Erasmus University Rotterdam, Rotterdam, The Netherlands.
Sociol Health Illn. 2020 Jul;42(6):1296-1311. doi: 10.1111/1467-9566.13100. Epub 2020 Jun 7.
With the advent of telecare and the logic of information technologies in health care, the idea of placeless care has taken root, capturing imaginations and promising placeless caring futures. This 'de-territorialisation of care' has been challenged by studies of care practices 'on the ground', showing that care is always (materially) placed. Yet, while sociological scholarship has taken the role of place seriously, there is little conceptual attention for how we may think through immateriality and the changing nature of place in health care. Based on a case study of the introduction of a sensory reality technology into a care organisation, this paper argues that we need (1) to push the definition of placed care into new (digitally produced) landscapes and (2) a new vocabulary, with which to address and conceptualise this changing nature of care places. The paper introduces the term post-place, as a first step in developing such a vocabulary. Post-place care, unlike the idea of placeless care or emplaced care, is an inclusive, open and generative concept. Its strength lies in its disruptive potential for challenging existing place-care ontologies and opening up productive space for thinking through the changing landscapes of health care.
随着远程医疗和医疗信息技术逻辑的出现，无地点护理的理念已经扎根，激发了人们的想象力，并承诺了无地点护理的未来。这种“护理去地域化”受到了实地护理实践研究的挑战，这些研究表明，护理总是（物质上）有地点的。然而，尽管社会学研究认真对待了地点的作用，但对于我们如何思考医疗保健中非物质性和地点性质的变化，几乎没有概念上的关注。本文以一项将感官现实技术引入护理组织的案例研究为基础，认为我们需要（1）将有地点护理的定义推向新的（数字生成的）景观，以及（2）一种新的词汇，用以解决和概念化护理地点的这种变化性质。本文引入了“后地点”一词，作为发展这种词汇的第一步。后地点护理与无地点护理或嵌入式护理的理念不同，它是一个包容的、开放的和具有生成性的概念。其优势在于其具有颠覆性的潜力，可以挑战现有地点护理本体论，并为思考医疗保健不断变化的景观开辟富有成效的空间。
