Lupton Deborah, Maslen Sarah
News & Media Research Centre, University of Canberra, Australia.
Faculty of Business, Government and Law, University of Canberra, Australia.
Sociol Health Illn. 2017 Nov;39(8):1557-1571. doi: 10.1111/1467-9566.12617. Epub 2017 Oct 25.
Telemedicine technologies have been presented as solutions to the challenges of equitable, cost-effective and efficient health service provision for over two decades. The ways in which the sensory dimensions of medical care and the doctor-patient relationship are mediated via telemedicine can be important contributors to the success, failure or unintended consequences of telemedicine. In this article, we present a review of the relevant literature in social research that provides insights into the sensory dimensions of telemedicine. In addition to considering important relevant work undertaken in the sociology of health and illness, we incorporate perspectives and research from other disciplines and fields that we believe can contribute to the development of scholarship on this topic. We contend that when doctors, patients and other healthcare workers enact telemedicine, sensory judgements have become, in part, a sensing of sensors. Viewing healthcare practitioners and patients as always and already digital data assemblages of flesh-code-space-place-affect-senses, demanding certain kinds of body work and data sense-making, constitutes a productive theoretical approach for future enquiries into telemedicine and other digital health technologies.
二十多年来,远程医疗技术一直被视为解决公平、经济高效地提供医疗服务所面临挑战的方案。通过远程医疗调节医疗护理的感官维度以及医患关系的方式,可能是远程医疗成功、失败或产生意外后果的重要因素。在本文中,我们对社会研究中的相关文献进行了综述,这些文献为远程医疗的感官维度提供了见解。除了考虑健康与疾病社会学方面的重要相关工作外,我们还纳入了其他学科和领域的观点与研究,我们认为这些能够推动关于这一主题的学术发展。我们认为,当医生、患者和其他医护人员实施远程医疗时,感官判断在一定程度上已成为对传感器的感知。将医疗从业者和患者视为始终且已然是肉体 - 代码 - 空间 - 地点 - 情感 - 感官的数字数据集合,需要特定类型的身体工作和数据意义建构,这为未来对远程医疗和其他数字健康技术的探究构成了一种富有成效的理论方法。
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