The work to make telemedicine work: A social and articulative view
The work to make telemedicine work: A social and articulative view
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DOI：
10.1016/j.socscimed.2005.11.001
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发表时间：
2006-06-01
影响因子：
5.4
通讯作者：
Nicolini, Davide
中科院分区：
文献类型：
--
作者：
Nicolini, Davide
本文认为，采用远程医疗不可避免地导致现有工作做法和社会物质关系的重新配置。这种新的工作方式引发了卫生保健部门协调机制、工作流程和权力关系的各种转变。该文件基于在意大利北部进行的一项研究项目的结果，讨论了远程医疗的三个关键问题：远程医疗技术中体现的脚本与卫生保健专业人员的日常工作实践之间的冲突；远程医疗将医疗任务委托给非医疗人员(和人工制品)的趋势；以及远程医疗改变卫生保健环境中现有地理位置的趋势。文章认为，远程医疗的前提是工作流程发生了一些重大变化，这些变化既影响了本应分配的专门知识的物质条件，也影响了卫生保健专业人员与他们的实践之间的关系。(C)2005爱思唯尔有限公司。保留所有权利。
This article contends that the take up of telemedicine results inevitably in the reconfiguration of the existing work practices and socio-material relationships. This new way of working triggers a variety of shifts in coordination mechanisms, work processes and power relationships in the health care sector. The paper, which is based on the findings of a research project conducted in Northern Italy, addresses three critical issues of telemedicine: the conflict between the scripts embodied in telemedicine technologies and the daily work practices of heath care professionals; the tendency of telemedicine to produce a delegation of medical tasks to non-medical personnel (and to artifacts); and the tendency of telemedicine to modify the existing geography within the health care environment. The paper contends that telemedicine presupposes and entails some significant changes in work processes which affect both the material conditions of the expertise which is supposed to be distributed, and the relationships between health care professionals and their practices. (c) 2005 Elsevier Ltd. All rights reserved.