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Autor: Trisha Greenhalgh
ISBN-13: 9780470691106
Einband: E-Book
Seiten: 336
Sprache: Englisch
eBook Typ: PDF
eBook Format: E-Book
Kopierschutz: Adobe DRM [Hard-DRM]
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Primary Health Care

Theory and Practice
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General practitioners and other primary care professionals have aleading role in contemporary health care, which Trisha Greenhalghexplores in this highly praised new text. She provides perceptiveand engaging insights into primary health care, focussing on:
* its intellectual roots
* its impact on the individual, the family and thecommunity
* the role of the multidisciplinary team
* contemporary topics such as homelessness, ethnic health andelectronic records.

Concise summaries, highlighted boxes, extensive referencing anda dedicated section on effective learning make this essentialreading for postgraduate students, tutors and researchers inprimary care.


From the foreword by Julian Tudor Hart
"Trish Greenhalgh, in her frequent columns in the BritishMedical Journal...more than any other medical journalist spoketo her fellow GPs in the language of experience, but never withoutlinking this to our expanding knowledge from the whole of humanscience.

When I compare the outlines of primary care so lucidlypresented in this wonderful book, obviously derived from richexperience of real teaching and learning, with the grand guignoltheatre of London medical schools when I was a student 1947-52, theadvance is stunning."


"Trish Greenhalgh is one of the international stars ofgeneral practice and a very clever thinker. This new book is awonderful resource for primary health care and general practice.Every general practice registrar should read this book and soshould every general practice teacher and primary careresearcher."

Professor Michael Kidd, Head of the Department of GeneralPractice, University of Sydney and Immediate Past President of TheRoyal Australian College of General Practitioners

"This important new book by one of primary care's mostaccomplished authors sets out clearly the academic basis forfurther developments in primary health care. Health systems willonly function effectively if they recognise the importance of highquality primary care so I strongly recommend this book to students,teachers, researchers, practitioners and policymakers."

Professor Martin Marshall, Deputy Chief Medical Officer,Department of Health, UK



1 Introduction.

1.1 What is primary (health) care?.

1.2 What is academic study?.

1.3 What are theories - and why do we need them?.

2 The 'ologies' (underpinning academicdisciplines) of.

primary health care.

2.1 Biomedical sciences.

2.2 Epidemiology.

2.3 Psychology.

2.4 Sociology.

2.5 Anthropology.

2.6 Literary theory.

2.7 Philosophy and ethics.

2.8 Pedagogy.

3 Research methods for primary health care.

3.1 What is good research in primary health care?.

3.2 Qualitative research.

3.3 Quantitative research.

3.4 Questionnaire research.

3.5 Participatory ('action') research.

3.6 Research data - and analysing it.

3.7 Critical appraisal of published research papers.

3.8 Systematic review.

3.9 Multi-level approaches to primary care problems.

4 The person who is ill.

4.1 The sick role.

4.2 The illness narrative.

4.3 Lifestyle choices and 'changing behaviour'.

4.4 Self-management.

4.5 Health literacy.

5 The primary care clinician.

5.1 The role of the generalist.

5.2 Clinical method I: rationalism and Bayes' theorem.

5.3 Clinical method II: humanism and intuition.

5.4 Clinical method III: the patient-centred method.

5.5 Influencing clinicians' behaviour.

5.6 The 'good' clinician.

6 The clinical interaction.

6.1 The clinical interaction I: a psychological perspective.

6.2 The clinical interaction II: a sociolinguisticperspective.

6.3 The clinical interaction III: a psychodynamicperspective.

6.4 The clinical interaction IV: a literary perspective.

6.5 The interpreted consultation.

7 The family - or lack of one.

7.1 Family structure in the late modern world.

7.2 The mother-child relationship (or will any significantother.

do these days?).

7.3 Illness in the family - nature, nurture andculture.

7.4 Homelessness.

8 The population.

8.1 Describing disease in populations.

8.2 Explaining the 'causes' of disease.

8.3 Detecting disease in populations.

8.4 'Risk': an epidemiological can of worms?.

9 The community.

9.1 Unpacking health inequalities I: deprivation.

9.2 Unpacking health inequalities II: social networks andsocial.


9.3 Unpacking health inequalities III: life courseepidemiology.

and 'risk regulators'.

9.4 Developing healthy communities I: community oriented.

primary care.

9.5 Developing healthy communities II: participatory.


10 Complex problems in a complex system.

10.1 Illness in the twenty-first century: chronicity,comorbidity.

and the need for coordination.

10.2 Coordinating care across professional andorganisational.


10.3 The electronic patient record: a road map for seamless.


10.4 The end of an era?.

11 Quality.

11.1 Defining and measuring quality.

11.2 A rational biomedical perspective: evidence-basedtargets,.

planned change and criterion-based audit.

11.3 A narrative perspective: significant event audit.

11.4 A social learning perspective: peer review groups and.

quality circles.

11.5 A phenomenological perspective: the patient as mystery.


11.6 A sociological perspective: Quality Team Developmentas.

organisational sensemaking.


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Autor: Trisha Greenhalgh
ISBN-13 :: 9780470691106
ISBN: 0470691107
Verlag: John Wiley & Sons
Seiten: 336
Sprache: Englisch
Auflage 1. Auflage
Sonstiges: Ebook