THE ROLE OF INFORMATION-SYSTEMS IN THE UK-NATIONAL-HEALTH-SERVICE - ACTION AT A DISTANCE AND THE FETISH OF CALCULATION
THE ROLE OF INFORMATION-SYSTEMS IN THE UK-NATIONAL-HEALTH-SERVICE - ACTION AT A DISTANCE AND THE FETISH OF CALCULATION
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DOI：
10.1177/030631291021004004
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发表时间：
1991-11-01
影响因子：
3
通讯作者：
BLOOMFIELD, BP
中科院分区：
文献类型：
--
作者：
BLOOMFIELD, BP
本文考察了与使用有关的一些基本问题，以及与英国国家卫生服务体系（NHS）内信息系统发展相关的信息技术的独特特征。这篇论文指的是目前NHS的资源管理倡议，它涉及到信息系统的制造，将医疗活动与资源使用联系起来，从而与成本联系起来。本文考察了一些正在开发的竞争碑文的特征，以使这种联系可见，并强调了信息技术在增强其动员方面的特性。它还解决了这些铭文的不变性和可组合性，并讨论了一些含义，在医疗实践和知识方面，这可能遵循他们的使用。
This paper examines some fundamental issues pertaining to the use of, as well as to the distinctive characteristics of, information technology in relation to the development of information systems within the UK National Health Service (NHS). The paper refers to the current Resource Management Initiative in the NHS, which involves the fabrication of information systems to connect medical activity to resource usage, and thus to costs. Examining the features of some of the rival inscriptions undergoing development to make this connection visible, the paper highlights the properties of information technology in enhancing their mobilization. It also addresses the immutability and combinability of these inscriptions, and discusses some of the implications, in terms of medical practice and knowledge, which may follow from their use.