Clinical judgement evidence in practice
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| Hauptverfasser: | , , |
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| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Oxford
Oxford Univ. Press
2000
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| Ausgabe: | 1. ed. |
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| Online-Zugang: | Inhaltsverzeichnis |
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Datensatz im Suchindex
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| adam_text | Contents
Acknowledgements viii
Preface ix
Clinical judgement: a diagrammatic summary xii
1 Judgement and science 1
1.1 Introduction 1
1.2 The nature of science: method 2
1.3 Evidence 8
1.4 Scientific aims 15
1.5 The scientific outlook 17
1.6 Science and the imagination: Adam Smith 21
1.7 Medicine and science 22
1.8 Is medical research scientific? 37
1.9 Judgement in medical research 38
1.10 Conclusions 38
References 39
2 Judgement in the clinic 41
2.1 Introduction 41
2.2 A clinical example 42
2.3 Individualized evidence 47
2.4 Anecdotes 51
2.5 Interpretation 60
2.6 Knowledge and skills 65
2.7 Communication skills 66
2.8 Clinical skills and the art of medicine 67
2.9 Consent 69
2.10 Clinical skills as an art 71
2.11 Conclusions 72
References 73
vi Contents
3 Humane judgement 75
3.1 Medicine as a profession 75
3.2 The knowledge base 77
3.3 Service through a relationship 78
3.4 The humane attitude 88
3.5 Medical affectation 89
3.6 Consumerism 94
3.7 Insight and humane clinical judgement 99
3.8 Humane judgement and the humane attitude 102
3.9 Best evidence based practice 102
3.10 Conclusions 103
References 104
4 Judgement in public health 105
4.1 Introduction 105
4.2 Public health medicine and its evidence base 106
4.3 Public health ethics and health care ethics 110
4.4 Prevention 111
4.5 Health promotion 114
4.6 The organized efforts of society 119
4.7 Evidence and judgement in public health 124
4.8 Conclusions 125
References 125
Editors note to Chapter 5 127
5 Judgement and resource management 128
5.1 The necessity for rationing 128
5.2 Financial and justice arguments for rationing 129
5.3 Doctors objections to rationing 132
5.4 Team responsibility and health professionals
as trustees 135
5.5 Macro allocation: some concepts 138
5.6 Macro allocation: the QALY I40
5.7 How should macro allocation decisions be
made? 145
5.8 Micro allocation 148
5.9 Clinical judgement and society 151
5.10 Conclusions 151
References 152
Contents vii
6 Educating judgement: the humanities 153
6.1 Introduction 153
6.2 Teaching ethics 154
6.3 Education and training 161
6.4 Medical ethos 166
6.5 Broadening the ethos 169
6.6 The humane attitude: practicalities 170
6.7 The humane attitude: components 174
6.8 Aims and objectives 177
6.9 Humane judgement 179
6.10 Conclusions 180
References 180
7 Conclusion: clinical judgement 183
Appendix to Chapter 6 186
Index 197
|
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| id | DE-604.BV013540775 |
| illustrated | Illustrated |
| indexdate | 2024-12-23T15:30:28Z |
| institution | BVB |
| isbn | 0192632167 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-009245097 |
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| physical | XI, 201 S. graph. Darst. |
| publishDate | 2000 |
| publishDateSearch | 2000 |
| publishDateSort | 2000 |
| publisher | Oxford Univ. Press |
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| spellingShingle | Downie, Robert S. MacNaughton, Jane Randall, Fiona Clinical judgement evidence in practice Evidence-based practice gtt Meningsvorming gtt Clinical medicine Decision making Decision Making Evidence-Based Medicine Evidence-based medicine Judgment Evidenz-basierte Medizin (DE-588)4543414-1 gnd |
| subject_GND | (DE-588)4543414-1 |
| title | Clinical judgement evidence in practice |
| title_auth | Clinical judgement evidence in practice |
| title_exact_search | Clinical judgement evidence in practice |
| title_full | Clinical judgement evidence in practice R. S. Downie, Jane Macnaughton and Fiona Randall |
| title_fullStr | Clinical judgement evidence in practice R. S. Downie, Jane Macnaughton and Fiona Randall |
| title_full_unstemmed | Clinical judgement evidence in practice R. S. Downie, Jane Macnaughton and Fiona Randall |
| title_short | Clinical judgement |
| title_sort | clinical judgement evidence in practice |
| title_sub | evidence in practice |
| topic | Evidence-based practice gtt Meningsvorming gtt Clinical medicine Decision making Decision Making Evidence-Based Medicine Evidence-based medicine Judgment Evidenz-basierte Medizin (DE-588)4543414-1 gnd |
| topic_facet | Evidence-based practice Meningsvorming Clinical medicine Decision making Decision Making Evidence-Based Medicine Evidence-based medicine Judgment Evidenz-basierte Medizin |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009245097&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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