General Practice Revisited PDF Download

Author: Ann Cartwright
Publisher: Taylor & Francis
ISBN: 1003862551
Category : Medical
Languages : en
Pages : 243

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Book Description
‘This study of general practice and the attitudes of patients and general practitioners to it is the most significant book yet written about the NHS.’ This was how the reviewer in the ‘British Medical Journal’ reviewed Ann Cartwright’s earlier book Patients and their Doctors. In General Practice Revisited, originally published in 1981, Ann Cartwright and Robert Anderson compare the experiences and views described in the first study, carried out in 1964, with those revealed by a second survey in 1977.In the intervening period there were a great many changes in the organization of general practice. For example appointment systems and nurses working in the surgery became the rule rather than the exception, and the number of doctors working in health centres or using deputizing services rose dramatically. This study shows how the basic patient-doctor relationship has been affected by these changes. A fundamental feature of the survey is the demonstration that the attitudes and practices of patients and doctors are linked, and that it is possible to relate the experiences and degree of satisfaction of patients to the doctor’s age, sex, size of practice, equipment, ancillary help, and indeed to the doctor’s views and habits.By bringing the picture of general practice up-to-date Ann Cartwright and Robert Anderson provided the basic data for any discussion of primary health care in this country at the time.

Author: Ben Yuk Fai Fong
Publisher: Springer Nature
ISBN: 9811525218
Category : Medical
Languages : en
Pages : 399

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Book Description
This book adopts an interdisciplinary approach with a wide scope of perspectives on primary healthcare, describing related principles, care models, practices and social contexts. It combines aspects of development, research and education applied in primary health care, providing practitioners and scholars with a comprehensive overview of the current knowledge and delivery models of healthcare in community settings. It covers the practical, philosophical and scholarly issues pertinent to the delivery, financing, planning, ethics, health politics, professional and technological development, resources, and monitoring in primary health care. Contributors are from a diverse range of academic and professional backgrounds, bringing together collective expertise in mainstream medicine, nursing, allied health, Chinese medicine, health economics, administration, law, public policy, housing management, information technology and mass communications. As such, the book does not follow the common clinical practice or service-based approach found in most texts on primary care.The contents will serve as a useful reference work for policymakers, researchers, community health practitioners, health executives and higher education students.

Author: Therese Zink
Publisher: Literature and Medicine
ISBN:
Category : Literary Collections
Languages : en
Pages : 212

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Book Description
An anthology that addresses the changing nature of rural medicine in the United States "These authors courageously document the emotional and literally physical vulnerabilities they experience while delivering care in rural communities. ... This book exquisitely illustrates the complexity of 'dual relationships' and boundary issues in rural practice."--Family Medicine Over the past thirty years, rural health care in the United States has changed dramatically. The stereotypical white-haired doctor with his black bag of instruments and his predominantly white, small-town clientele has imploded: the global age has reached rural America. Independently owned clinics have given way to a massive system of hospitals; new technology now brings specialists right to the patient's bedside; and an increasingly diverse clientele has sparked the need for doctors and nurses with an equally diverse assortment of skills. The Country Doctor Revisited is a fascinating collection of essays, poems, and short stories written by rural health care professionals on the experiences of doctors and nurses practicing medicine in rural environments, such as farms, reservations, and migrant camps. The pieces explore the benefits and burdens of new technology, the dilemmas in making ethically sound decisions, and the trials of caring for patients in a broken system. Alternately compelling, thought provoking, and moving, they speak of the diversity of rural health care providers, the range of patients served in rural communities, the variety of settings that comprise the rural United States, and the resources and challenges health care providers and patients face today.

Author: Chris Salisbury
Publisher: CRC Press
ISBN: 1498789714
Category : Medical
Languages : en
Pages : 199

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Book Description
This book examines the best ways to provide primary care at nights and weekends. There has been increasing demand from patients for out-of-hours care and a great reorganisation of primary care services outside normal surgery hours. Different models of organisations are being tested including primary care centres and nurses giving telephone advice

Author: Patrick White
Publisher: CRC Press
ISBN: 1444114115
Category : Medical
Languages : en
Pages : 336

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Book Description
Aimed at medical students and junior doctors, A Textbook of General Practice 2e incorporates the essential information that a student needs to know and understand about general practice and being a general practitioner. The learning style of the book is based on experiential and reflective principles in keeping with modern educative theory and prac

Author: Jamie Harrison
Publisher: CRC Press
ISBN: 1315348020
Category : Medical
Languages : en
Pages : 240

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Book Description
This overview of the NHS Research and Development Programme is written by people who are at the leading edge of its implementation. It integrates the issues of research management and funding with the importance of focusing research on the needs of the customer (the NHS) and the challenges of implementing the findings of research into clinical practice. The experience of the authors extends from developing local research networks to managing a national research programme, reflecting the scope of the NHS strategy and the potential of this book.

Author: Thomas Schwandt
Publisher: Stanford University Press
ISBN: 080479572X
Category : Business & Economics
Languages : en
Pages : 216

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Book Description
Evaluation examines policies and programs across every arena of human endeavor, from efforts to stop the spread of HIV/AIDS to programs that drive national science policy. Relying on a vast array of methods, from qualitative interviewing to econometrics, it is a "transdiscipline," as opposed to a formal area of academic study. Accounting for these challenges, Evaluation Foundations Revisited offers an introduction for those seeking to better understand evaluation as a professional field. While the acquisition of methods and methodologies to meet the needs of certain projects is important, the foundation of evaluative practice rests on understanding complex issues to balance. Evaluation Foundations Revisited is an invitation to examine the intellectual, practical, and philosophical nexus that lies at the heart of evaluation. Thomas A. Schwandt shows how to critically engage with the assumptions that underlie how evaluators define and position their work, as well as how they argue for the usefulness of evaluation in society. He looks at issues such as the role of theory, how notions of value and valuing are understood, how evidence is used, how evaluation is related to politics, and what comprises scientific integrity. By coming to better understand the foundations of evaluation, readers will develop what Schwandt terms "a life of the mind of practice," which enables evaluators to draw on a more holistic view to develop reasoned arguments and well fitted techniques.

Author: Kristian Pollock
Publisher: CRC Press
ISBN: 1315357321
Category : Medical
Languages : en
Pages : 336

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Book Description
The capacity of professional medicine to resist change - and also concordance - is impressive, but perplexing. It is one of the issues I seek to address in this book. I suggest that a preoccupation with trying to change the relationship between the professional-patient dyad has deflected attention from the extent to which such relations are embedded in, and constrained by, wider administrative and organisational structures, especially as these relate to the operation of professional hierarchies and interprofessional deference and allegiances. Barriers to change also result from the inertia of a system which has evolved a highly stylised etiquette as an adaptive mechanism to contain the difficulties and tensions intrinsic to the medical consultation. Its therapeutic purpose and potential are often subordinate to the goal of achieving success as a social encounter. The principles of concordance are deeply challenging to traditional professional roles and status. However, medicine has always displayed an ability to block change through tactics of appropriation and incorporation. Professionals have often shown particular difficulty giving up their monopoly of 'expertise' and in acknowledging the legitimacy of the patient perspective. Although the term 'concordance' has become quite widely used, its meaning is usually subverted by its employment as a synonym for 'compliance', albeit 'informed' compliance. A slightly more sophisticated version values professional elicitation of the patient perspective in order to more accurately tailor information as a means of overcoming the unhelpful m/sconceptions that impede compliance. The original emphasis on the consultation as a negotiated exchange, in which the professional has something of value to learn from the patient, has largely been lost. The rhetoric of modernity and change provides an effective mask for inertia and conservatism. Preface.

Author: John Fry
Publisher: Springer Science & Business Media
ISBN: 9401091927
Category : Medical
Languages : en
Pages : 402

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Book Description
One of the eXCltmg challenges of medicine has been the reaching of decisions based on less than complete evidence. As undergraduates in teaching hospitals future physicians are taught to think in clear and absolute black and white terms. Diagnoses in teaching hospitals all are based on supportive positive findings of in vestigations. Treatment follows logically on precise diagnosis. When patients die the causes of death are confirmed at autopsy. How very different is real life in clinical practice, and particularly in family medicine. By the very nature of the common conditions that present diagnoses tend to be imprecise and based on clinical assessment and interpretation. Much of the management and treatment of patients is based on opinions of individual physicians based on their personal expenences. Because of the relative professional isolation offamily physicians within their own practices, not unexpectedly divergent views and opinions are formed. There is nothing wrong in such divergencies because there are no clear absolute black and white decisions. General family practice functions in grey areas of medicine where it is possible and quite correct to hold polarized distinct opinions. The essence of good care must be eternal flexibility and readiness to change long-held cherished opinions. To demonstrate that with many issues in family medicine it is possible to have more than one view I selected 10 clinical and II non -clinical topics and invited colleagues and fellow-practitioners to enter into a debate-in-print.

Author: Roger Cooter
Publisher: Routledge
ISBN: 1136794727
Category : History
Languages : en
Pages : 777

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Book Description
This book contains over forty authoritiative essays, focusing on the political economy of medicine and health, understandings of the body and transformations of some of the theatres of medicine.