Cambridge University Press, 10/9/2014EAN 9781107038936, ISBN10: 1107038936Hardcover, 290 pages, 24 x 16 x 1.8 cmLanguage: EnglishDemands on healthcare systems are increasingly complex and diverse. Consumerism, multiculturalism and regulation challenge practitioners and policymakers. This has led to urgent debate about the value and purpose of healthcare as people seek to make serious, well-thought through decisions. This book helps readers to make rational decisions about healthcare provision in the context of complex and diverse values. It offers no easy solutions, instead presenting a range of perspectives and arguments on values-based practice, an increasingly influential approach to managing value-conflicts/differences in medicine, psychiatry, health and social care. Readers must make their own minds up about the controversies, but this book will give them a sense of the scene and the ability to defend their own position with clarity and confidence. This is a valuable resource for health practitioners and managers, academics in health services research and policy and students of management, bioethics, applied philosophy and political and social theory.List of contributorsEditorial introduction Michael LoughlinPart I. VBPValues, Practice and Philosophy1. Values-based practicethe facts K. W. M. (Bill) Fulford2. Values-based clinical reasoning Ed Peile3. Liberating practice from philosophy – a critical examination of Values-Based Practice and its underpinnings Elselijn Kingma and Natalie Banner4. Values-based practice and authoritarianism Tim Thornton5. VBPbut which values? And whose? Bob Brecher6. Reframing health carephilosophy for medicine and human flourishing Phil Hutchinson and Rupert Read7. Values-based practicea new tool or a new package? Mona Gupta8. Values or virtues? Richard Hamilton9. Values-Based Practice, competence and expertise Gideon Calder10. Wishing to remain illan unacceptable value? Harry Lesser11. VBP and global health Sridhar Venkatapuram12. Is VBP useful in psychiatry? – A practitioner's view Alistair Stewart13. Living with uncertaintya first person plural response to eleven commentaries K. W. M. (Bill) FulfordPart II. VBM and the Basis for Medical DecisionsSurvival, Security and Flourishing14. Values, foundations and being human Miles Little15. Eliciting axioms to enrich debates about the pharmaceutical industry Wendy Lipworth and Kathleen Montgomery16. Using the survival-security-flourishing model to explain the emergence and shape of the medical profession Kathleen Montgomery and Wendy Lipworth17. Does medicine need a base? A critique of modest foundationalism Ross E. G. Upshur18. VBM and the challenge of person-centred medicine Andrew Miles19. Values-based medicine, foundationalism and casuistry Mark R. Tonelli20. Values-based medicine and patient autonomy Robyn Bluhm21. Responses to contributions, suggestions and critiques Miles LittlePart III. Conclusions22. Walking the VB-talkconcluding reflections on models, methods and practical pay-offs K. W. M. (Bill) Fulford and Miles LittleIndex.
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