Technogovernance : Evidence, Subjectivity, and the Clinical Encoutner in Primary Care Medicine  

Oleh:

May, Carl ; Rapley, Tim ; Moreira, Tiago ; Finch, Tracy ; Heaven, Ben

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 4 (Feb. 2006), page 1022-1030.
Topik: MEDICINE; technogovernance; primary care; medical knowledge; united kingdom

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

technological solutions to problems of knowledge and practice in health care are routinely advocated. This paper explores the ways that new systems of practice are being deployed as intermediaries in interactions between clinicians and their patients. Central to this analysis is the apparent conflict between two important ways of organizing ideas about practice in primary case. First, a shift away from the mefical objectification of the patient. towards patient centred clinical practice in which patients' heterogenous experiences and narratives of ill health are qualitatively engaged and enrolled in decisions about the management of illness trajectories. Second the mobilization of evidence which quantitative knowledge is engaged and enrolled to guide the management of illness and is mediated thrpugh clinical guidelines. The tension between these two ways of organizing ideas about clinical practice is a strong one, but both impulses are embodied in new technological solutions to the management of heterogeneity in the clinical encounter. Technological solutions themselves, we argue, embody and enact these tensions, but may also be opening up a new array of practices technogovernance in which the heterogenous narratives of the patient centred encounter can be resituated and guided.

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