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End of Life Choices: Consensus and controversy

Fiona Randall and Robin Downie

Published in print:
2009
Published Online:
November 2011
ISBN:
9780199547333
eISBN:
9780191730405
Item type:
book
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199547333.001.0001
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research

A book for nurses, doctors and all who provide end of life care, this volume guides readers through the ethical complexities of such care, including current policy initiatives, and encourages debate ... More


Patient choice

Ruth Robertson

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0039
Subject:
Public Health and Epidemiology, Public Health

Patients in the NHS have always had some choice over how and where they receive treatment, but it is only recently that patient choices have been seen as a mechanism for improving the quality of NHS ... More


General conclusions

Fiona Randall and R. S. Downie

in End of Life Choices: Consensus and controversy

Published in print:
2009
Published Online:
November 2011
ISBN:
9780199547333
eISBN:
9780191730405
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199547333.003.0012
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research

This concluding chapter sums up the key findings of this study on patient choice in end of life care. The philosophy of medicine and of end of life care in particular which emerged in the second half ... More


Patient choice and consent

Fiona Randall and R. S. Downie

in End of Life Choices: Consensus and controversy

Published in print:
2009
Published Online:
November 2011
ISBN:
9780199547333
eISBN:
9780191730405
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199547333.003.0001
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research

This chapter examines patient choice and consent and its current status in clinical decision-making in end of life care. The findings indicate that the idea of patient choice can exist comfortably in ... More


Patient choice: a contemporary policy story

Stephen Peckham and Marie Sanderson

in Shaping Health Policy: Case Study Methods and Analysis

Published in print:
2011
Published Online:
May 2012
ISBN:
9781847427588
eISBN:
9781447305576
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781847427588.003.0014
Subject:
Sociology, Health, Illness, and Medicine

This chapter aims to explore the use of a case-study approach to a specific policy. The use of narrative approaches to analysis provides a way of understanding how policy evolves but also a framework ... More


Local Dynamic Reform in the NHS Since 2000

Ian Greener, Barbara E. Harrington, David J. Hunter, Russell Mannion, and Martin Powell

in Reforming healthcare: What's the evidence?

Published in print:
2014
Published Online:
January 2015
ISBN:
9781447307112
eISBN:
9781447310938
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781447307112.003.0005
Subject:
Public Health and Epidemiology, Public Health

This chapter reviews research on the introduction of patient choice and competition (alongside the introduction of PbR) and the reorganisation of PPI systems within the NHS. It examines the Quality ... More


Palliative Care Ethics: A Companion for All Specialties

Fiona Randall and Robin Downie

Published in print:
1999
Published Online:
November 2011
ISBN:
9780192630681
eISBN:
9780191730078
Item type:
book
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192630681.001.0001
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making

A book for nurses, doctors, and all who provide end-of-life care, this volume guides readers through the ethical complexities of such care, including policy initiatives, and encourages debate and ... More


Who choosing what? The evolution of the use of ‘choice’ in the NHS, and its importance for New Labour

Ian Greener

in Social Policy Review 15: UK and international perspectives

Published in print:
2003
Published Online:
March 2012
ISBN:
9781847424709
eISBN:
9781447303428
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781847424709.003.0004
Subject:
Sociology, Social Research and Statistics

This chapter addresses the role of ‘choice’ in UK health policy documents. It studies the changes in who is meant to make choices in the National Health Service and the kinds of choices that they are ... More


Living and dying in style: Australia—an example of ACP in action

Eric Fairbank

in Advance Care Planning in End of Life Care

Published in print:
2010
Published Online:
November 2011
ISBN:
9780199561636
eISBN:
9780191730542
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199561636.003.0022
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology

This chapter presents an example of Advance Care Planning (ACP) from Victoria, Australia, the Living and Dying in Style project. It considers the Respecting Patient Choices Program from Austin ... More


Other management decisions

Fiona Randall and R.S. Downie

in Palliative Care Ethics: A Companion for All Specialties

Published in print:
1999
Published Online:
November 2011
ISBN:
9780192630681
eISBN:
9780191730078
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192630681.003.0009
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making

This chapter discusses problems of autonomy and competence, alternative therapy, the place of care, and the quality of care. Patients' choices are respected, even if they are not fully autonomous nor ... More


Reducing Unwarranted Variation in Clinical Practice by Supporting Clinicians and Patients in Decision Making

Albert G. Mulley and John E. Wennberg

in Better Doctors, Better Patients, Better Decisions: Envisioning Health Care 2020

Published in print:
2011
Published Online:
May 2016
ISBN:
9780262016032
eISBN:
9780262298957
Item type:
chapter
Publisher:
The MIT Press
DOI:
10.7551/mitpress/9780262016032.003.0003
Subject:
Psychology, Health Psychology

Variation in clinical practice in seemingly similar populations of patients has been described for more than seventy years. International collaboration to increase understanding of the sources of ... More


Precincts of Care in CAM Research

Colleen Derkatch

in Bounding Biomedicine: Evidence and Rhetoric in the New Science of Alternative Medicine

Published in print:
2016
Published Online:
September 2016
ISBN:
9780226345840
eISBN:
9780226345987
Item type:
chapter
Publisher:
University of Chicago Press
DOI:
10.7208/chicago/9780226345987.003.0005
Subject:
History, History of Science, Technology, and Medicine

Central to the question of methodology in research on complementary and alternative medicine (CAM) is the practitioner-patient relationship, the most unambiguously rhetorical element of clinical ... More


Reorganising the NHS, 1990–2010

Ian Greener, Barbara E. Harrington, David J. Hunter, Russell Mannion, and Martin Powell

in Reforming healthcare: What's the evidence?

Published in print:
2014
Published Online:
January 2015
ISBN:
9781447307112
eISBN:
9781447310938
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781447307112.003.0003
Subject:
Public Health and Epidemiology, Public Health

This chapter first considers the programme theory of the effects of the 1990s internal market reorganisation, before taking the story on to the change in government in 1997 and New Labour’s various ... More


Information, Decisions, and the Limits of Informed Consent

Carl E. Schneider and Michael H. Farrell

in Law and Medicine: Current Legal Issues Volume 3

Published in print:
2000
Published Online:
March 2012
ISBN:
9780198299189
eISBN:
9780191685644
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198299189.003.0006
Subject:
Law, Philosophy of Law, Medical Law

For many years, the dream of bioethics has been to confide medical decisions to patients and not to doctors. The favoured key to doing so has been the doctrine of informed consent. The success of ... More


Creating a patient-led NHS: empowering ‘consumers’ or shrinking the state?

Ruth McDonald

in Social Policy Review 18: Analysis and debate in social policy, 2006

Published in print:
2006
Published Online:
March 2012
ISBN:
9781861348449
eISBN:
9781447303459
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781861348449.003.0002
Subject:
Sociology, Social Research and Statistics

This chapter discusses developments in health policy. It makes clear that individual choice has a number of different roles to play in healthcare. It explains that the introduction of patient choice ... More


Quasi-markets in healthcare

Julian Le Grand

in Making social policy work

Published in print:
2007
Published Online:
March 2012
ISBN:
9781861349583
eISBN:
9781447302742
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781861349583.003.0007
Subject:
Social Work, Social Policy

This chapter examines quasi-markets in publicly funded systems of healthcare, particularly as they have developed in the UK in the last two decades. It begins with a brief review of the theory behind ... More


Mental health: safe, sound and supportive?1

Jon Glasby, Helen Lester, and Emily McKie

in Ethics: Contemporary challenges in health and social care

Published in print:
2007
Published Online:
March 2012
ISBN:
9781861347558
eISBN:
9781447302216
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781861347558.003.0017
Subject:
Social Work, Health and Mental Health

This chapter examines the contested nature of mental health provision within the context of proposed legislative changes, exploring the key ethical dilemmas that are raised. It discusses the proposed ... More


The NHS in England: from modernisation to marketisation?

Judith Allsop and Rob Baggott

in Social Policy Review 16: Analysis and debate in social policy, 2004

Published in print:
2004
Published Online:
March 2012
ISBN:
9781847424716
eISBN:
9781447303435
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781847424716.003.0002
Subject:
Sociology, Social Research and Statistics

This chapter looks at the fast pace of recent reform in health policy. The continuous process of organisational and structural change has been coupled with the significant additional resources that ... More


Healthcare in the UK: Understanding continuity and change

Ian Greener

Published in print:
2008
Published Online:
March 2012
ISBN:
9781861346094
eISBN:
9781447302490
Item type:
book
Publisher:
Policy Press
DOI:
10.1332/policypress/9781861346094.001.0001
Subject:
Public Health and Epidemiology, Public Health

The National Health Service (NHS) is undergoing a period of significant reform, with the reintroduction of the internal market, a focus on patient choice and the controversial introduction of ... More


making autonomous decisions: million dollar baby

jennifer hawkins

in The Picture of Health: Medical Ethics and the Movies

Published in print:
2011
Published Online:
May 2015
ISBN:
9780199735365
eISBN:
9780190267520
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:osobl/9780199735365.003.0005
Subject:
Philosophy, Moral Philosophy

This chapter examines the issue of autonomous choice as seen in the film Million Dollar Baby (2004). The film tells the story of Maggie (Hilary Swank), a 31-year-old woman who becomes a boxer with ... More


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