second edition v
Foreword to the first edition vii
Preface ix
List of abbreviations
xv
Introduction xvii
The GPs and their practices xviii
References xxi
General practice and ethics
1(8)
Introduction
1(1)
The GP-patient relationship
2(3)
Ethical complexities in general practice
5(3)
Conclusion
8(1)
References
8(1)
Ethical reasoning and general practice
9(16)
Introduction
9(1)
The role of ethical deliberation in general practice
9(1)
Ethical theory
10(4)
A framework for analysing ethical problems
14(3)
Using the framework: Dr Morrow and Lisa
17(5)
Conclusion
22(1)
References
22(1)
Further reading
23(2)
Trust and the doctor-patient relationship
25(16)
Introduction
25(1)
What is the doctor-patient relationship?
26(1)
The importance of the relationship to general practice
27(2)
The importance of trust
29(1)
Trust in the doctor-patient relationship
30(2)
The benefits of trust
32(3)
Trust, paternalism and consumerist relationships
35(1)
Fostering patient trust
36(1)
Trusting wisely
36(1)
Conclusion
37(1)
References
38(3)
Difficult relationships with patients
41(12)
Introduction
41(1)
The balance between intimacy and professionalism
41(2)
Gifts from patients
43(2)
Sexual boundary violations
45(3)
Needy or dependent patients
48(1)
Patients and their relatives
49(1)
Collusive relationships
50(1)
Conclusion
50(1)
References
51(2)
Confidentiality in general practice
53(16)
Introduction
53(2)
What is confidentiality?
55(1)
Why is confidentiality important?
56(2)
Cases in which maintaining confidentiality can be a problem
58(8)
Conclusion
66(1)
References
66(1)
Further guidance on confidentiality
67(2)
Beneficence or does the doctor know best?
69(24)
Introduction
69(1)
The principle of beneficence
70(1)
Acting in the patient's best interests
71(2)
Beneficence and paternalism
73(3)
Medicine and paternalism
76(3)
What is the medical good? The role of evidence-based medicine
79(2)
The limits of beneficence
81(5)
Preventive healthcare
86(4)
Conclusion
90(1)
References
90(3)
Justice and resource allocation in general practice
93(20)
What is resource allocation and why does it matter?
95(1)
How are resources allocated in healthcare systems?
96(3)
How can we allocate resources fairly?
99(2)
Material principles of justice
101(10)
Conclusion
111(1)
References
112(1)
Making decisions: patient autonomy in general practice
113(22)
Introduction
113(1)
What is autonomy and why is it important?
114(1)
Autonomy in practice
115(1)
Informed consent
116(10)
Limits on autonomy and difficult cases
126(6)
Conclusion
132(1)
References
132(3)
Ethical issues at the beginning of life
135(18)
Introduction
135(1)
Contraception
135(3)
Abortion
138(3)
Reproductive technologies
141(4)
In pregnancy
145(4)
Labour and delivery
149(2)
Conclusion
151(1)
References
151(2)
Ethical issues in the care of children
153(16)
Introduction
153(1)
Why do children raise particular ethical issues?
154(1)
Requests for circumcision
155(2)
Immunization
157(1)
Complimentary and alternative treatments
158(1)
Obesity
159(2)
Non-accidental injuries
161(2)
Adolescent consent and confidentiality
163(3)
Conclusion
166(1)
References
166(3)
Ethical issues at the end of life
169(20)
Introduction
169(2)
Ethical responses to requests for assistance in dying
171(3)
What is euthanasia?
174(4)
The doctrine of double effect
178(1)
Physician-assisted suicide
179(1)
Practical aspects
180(3)
Advance directives
183(1)
Legalizing euthanasia and assisted suicide
184(2)
Conclusion
186(1)
References
187(2)
Role conflicts in general practice
189(22)
Introduction
189(1)
Conflicts of interest in general practice
189(4)
Why should we be concerned about conflicts of interest?
193(1)
Some specific examples
194(7)
Evaluating conflicts of interest
201(5)
Dealing with conflicts of interest
206(3)
Conclusion
209(1)
References
209(2)
On being a good doctor: virtues in general practice
211(14)
Introduction
211(1)
What is different about a virtues approach in general practice?
211(2)
What is virtue ethics?
213(1)
Compassion
214(3)
Medical vices
217(1)
Why do we need a focus on virtue in medicine?
218(2)
Conclusion: what is a good GP?
220(2)
References
222(3)
Index 225
Wendy Rogers leads the teaching of ethics, law and professionalism in the medical program at Flinders University. In 2007, she received a national Carrick award for her teaching in this area. Her current research projects include gender equity in health research, the ethics of influenza pandemic planning, and issues raised by biological donations. Wendy was a founding director of the Ethics Centre of South Australia, served as the Co-coordinator of the International Network on Feminist Approaches to Bioethics from 2006-8 and serves on the editorial boards of journals including Bioethics, International Journal of Feminist Approaches to Bioethics, Health Expectations and BMC Biomedical Ethics. She is a member of the Medical Board of South Australia, and is a regular commentator in the media on a range of bioethical issues.



Annette Braunack-Mayer teaches medical and public health ethics and qualitative research methods at the University of Adelaide. Her current research projects include the ethics of influenza pandemic planning, consent and privacy in public health research, and community involvement in decision-making about clinical and public health practice. She is also a Consultant Ethicist to Adelaide Health Technology Assessment and the Australia and New Zealand Horizon Scanning Network. With Wendy, Annette was a founding director of the Ethics Centre of South Australia, and she currently chairs the Centre's Board of Management.