Buch, Englisch, 212 Seiten, Format (B × H): 140 mm x 216 mm, Gewicht: 306 g
Evidence in Practice
Buch, Englisch, 212 Seiten, Format (B × H): 140 mm x 216 mm, Gewicht: 306 g
ISBN: 978-0-19-263216-6
Verlag: OUP Oxford
There is a widespread view that modern medicine is primarily a scientific enterprise and that the decisions of clinicians follow from evidence-based science. In terms of this view the need for clinical judgement is minimal. The aims of this book are to make a case for the centrality and irreplaceability of clinical judgement, to identify the elements of good clinical judgement, and to suggest how these might be developed by using the humanities in medical undergraduate and postgraduate education. The authors argue that good clinical judgement requires both technical evidence and a humane attitude. But technical evidence is not always quantifiable or even scientific; it can be like that of the detective or the literary scholar. A humane attitude involves ethical sensitivity, but also a broad educated perspective which can be derived from the arts. The authors illustrate their argument by examining decisions made by doctors in clinical situations, in public health, and (in a chapter contributed by a hospital consultant) in resource management. About the authors: Robert S. Downie is Professor of Moral Philosophy at Glasgow University since 1969. He is a member of the BMA Ethics Committee and co-editor of the Journal of Medical Ethics. He has published extensively in the field of medical ethics. Jane MacNaughton has recently taken the position of Director of Centre for Arts, Humanities, Health and Medicine at the University of Durham. Previously she was Clinical Lecturer in General Practice at Glasgow University and a part-time GP.
Autoren/Hrsg.
Fachgebiete
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Innere Medizin
- Geisteswissenschaften Philosophie Angewandte Ethik & Soziale Verantwortung Medizinische Ethik
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinische Ethik
Weitere Infos & Material
- Chapter 1: Judgement and Science
- The nature of Science: method
- Evidence
- Scientific aims
- The scientific outlook
- Science and the imagination: Adam Smith
- Medicine and science
- Is medicine scientific?
- Chapter 2: Judgement in the clinic
- A clinical example
- Individualised evidence
- Anecdotes
- Interpretation
- Knowledge and skills
- Communication skills
- Clinical skills and the art of medicine
- Consent
- Clinical skills as an art
- Conclusions
- Chapter 3: Humane Judgement
- The knowledge base
- Service through a relationship
- The humane attitude
- Medical affectation
- Consumerism
- Insight and humane clinical judgement
- Humane judgement and the humane attitude
- Best evidence-based practice
- Conclusions
- Chapter 4: Judgement in public health
- Public health medicine and its evidence base
- Public health ethics and health care ethics
- Prevention
- Health promotion
- 'The organised efforts of society'
- Evidence and judgement in public health
- Conclusions
- Chapter 5: Judgement and resource management
- Financial and justice arguments for rationing
- Doctors' objections to rationing
- Team responsibility and health professionals as trustees
- Macro-allocation: some concepts
- Macro-allocation: the QALY
- How should macro-allocation decisions be made?
- Micro-allocation
- Clinical judgement and society
- Conclusions
- Chapter6: Educating judgement: the humanities
- Teaching ethics
- Education and training
- Medical ethos
- Broadening the ethos
- The humane attitude: practicalities
- The humane attitude: components
- Aims and objectives
- Humane judgement
- Conclusions
- Conclusion: Clinical Judgement
- References
