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Debates in Values-Based Practice
Arguments For and Against


Part of Values-Based Practice

Michael Loughlin, K. W. M. (Bill) Fulford, Ed Peile, Elselijn Kingma, Natalie Banner, Tim Thornton, Bob Brecher, Phil Hutchinson, Rupert Read, Mona Gupta, Richard Hamilton, Gideon Calder, Harry Lesser, Sridhar Venkatapuram, Alistair Stewart, Miles Little, Wendy Lipworth, Kathleen Montgomery, Ross E. G. Upshur, Andrew Miles, Mark R. Tonelli, Robyn Bluhm
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  • Date Published: October 2014
  • availability: In stock
  • format: Hardback
  • isbn: 9781107038936
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About the Authors
  • Demands 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.

    • Presents diverse viewpoints, giving a clear sense of the debate about health and values
    • Clearly explains diverse approaches, forming a good introduction to a wide range of theories and arguments
    • Systematically presents arguments, enabling readers to think, write and argue clearly about value-decisions in healthcare practice and policy
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    Reviews & endorsements

    'What a privilege to listen in to a civilised discussion between the originator of value based medicine, Bill Fulford, and those who seek to understand, to take it further, practically and philosophically, and to dissent. This book gives us all of that and the gracious response of Fulford to both friend and foe alike. It shows how such discussion can improve the practice of medicine and, by extension, inform approaches to global health. There is much here for philosopher and practitioner alike.' Sir Michael Marmot, Director, University College London Institute of Health Equity

    'This impressive volume provides a thoroughgoing and spirited debate on the important topic of values-based practice. VBP is vetted from multiple professional and philosophical perspectives, yet the discussion truly coheres, a rarity in collections of this kind.' Sandra J. Tanenbaum, Ohio State University

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    Customer reviews

    30th Oct 2014 by Lizzie3

    This book gives a lively debate, that provides one of the most balanced accounts of values based practice that I have read - the editorial is particularly helpful. I would highly recommend it to anyone who wants to really understand this area.

    Review was not posted due to profanity


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    Product details

    • Date Published: October 2014
    • format: Hardback
    • isbn: 9781107038936
    • length: 290 pages
    • dimensions: 240 x 160 x 18 mm
    • weight: 0.61kg
    • contains: 10 b/w illus. 8 tables
    • availability: In stock
  • Table of Contents

    List of contributors
    Editorial introduction Michael Loughlin
    Part I. VBP: Values, Practice and Philosophy:
    1. Values-based practice: the facts K. W. M. (Bill) Fulford
    2. Values-based clinical reasoning Ed Peile
    3. Liberating practice from philosophy – a critical examination of Values-Based Practice and its underpinnings Elselijn Kingma and Natalie Banner
    4. Values-based practice and authoritarianism Tim Thornton
    5. VBP: but which values? And whose? Bob Brecher
    6. Reframing health care: philosophy for medicine and human flourishing Phil Hutchinson and Rupert Read
    7. Values-based practice: a new tool or a new package? Mona Gupta
    8. Values or virtues? Richard Hamilton
    9. Values-Based Practice, competence and expertise Gideon Calder
    10. Wishing to remain ill: an unacceptable value? Harry Lesser
    11. VBP and global health Sridhar Venkatapuram
    12. Is VBP useful in psychiatry? – A practitioner's view Alistair Stewart
    13. Living with uncertainty: a first person plural response to eleven commentaries K. W. M. (Bill) Fulford
    Part II. VBM and the Basis for Medical Decisions: Survival, Security and Flourishing:
    14. Values, foundations and being human Miles Little
    15. Eliciting axioms to enrich debates about the pharmaceutical industry Wendy Lipworth and Kathleen Montgomery
    16. Using the survival-security-flourishing model to explain the emergence and shape of the medical profession Kathleen Montgomery and Wendy Lipworth
    17. Does medicine need a base? A critique of modest foundationalism Ross E. G. Upshur
    18. VBM and the challenge of person-centred medicine Andrew Miles
    19. Values-based medicine, foundationalism and casuistry Mark R. Tonelli
    20. Values-based medicine and patient autonomy Robyn Bluhm
    21. Responses to contributions, suggestions and critiques Miles Little
    Part III. Conclusions:
    22. Walking the VB-talk: concluding reflections on models, methods and practical pay-offs K. W. M. (Bill) Fulford and Miles Little

  • Editor

    Michael Loughlin, Manchester Metropolitan University
    Michael Loughlin is Reader in Applied Philosophy in the Department of Interdisciplinary Studies at Manchester Metropolitan University, Manchester, UK.


    Michael Loughlin, K. W. M. (Bill) Fulford, Ed Peile, Elselijn Kingma, Natalie Banner, Tim Thornton, Bob Brecher, Phil Hutchinson, Rupert Read, Mona Gupta, Richard Hamilton, Gideon Calder, Harry Lesser, Sridhar Venkatapuram, Alistair Stewart, Miles Little, Wendy Lipworth, Kathleen Montgomery, Ross E. G. Upshur, Andrew Miles, Mark R. Tonelli, Robyn Bluhm

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