Resisting and promoting new technologies in clinical practice: the case of telepsychiatry
Resisting and promoting new technologies in clinical practice: the case of telepsychiatry
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DOI：
10.1016/s0277-9536(00)00305-1
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发表时间：
2001-06-01
影响因子：
5.4
通讯作者：
Esmail, A
中科院分区：
文献类型：
--
作者：
May, C;Gask, L;Esmail, A
新的电信技术有望深刻改变卫生专业人员和病人之间的空间和时间关系。本文报道了一项民族志研究的结果，介绍了一种视频电话或“远程医疗”系统，旨在促进更快，更方便地转诊的焦虑和抑郁症患者在初级保健，社区精神卫生团队。我们探讨了在实践中的远程医疗系统的竞争的原因，对比专业人士的技术在发挥更根本的问题：在何种程度上的电信系统威胁到深深嵌入的专业结构的性质和实践的治疗关系。(C)2001爱思唯尔科技有限公司版权所有。
New telecommunications technologies promise to profoundly change the spatial and temporal relationship between health professional and patient. This paper reports results from an ethnographic study of the introduction of a videophone or 'telemedicine' system intended to facilitate faster and more convenient referral of patients with anxiety and depression in primary care, to a community mental health team. We explore the reasons for contest over the telemedicine system in practice, contrasting professionals' critique of the technology in play with a more fundamental problem: the extent to which the telecommunications system threatened deeply embedded professional constructs about the nature and practice of therapeutic relationships. (C) 2001 Elsevier Science Ltd. All rights reserved.