Practical Ethics for General Practice
There are several features of general practice which, taken together, make it a unique branch of medicine. General practitioners provide primary care which is comprehensive in nature; they are committed to seeing patients presenting with any kind of query, symptom or problem. The care they provide is ongoing, providing the opportunity to gather a large amount of information about their patients, and to develop personal relationships over time. These features affect the nature of ethical issues presenting in general practice in a number of ways, and raise ethical dilemmas not present in secondary and tertiary medical care. This book provides an accessible account of ethics in general practice, addressing concerns identified by practitioners. It is based on examples from general practice, and uses a contents list developed through discussions with GPs, trainers and GP registrars. In this clear and well-written book, the authors dispel the common perception that ethical analysis is too abstract or esoteric to be useful in the real world of complex problems and difficult decisions. Readers will gain practical insights into how to identify and analyse the ethical issues they encounter on a daily basis. The book shows how moral concepts and arguments can provide a way forward, or clarify practical responses in everyday general practice.
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Trust and the doctorpatient relationship
Beneficence or does the doctor know best?
Justice and resource allocation in general practice
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abortion acceptable actions active euthanasia Advance directives antenatal screening assisted suicide benefits bioethics breaching confidentiality Butler Chapter child clinical compassion competent concerned conflicts of interest consider consultation decision-making decisions diagnosis Diane Pretty difficult discussion disease doctor-patient relationship Doyal Dr Bowler Dr Carter Dr Chu Dr Day Dr Grainger Dr Jones Dr McDonald Dr Schroeder Dr Shah Dr Whittaker drug duty effect ethical issues evidence-based medicine example feel Further reading gastroscopy Gillick competence GP-patient relationship GP's harm illness important informed consent involves judgement Medical Council medical ethics medicine moral obligation offer Oxford University Press patient autonomy person placebo effect practice practitioners pregnancy prevent primary problem professional QALY reasons References refuse request resource allocation respect responsibility risk role screening secondary interests Shawlands situation social suffering surgery tion treat treatment trust understand virtue ethics