The Electronic Patient: Medicine and the Challenge of New Media

7.项目摘要/摘要 电话和电视等模拟技术的历史能教会我们什么关于未来的 数字医疗？电子媒体现在决定了数千万美国人和周围许多人 全世界都能享受医疗服务。这种新的“数字医疗”、“远距离医疗”或“互联医疗” 承诺打破准入方面的地理差异，改变基本的通信模式 改变医患关系，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疗如何增加访问和 在医疗保健方面的价值，电子媒介医疗的扩展也开启了许多伦理道德 以及社会对临床医学和卫生政策的关注。这笔赠款将支持制作一本书长的 分析通过检查连续性来重新理解新的数字媒体在医学中的作用- 和变化--从19世纪末开始，一系列较老的医学“新媒体”提出了一系列挑战 世纪至今：19世纪末20世纪初的电话医学，上半叶的无线电医学 20世纪的电视医学，以及20世纪后半叶的电视医学。使用新的档案材料， 文献分析和口述历史，它将追踪临床医生和 患者，因为每一个新的交流都抓住了大众的想象力，并允许临床医生 远距离创造新的医疗形式。除了这些最初的一致性之外，这一分析还将标志着 接受不同技术及其投入使用方式的关键转变：如何 每一项技术都是在发明者、制造商和用户的界面上形成的？它受到的欢迎如何？ 受这些地区不断变化的经济、政治和社会背景的卫生和卫生保健的影响 月经？虽然当代的远程医疗设备比过去使用的电话复杂得多 19世纪90年代的医疗系统，20世纪30年代使用的无线电遥测设备，或者1930年代使用的双向电视 20世纪60年代，他们提出的伦理、经济和后勤方面的担忧在这些早期事件中被预先描绘出来。 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终档案研究。

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.