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Handbook of Primary Care Ethics, 1ed

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.

About the Author

Contents

Chapter 1 Autonomy and consent in family medicine
Chapter 2 Benefits, harms and evidence- Reflections from UK primary healthcare
Chapter 3 Why it can be ethical to use placebos in clinical practice
Chapter 4 Compassion in primary and community healthcare
Chapter 5 The ethics of the family in primary care
Chapter 6 Culture and ethics in healthcare
Chapter 7 The ethics of complementary and alternative medicine (CAM)
Chapter 8 The oughts of omnipractice
Chapter 9 Micro-ethics of the general practice consultation
Chapter 10 Analysing an ordinary consultation
Chapter 11 The voice of the patient
Chapter 12 Children and the ethics of primary care
Chapter 13 On frailty and ethics Negotiating narratives
Chapter 14 Achieving a good death in primary care Ethical challenges at the end of life
Chapter 15 The ethics and challenges in caring for vulnerable migrants inprimary care
Chapter 16 Proximity, power and perspicacity Ethical issues inprimary care research
Chapter 17 Integrating ethical theory with musculoskeletal primary care practice
Chapter 18 Power, prejudice and professionalism Fat politics andmedical education
Chapter 19 Genethics and genomics in thecommunity
Chapter 20 Confidentiality and forensic disclosure in the primary healthcare setting
Chapter 21 Mental health and ethics in primary care
Chapter 22 Veterans and the ethics of reciprocity in UK primary healthcare
Chapter 23 On residential care ethics
Chapter 24 Ethics and the professional identity of a general practitioner in twenty-first century Britain
Chapter 25 Teaching and learning ethics inprimary healthcare
Chapter 26 Interprofessional ethics in the primary care setting
Chapter 27 The ethics of teaching and learning in primary care
Chapter 28 Evidence-based primary care ethics
Chapter 29 Narrative ethics and primarycare
Chapter 30 Learning from the assessment of ethics in UK general practice
Chapter 31 Try this at home Values-based practice and clinical care
Chapter 32 Adopting an alternative worldview Perspectives from postmodernism
Chapter 33 Beyond rationing The ethics of commissioning in and by primaiy healthcare
Chapter 34 The moral atom Mapping out the relational world of healthcareprofessionaIs
Chapter 35 Moral ecosystems Exploring the business dimension in healthcare reforms
Chapter 36 The duty of candour in primary care
Chapter 37 The inescapability of conscience in primary healthcare
Chapter 38 Professional self-care in primary care practice – An ethical puzzle
Chapter 39 Global primary care ethics
Chapter 40 Primary care, the basic necessity PartI Explorations in economics
Chapter 41 Primary care, the basic necessity Part II Explorations in ethics
Chapter 42 The special ethics of dentistry
Chapter 43 The ethics of administration
Chapter 44 From professionalism to regulation and back again