Contents

Notes on contributors vii
General editors’ foreword ix
Acknowledgements x
Introduction 1
PART I
Themes 9
1 Uncertainty and responsibility
CHRISTOPHER DOWRICK 11
2 Evidence-based medicine and general practice
LUCY FRITH 24
3 Ethico-legal dilemmas within general practice: moral indeterminacy
and abstract morality
LEN DOYAL 37
4 The general practitioner and confidentiality
JEAN McHALE 51
5 Patient-centredness: a history
CARL MAY AND NICOLA MEAD 62
6 Ethics and postmodernity
SAM SMITH 74

PART II
Topics 87
7 The ethics of prescribing
COLIN BRADLEY 89
8 Depression in general practice
ROGER HIGGS 109
9 Advance directives
ANGUS DAWSON 122
10 The ethics of research in general practice
ROGER JONES 141
Index 156

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