Titre :
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When protocols fail : technical evaluation, biomedical knowledge, and the social production of'facts'about a telemedicine clinic. (2001)
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Auteurs :
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Carl MAY ;
Nicola-T ELLIS ;
School of Primary Care. University of Manchester. Rusholme Health Centre Walmer Street. Manchester. GBR
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 53, n° 8, 2001)
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Pagination :
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989-1002
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Langues:
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Anglais
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Mots-clés :
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Evaluation
;
Evaluation des connaissances
;
Connaissance
;
Technologie
;
Royaume Uni
;
Europe
;
Télécommunication
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Résumé :
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[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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