With chapters revolving around practical issues and real-world contexts, this Handbook offers much-needed insights into the ethics of primary healthcare. An international set of contributors from a broad range of areas in ethics and practice address a challenging array of topics. These range from the issues arising in primary care interactions, to working with different sources of vulnerability among patients, from contexts connected with teaching and learning, to issues in relation to justice and resources. The book is both interdisciplinary and inter-professional, including not just ‘standard’ philosophical clinical ethics but also approaches using the humanities, clinical empirical research, management theory and much else besides.

This practical handbook will be an invaluable resource for anyone who is seeking a better appreciation and understanding of the ethics ‘in’, ‘of’ and ‘for’ primary healthcare. That includes clinicians and commissioners, but also policymakers and academics concerned with primary care ethics. Readers are encouraged to explore and critique the ideas discussed in the 44 chapters; whether or not readers agree with all the authors’ views, this volume aims to inform, educate and, in many cases, inspire.

Chapter 4 of this book is freely available as a downloadable Open Access PDF at https://www.taylorfrancis.com under a Creative Commons Attribution (CC-BY) 4.0 license. 

part 1|94 pages

The Primary Care Interaction

chapter 1|8 pages

Autonomy and consent in family medicine

ByIona Heath, Jay Bowden

chapter 2|6 pages

Benefits, harms and evidence – Reflections from UK primary healthcare

ByMargaret McCartney

chapter 3|8 pages

Why it can be ethical to use placebos in clinical practice

ByJeremy Howick

chapter 4|10 pages

Compassion in primary and community healthcare

ByJoshua Hordern
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chapter 5|10 pages

The ethics of the family in primary care

ByMichael Weingarten

chapter 6|8 pages

Culture and ethics in healthcare

ByDavid Misselbrook

chapter 7|8 pages

The ethics of complementary and alternative medicine (CAM)

ByNevin Mehmet, Christine Stacey

chapter 8|10 pages

The oughts of omnipractice

ByJohn Spicer

chapter 9|10 pages

Micro-ethics of the general practice consultation

ByRoger Neighbour

chapter 10|10 pages

Analysing an ordinary consultation

ByRafik Taibjee

chapter 11|4 pages

The voice of the patient

ByRosamund Snow

part 2|116 pages

On vulnerable patients

chapter 12|8 pages

Children and the ethics of primary care

ByPekka Louhiala

chapter 13|8 pages

On frailty and ethics: Negotiating narratives

ByDeborah Bowman

chapter 15|14 pages

The ethics and challenges in caring for vulnerable migrants in primary care

ByPaquita de Zulueta

chapter 18|10 pages

Power, prejudice and professionalism: Fat politics and medical education

ByJonathon Tomlinson

chapter 19|10 pages

Genethics and genomics in the community

ByImran Rafi, John Spicer

chapter 20|8 pages

Confidentiality and forensic disclosure in the primary healthcare setting

ByHelen Salisbury, Sharon Dixon, Selena Knight

chapter 21|10 pages

Mental health and ethics in primary care

BySelena Knight, Andrew Papanikitas, John Spicer

chapter 22|6 pages

Veterans and the ethics of reciprocity in UK primary healthcare

ByHilary Engward

chapter 23|8 pages

On residential care ethics

ByMichael Dunn

part 3|84 pages

Teaching and Learning

chapter 25|8 pages

Teaching and learning ethics in primary healthcare

ByAndrew Papanikitas, John Spicer

chapter 26|8 pages

Interprofessional ethics in the primary care setting

ByHilary Engward

chapter 27|10 pages

The ethics of teaching and learning in primary care

ByJohn Spicer, Andrew Papanikitas

chapter 28|8 pages

Evidence-based primary care ethics

ByRoger Newham, Andrew Papanikitas

chapter 29|8 pages

Narrative ethics and primary care

ByJohn Launer

chapter 30|12 pages

Learning from the assessment of ethics in UK general practice

ByDavid Molyneux

chapter 31|8 pages

Try this at home: Values-based practice and clinical care

ByBill (KWM) Fulford, Ed Peile

chapter 32|8 pages

Adopting an alternative worldview: Perspectives from postmodernism

ByChris Caldwell, Sanjiv Ahluwalia

part 4|116 pages

On justice and resources

chapter 33|10 pages

Beyond rationing: The ethics of commissioning in and by primary healthcare

ByDennis Cox, Andrew Papanikitas

chapter 35|12 pages

Moral ecosystems: Exploring the business dimension in healthcare reforms

ByIoanna Psalti, Michael Paschke

chapter 36|14 pages

The duty of candour in primary care

BySuzanne Shale

chapter 37|12 pages

The inescapability of conscience in primary healthcare

ByAndrew Papanikitas

chapter 38|8 pages

Professional self-care in primary care practice – An ethical puzzle

ByEmma McKenzie-Edwards

chapter 39|8 pages

Global primary care ethics

ByBridget Kiely, Carwyn Rhys Hooper

chapter 41|8 pages

Primary care, the basic necessity: Part II: Explorations in ethics

ByMalcolm Torry

chapter 42|8 pages

The special ethics of dentistry

ByDavid Obree, Andrew Trathen

chapter 43|8 pages

The ethics of administration

ByPeter Toon

chapter 44|10 pages

From professionalism to regulation and back again

BySurendra Deo