The Work to Make Telemedicine Work: A Social and Articulative View  

Oleh:

Nicolini, Davide

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 11 (Jun. 2006), page 2754-2767.
Topik: MEDICINE; telemedicine; health care practices; information technology; italy

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This article contends that the take up of telemedicine results inevitably in the reconfiguration of the existing work practices an 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 norther italy, addresses three critical issues of telemedicine, the conflict between the scripts embodied in telemedicine technologies and the daily work practices of health 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.

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