When protocols fail: technical evaluation, biomedical knowledge, and the social production of 'facts' about a telemedicine clinic


May, Carl and Ellis, Nicola T. (2001) When protocols fail: technical evaluation, biomedical knowledge, and the social production of 'facts' about a telemedicine clinic. Social Science & Medicine, 53, (8), 989-1002. (doi:10.1016/S0277-9536(00)00394-4).

Download

Full text not available from this repository.

Description/Abstract

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).

Item Type: Article
ISSNs: 0277-9536 (print)
1873-5347 (electronic)
Related URLs:
Keywords: telemedicine, social construction, medical knowledge, evaluation, uk
Subjects: R Medicine > RZ Other systems of medicine
H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
H Social Sciences > HE Transportation and Communications
Divisions: University Structure - Pre August 2011 > School of Health Sciences
ePrint ID: 163429
Date Deposited: 09 Sep 2010 08:55
Last Modified: 27 Mar 2014 19:17
URI: http://eprints.soton.ac.uk/id/eprint/163429

Actions (login required)

View Item View Item