General Practice and Ethics doc

[...]... subjectivity; and second, that it is relation with the Other, in the sense of being-for rather than being-with, that our ethical position is defined and realized Part II: Topics In the second section of the book we relate these themes to ethical issues and dilemmas General practice and ethics 7 that arise in general practice We consider general practice prescribing, the understanding and management... Cambridge University Press General practice and ethics 23 Dowrick, C (1983) ‘Strange meeting: Marxism, psychoanalysis and social work’, British Journal of Social Work 13:1–18 Dowrick, C., May, C., Richardson, M and Bundred, P (1996) ‘The biopsychosocial model of general practice: rhetoric or reality?’, British Journal of General Practice 46:105–7 Dowrick, C., May, C., Richardson, M and Choudhry, N (1995)... a Country Doctor, New York: Vintage International Byrne, P.S and Long, B.E.L (1975) Learning to Care: Person to Person, Edinburgh: Churchill Livingstone Campion, P., Butler, N and Cox, A (1992) ‘Principal agendas of doctors and patients in general practice consultations’, Family Practice 9:181–90 Doubilet, P and McNeil, B (1985) ‘Clinical decision making’, Medical Care 2: 648–62 Dowie, J and Elstein,... General practice and ethics 5 of such abstract principles Thus, this collection is both an attempt to see how the four principles can be applied to health care practice and a critical examination of such attempts AN OUTLINE OFTHE COLLECTION The book is divided into two parts The first part considers general ethical and philosophical themes and the second part examines particular topics of importance to general. .. These changes in the organization of health care and particularly primary care mean that general practitioners need to be aware of the ethical dimension of their practice and ethical literature should reflect these distinctive concerns ETHICS AND GENERAL PRACTICE The purpose of this introduction is not to give a detailed or comprehensive account of what ethics is or an introduction to ethical theory,... how interpretation and evaluation of the data are essential for applying the data in practice Finally, I will examine the use of EBM in practice, its application in general practice and the use of best evidence clinical guidelines EBM AND OBJECTIVITY The aim of EBM is to ground medical practice on good evidence so that the treatments patients receive are both the roost effective and the least harmful... uncertainty which exist in ordinary general practice, and proposes a set of pragmatic strategies which doctors can use to reduce their sense of uncertainty on the one hand and maintain their sense of responsibility on the other He then deploys concepts drawn from logic—in particular probability theory and decision analysis—to guide decision making in areas of diagnosis and management In situations of unresolved... everyday general practice She describes the many situations in which disclosure of information is possible (with and without the patient’s consent), including insurance claims, public interest cases, children and incompetent adults She raises questions about confidentiality within the surgery, with respect to support staff and to sick doctors, and discusses the dilemmas arising from data protection In practice. .. uncertainty of outcomes and effectiveness in general practice and the changing pattern of general practitioners’ responsibilities These are central themes not only for general practice and primary care but for all health care provision One of the most important concerns for modern health care practice is how health care is to be paid for All medical practice now takes place in an environment of limited... with Joseph Conrad’s Master Mariner, who went to sea Uncertainty and responsibility 22 to combat the boredom and compla-cency of middle-class life in England For the doctor the equivalent of the sea was single-handed general practice in an economically and culturally deprived part of rural England Berger describes how Sassall’s curiosity, his spirit of enquiry, his desire to experience all that is possible, . General Practice and Ethics With the reorganization of general practice and the NHS, GPs now face many new and distinctive ethical dilemmas in their practice. . Professional Ethics Doryl Koehn The Ethics of Bankruptcy Jukka Kilpi Food Ethics Edited by Ben Mepham General Practice and Ethics Uncertainty and responsibility