Displacement and Emplacement of Health Technology
Displacement and Emplacement of Health Technology
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卫生技术的取代和安置
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
G. Andrews
中科院分区：
文献类型：
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作者：
P. Lehoux;B. Poland;G. Daudelin;D. Holmes;G. Andrews
大多数工业化国家增加了“更贴近病人”的服务。然而，非传统卫生保健环境中的服务迁移意味着重新定义技术和人类实体的作用，并改变技术和场所的性质和使用。借鉴各种学术努力，概念化的空间，地点和技术，本文比较和对比卫星和移动的透析单位在加拿大魁北克省的两个地区实施。卫星单位设在两个小的当地医院，最近在那里培训了护理人员。这个移动的单元是一辆巴士，可以容纳五个透析站;护士们在一所大学教学医院和两个半径为7.6英里的地点之间来回穿梭。在这两个项目中，肾科医生通过视频会议系统进行远程监督。我们的目的是说明技术和人的实体的位移的方式给形状的新形式的安置在非传统的医疗保健设置。卫星和移动的设备促进了透析护理文化的发展，并改变了护士、医生、患者和技术的身份。通过对比涉及不同的空间和临床逻辑的两个项目，我们分析了以何种方式某些形式的重组的人和技术实体可以证明是不完整的，但仍然可以接受的供应商和项目经理。
The provision of “closer-to-patient” services has increased in most industrialized countries. However, the migration of services in non-traditional health care settings implies redefining the role of technical and human entities and transforming the nature and use of technologies and places. Drawing on various scholarly efforts to conceptualize space, place, and technology, this paper compares and contrasts satellite and mobile dialysis units implemented in two regions in the province of Quebec, Canada. The satellite units were hosted in two small, local hospitals where nursing staff had been recently trained. The mobile unit was a bus adapted to host five dialysis stations; nurses traveled back and forth between a university teaching hospital and two sites located within a radius of 7.6 miles. In both projects, nephrologists supervised from a distance via a videoconferencing system. Our aim is to illustrate the ways in which the displacement of technical and human entities gives shape to new forms of emplacement in non-traditional health care settings. The satellite and mobile units contributed to the culture of dialysis care and transformed the identity of nurses, doctors, patients, and technologies. By contrasting two projects involving different spatial and clinical logics, we analyze in what ways certain forms of recombination of human and technical entities can prove incomplete but nevertheless acceptable to providers and project managers.