Dissertation Research: An Ethnographic Study of Information and Technology in Transnational Healthcare Markets

论文研究：跨国医疗市场信息和技术的民族志研究

• 批准号: 9818159
• 负责人: Michael Fischer
• 金额: --
• 依托单位: Massachusetts Institute of Technology
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-03-15 至 2000-02-29
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=9818159&HistoricalAwards=false
• 关键词: Dissertation; Research; Ethnographic; Study; Information

This dissertation proposes ethnographic fieldwork in the strategic arena of "informatics and biology" within contemporary international healthcare. In particular the researcher will investigate the sciences and technologies driving or facilitating the changing transnational medical care markets, as a crucible for analyzing and re-mapping the changing structures and ever-present dilemmas of health care, the welfare state, decision-making in clinical practice, and the display, manipulation and transformation of information within and across healthcare systems. The project is divided into three sections-Macro, Micro, and Margin-which are supported by empirical fieldwork in several sites. The 'Macro' section outlines the theoretical dimensions of the shift from the national welfare-state provision of healthcare to the international market-oriented welfare capitalism of the emerging healthcare market. These empirical changes will be yoked to the theories of Ulrich Beck and Francois Ewald on risk, responsibility, and rights, requiring a theoretical synthesis of political economy, history and anthropology. The 'Micro' section includes detailed empirical fieldwork (first phase, completed) on the sciences and technologies that facilitate and exacerbate the changes outlined in the Macro section. This research focuses on the design and implementation of information and communication technologies by both large and small organizations within an Academic Medical Center; in particular, the studies focus on technologies for the manipulation and communication of visual images on the internet. The researcher has explored and will continue to study the tension between contingent design and standardization, and among academic, medical and industry research strategies. The 'Margin' section will follow the technologies in 'Micro' to several international and national remote sites. Under the assumption that the unevenly porous boundaries of nations produce global centralizations of capital and expertise, the researcher intends to study how a new international geography of center and periphery is built up around the marketing and use of networked healthcare; in particular how the technologies designed in Boston are used and understood by the doctors, technicians, and administrators away from the center. The potential sites for extended fieldwork (based on the existing connections established by the field sites I am currently working in) include Istanbul, Jerusalem, Tel Aviv, Central Maine, and Roxbury, Massachusetts. The research funds applied for here are primarily for the international fieldwork component of the dissertation: for travel and living expenses, and for the audio-visual equipment used for interviews and participant observation.

本文提出了当代国际医疗保健中“信息学和生物学”战略领域的民族志田野调查。特别是，研究人员将研究驱动或促进跨国医疗保健市场变化的科学和技术，作为分析和重新绘制不断变化的结构和医疗保健，福利国家，临床实践中的决策，以及医疗保健系统内部和跨系统的信息显示，操纵和转换的坩钵。该项目分为宏观、微观和边缘三个部分，并在几个地点进行了实证实地考察。“宏观”部分概述了从国家福利国家提供医疗保健到新兴医疗保健市场的国际市场导向的福利资本主义转变的理论维度。这些经验变化将与乌尔里希·贝克（Ulrich Beck）和弗朗索瓦·埃瓦尔德（Francois Ewald）关于风险、责任和权利的理论联系在一起，需要对政治经济学、历史学和人类学进行理论综合。“微观”部分包括对促进和加剧宏观部分概述的变化的科学和技术的详细实证实地调查（第一阶段，已完成）。本研究的重点是学术医疗中心内大小组织的信息和通信技术的设计和实施；特别地，研究的重点是在互联网上的视觉图像的操作和通信技术。研究人员已经探索并将继续研究偶然设计与标准化之间的紧张关系，以及学术，医学和行业研究策略之间的紧张关系。“边际”部分将遵循“微”中的技术到几个国际和国家偏远地点。假设国家之间不均匀的多孔边界产生了全球资本和专业知识的集中，研究人员打算研究如何围绕网络医疗保健的营销和使用建立一个新的中心和边缘的国际地理；特别是在波士顿设计的技术如何被远离中心的医生、技术人员和管理人员使用和理解。扩展实地考察的潜在地点（基于我目前工作的实地考察地点建立的现有联系）包括伊斯坦布尔、耶路撒冷、特拉维夫、缅因州中部和马萨诸塞州的罗克斯伯里。这里申请的研究经费主要用于论文的国际实地考察部分：差旅费和生活费，以及用于访谈和参与观察的视听设备。