| Titre : | When protocols fail : technical evaluation, biomedical knowledge, and the social production of'facts'about a telemedicine clinic. (2001) |
| Auteurs : | Carl MAY ; Nicola-T ELLIS ; School of Primary Care. University of Manchester. Rusholme Health Centre Walmer Street. Manchester. GBR |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 53, n° 8, 2001) |
| Pagination : | 989-1002 |
| Langues: | Anglais |
| Mots-clés : | Evaluation ; Evaluation des connaissances ; Connaissance ; Technologie ; Royaume Uni ; Europe ; Télécommunication |
| Résumé : | [BDSP. Notice produite par INIST-CNRS knR0xExV. Diffusion soumise à autorisation]. Telecommunications systems seem to offer health care providers, professionals and patients a plethora of opportunities to respond to social and geographical inequalities in health care provision, and a new field of health care endeavor has emerged telemedicine'This paper presents results from a three year ethnographic study of the development and implementation of telemedicine systems in a British region. We explore how attempts to put into service one telemedicine'system failed to get beyond the draft of a written protocol. Our analysis focuses on the contests between clinicians, technical experts and external evaluators over what kinds of knowledge and practice count in developing a protocol and evaluating a clinical intervention. We show how the introduction and implementation of'hard'technologies (systems hardware) can be undermined in practice by soft'technologies the practices through which evaluative knowledge is produced). |
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