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E-grāmata: Patient, Heal Thyself: How the "e;New Medicine"e; Puts the Patient in Charge

3.31/5 (26 ratings by Goodreads)
(Professor of Medical Ethics, Georgetown University, USA)
  • Formāts: PDF+DRM
  • Izdošanas datums: 04-Nov-2008
  • Izdevniecība: Oxford University Press Inc
  • Valoda: eng
  • ISBN-13: 9780199718351
  • Formāts - PDF+DRM
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  • Formāts: PDF+DRM
  • Izdošanas datums: 04-Nov-2008
  • Izdevniecība: Oxford University Press Inc
  • Valoda: eng
  • ISBN-13: 9780199718351

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Robert Veatch is one of the founding fathers of contemporary bioethics. In Patient, Heal Thyself, he sheds light on a fundamental change sweeping through the American health care system, a change that puts the patient in charge of treatment to an unprecedented extent. The change is in how we think about medical decision-making. Whereas medicine's core idea was that medical decisions should be based on the hard facts of science--the province of the doctor--the "new medicine" contends that medical decisions impose value judgments. Since physicians are not trained to make value judgments, the pendulum has swung greatly toward the patient in making decisions about their treatment. Veatch shows how this is presently true only for value-loaded interventions (abortion, euthanasia, genetics) but is coming to be true for almost every routine procedure in medicine--everything from setting broken arms to choosing drugs for cholesterol. Veatch uses a range of fascinating examples to reveal how values underlie almost all medical procedures and to argue that this change is inevitable and a positive trend for patients.

Recenzijas

...engaging and thoughtful ruminations about the current medical paradigm that include interesting inquiries into historial practices and beliefs...a compelling examination of how to catch medicine up with the times, and is not to be missed. * Rebecca L Volpe, BA, St Louis University Center for Health Care Ethics *

List of Cases
xv
The New Medicine: An Introduction 3(18)
Part I: Why Doctor Does Not Know Best
The Puzzling Case of the Broken Arm
21(4)
Hernias, Diets, and Drugs
25(8)
Why Physicians Cannot Know What Will Benefit Patients
33(10)
Sacrificing Patient Benefit to Protect Patient Rights
43(8)
Societal Interests and Duties to Others
51(6)
The New, Limited, Twenty-First-Century Role for Physicians as Patient Assistants
57(8)
Abandoning Modern Medical Concepts: Doctor's ``Orders'' and Hospital ``Discharge''
65(6)
Medicine Can't ``Indicate'': So Why Do We Talk That Way?
71(12)
``Treatments of Choice'' and ``Medical Necessity'': Who Is Fooling Whom?
83(8)
Part II: New Concepts For The New Medicine
Abandoning Informed Consent
91(12)
Why Physicians Get It Wrong and the Alternatives to consent: Patient Choice and Deep Value Pairing
103(8)
The End of Prescribing: Why Prescription Writing Is Irrational
111(8)
The Alternatives to Prescribing
119(16)
Are Fat People Overweight?
135(6)
Beyond Prettiness: Death, Disease, and Being Fat
141(14)
Universal but Varied Health Insurance: Only Separate Is Equal
155(6)
Health Insurance: The Case for Multiple Lists
161(22)
Why Hospice Care Should Not be a Part of Ideal Health Care: II. Hospice in a Postmodern Era
183(12)
Part III: The New Medicine And The New Medical Science
Randomized Human Experimentation: The Modern Dilemma
195(14)
Randomized Human Experimentation: A Proposal for the New Medicine
209(10)
Clinical Practice Guidelines and Why They Are Wrong
219(10)
Outcomes Research and How Values Sneak into Finding of Fact
229(10)
The Consensus of Medical Experts and Why It Is Wrong So Often
239(20)
Epilogue: A Patient Manifesto
253(6)
Notes 259(18)
Index 277
Robert Veatch is Professor of Medical Ethics at the Kennedy Institute of Ethics, Georgetown University. He received the career distinguished achievement award from Georgetown University in 2005 and has received honorary doctorates from Creighton and Union College. He is listed in Who's Who in America.