A Celebration Of General Practice

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A Celebration of General Practice

This collection of essays on general practice, written by a variety of eminent contributors working in primary care, considers the influence and leadership of GPs and general practice in the wider community in order to improve the understanding of general practice.
Compassion

Author: Rodger Charlton
language: en
Publisher: Royal College of General Practitioners
Release Date: 2015-10-07
Compassion takes as its starting point 'Cum scientia caritas', the motto of the Royal College of General Practitioners. Translated as 'Science with compassion', it captures the technical and caring aspects of being a doctor. Science is continually developing but compassion is unchanging. But how relevant is compassion to the NHS today? Compassion is central to the practice of health care. Patients require compassion as much as they require knowledge and technical skill from their healthcare professionals. Compassion should be a motivation for anyone choosing a career in primary care. However, in recent years there have been startling instances where compassion has not been shown. Compassion: Compassion, Continuity and Caring in the NHS is a reminder that compassion is at the heart of good medical practice. The book is split into sections on patients, education and training, clinicians and future developments. There are overview chapters on access to health care, the changing model of NHS care, a history of GP selection procedures and ways of preparing the next generation of GPs. This wide-ranging book also contains chapters on specific topics: the role of the multidisciplinary team, homeless patients, prescribing, nursing in primary care, post-conflict symptoms, suicide prevention and more. Personal perspectives are also given: A layman provides a personal account of the end-of-life care his wife received. A junior doctor reflects on the different factors that guide compassion. And a doctor from the United States offers a worrying picture of primary health care's possible fate. This book looks to the future too with chapters on scholarship, building resilience, mindfulness, continuity of care and the development of a new professionalism. This book will help the reader reconsider and re-evaluate compassion - the characteristic so important in creating a long-term relationship between health professional and patient.
Person-centred Primary Care

Primary care, grounded in the provision of continuous comprehensive person-centred care, is of paramount importance in the delivery of accessible and effective health care around the world. The central notion of person-centred care, however, relies on often-unexamined concepts of self, or understandings of what it means to be a person and an agent. This cutting-edge book explores contemporary pressures on the sense of self for both patient and health professional within a consultation and argues that building new concepts of the self is essential if we are to reinvigorate the central tenets of person-centred primary care. Contemporary trends such as shared decision-making between health professionals and patients and promoting self-management assume those involved are able to make their own decisions and take action. In practice, however, medicine often opts for reductionist perspectives of patients as passive mechanical systems and diseases as puzzles. At the same time, huge political and organisational changes mean time and resources are scarce, putting further pressure on consultations. This book discusses how we can start to resolve these tensions. The first part considers problems posed by the increasing bureaucratisation of primary care, the impact of information technology in the consultation, the effects of chronic disease on our sense of self and how an emphasis on biology over biography leads to over-diagnosis. The second part proposes solutions based on a strong ontology of consciousness, concepts of creative capacity, coherence and engagement, and will show how these can enhance the self-esteem of patients and doctors and benefit their therapeutic dialogue. Combining theoretical perspectives from philosophy, sociology and healthcare research with insights drawn from clinical practice, this edited volume is suitable for those researching and studying primary healthcare, communication and relationships in healthcare and the medical humanities.