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Books > Social sciences > Sociology, social studies
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Person-centred Primary Care - Searching for the Self (Hardcover)
Loot Price: R4,619
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Person-centred Primary Care - Searching for the Self (Hardcover)
Series: Routledge Advances in the Medical Humanities
Expected to ship within 12 - 19 working days
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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.
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