The Electronic Patient: Medicine and the Challenge of New Media

电子病人：医学与新媒体的挑战

• 批准号: 9888422
• 负责人: Jeremy A Greene
• 金额: $ 4.84万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-03-06 至 2022-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9888422
• 关键词: American; Archives; Bioethics; Blood Circulation; Books; Breathing; Caring; Chicago; Clinical Medicine; Communication; Computerized Medical Record; Consumption; Devices; Economics; Ethics; Fright; Funding; Future; Geography; Grant; Health Policy; Healthcare; History of Medicine; Humanities; Imagination; International; Knowledge; Length; Literature; Logistics; Manufacturer Name; Manuscripts; Mediating; Medical; Medicine; Oral; Patients; Politics; Preparation; Production; Publishing; Radio; Recording of previous events; Research; Research Assistant; Role; Series; Shapes; Social Environment; Social Sciences; System; Technology; Telephone; Television; Time; Universities; Wireless Technology; Work; analog; digital; digital media; expectation; health care availability; insight; interest; member; patient-clinician communication; programs; social; symposium; telehealth; undergraduate research

7. PROJECT SUMMARY / ABSTRACT What can the history of analog technologies like the telephone and the television teach us about the future of digital medicine? Electronic media now determine how tens of millions of Americans and many others around the world access healthcare. This new reach of “digital medicine”, “medicine at a distance”, or “connected care” promises to break down geographical disparities in access, to alter the fundamental modes of communication of the doctor-patient relationship, and reshape the production, circulation, and consumption of medical knowledge as we know it. Yet for every inspirational account of how digital medicine can increase access and value in healthcare, the expansion of electronically-mediated medicine has also opened a number of ethical and social concerns for clinical medicine and health policy. This grant will support production of a book-length analysis reframing our understanding of the role of new digital media in medicine by examining the continuity— and change—in successive challenges posed by a series of older “new media” in medicine from the late 19th century to the present: telephone medicine in the late 19th and early 20th century, radio medicine in the first half of the 20th century, and television medicine in the latter half of the 20th century. Using new archival materials, literature analysis, and oral histories, it will trace common features in the hopes and fears of both clinicians and patients as each of these new communications took hold of the popular imagination and allowed clinicians to create new forms of medicine at a distance. Beyond these initial congruencies, this analysis will also mark key shifts in the reception of different of technologies and the ways in which they were put into use: how did each technology take shape at the interface of inventors, manufacturers, and users? How was its reception shaped by the changing economic, political, and social contexts of health and health care in each of these periods? While contemporary telehealth devices are far more sophisticated than the telephones used in medical systems in the 1890s, the radiotelemetry devices used in the 1930s, or the two-way televisions used in the 1960s, the ethical, economic, and logistical concerns they raise are prefigured in these earlier episodes. Support from the NLM G13 program will provide part-time research funding to support the PI for three years of manuscript preparation and final archival research during this period.

7.项目总结/摘要 电话和电视等模拟技术的历史能告诉我们什么关于未来的 数字医学？电子媒体现在决定了数千万美国人和周围的许多其他人 全世界都能获得医疗保健。这种新的“数字医疗”、“远程医疗”或“连接医疗” 有望打破地理差异，改变基本的通信模式， 医患关系，重塑医疗产品的生产、流通和消费 我们所知道的知识。然而，对于每一个关于数字医学如何增加可及性和 在医疗保健的价值，电子介导的医学的扩展也打开了一些道德 以及社会对临床医学和卫生政策的关注。这笔赠款将支持生产一本书的长度 分析通过检查连续性来重新构建我们对新数字媒体在医学中的作用的理解- 和变化--从19世纪末开始，一系列旧的“新媒体”在医学上带来了连续的挑战。 世纪至今：19世纪末20世纪初的电话医学，世纪上半叶的无线电医学 20世纪的电视医学和20世纪后半叶的电视医学。利用新的档案材料， 通过文献分析和口述历史，它将追踪临床医生的希望和恐惧的共同特征， 这些新的沟通方式抓住了大众的想象力，使临床医生能够 创造新的医学形式。除了这些最初的一致性，这项分析还将标志着 在接受不同的技术和它们被投入用途：的方式方面的关键转变： 每一项技术都是在发明者、制造商和用户的界面上形成的？它的接收情况如何 由这些国家中不断变化的经济、政治和卫生保健社会背景所塑造 经期？虽然现代远程医疗设备远比传统医疗设备中使用的电话复杂得多， 1890年代的医疗系统、20世纪30年代使用的无线电遥测设备或20世纪30年代使用的双向电视 在20世纪60年代，他们提出的伦理，经济和后勤问题在这些早期事件中已经预示。 来自NLM G13计划的支持将提供兼职研究资金，以支持PI三年。 这一时期的手稿准备和最后的档案研究。