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Advocates argue that they will make medical practice more rational, more uniform, and more efficient and that they will transform the "art" of medical work into a "science." Critics argue that formal tools cannot and should not supplant humans in most real-life tasks.
This book presents a sociomaterial perspective on work and organizational practices within the operating room. Looking at medical work from a sociological perspective and drawing on ethnographic observations conducted in a hospital's operating block, this book analyses the entanglements of humans and technologies in the execution of everyday activities. It highlights how the sociomateriality of work and organizational practices manifests in the encounters between operators and material artifacts and in the way objects and technologies participate in processes and practices of organizational communication. Objects and technologies are also shaped by these very practices, giving rise to a recursive relationship wherein technology, communication, and organizing are intertwined. A sociomaterial understanding of organizational and working practices explains the role of objects and technologies in the generation and enactment of professional knowledge, while questioning how power materializes through the interaction of humans and technical objects. This book will be of great interest to scholars, students, and practitioners interested in how sociomaterial perspectives can inform organization studies and reshape our understanding of the intricate relationships between humans and technologies in healthcare settings.
Today we face the painful reality of the prevalence of chronic, rather than acute, diseases. The technologies developed to manager long-term, incurable illnesses have radically and irrevocably altered the organizational structure of health care, presenting us with a frequently bewildering array of medical specialties. Social Organization of Medical Work offers essential insight into this new era of health care.Through richly documented, often gripping case studies, Anselm Strauss and his co-authors show us exactly how health workers are confronting the problems created by chronic disease and coping with today's highly technologized hospitals. They guide us through the various hospital work sites, describing in detail the kinds of tasks performed by medical personnel, the interactions of staff members with each other and with patients, and the overall resulting patient treatment and response.Focusing on the concept of illness trajectory, the authors vividly illustrate the complex, contingent nature of modern medical work. For example, open heart surgery keeps ill persons alive and may even improve them symptomatically, but those who do survive must face an uncertain future in terms of the physiological consequences of the surgery and the drugs required. They also have to adjust t altered lifestyles. In the new introduction, Anselm Strauss discusses the continuing importance of this work to sociologists, medical scholars, and medical professionals.
This collection of essays looks at the dark medical research conducted during and after World War II. Contributors describe this research, how it was brought to light, and the rationalisations of those who perpetrated and benefited from it.
The Neonatal Intensive Care Unit is a site where hi-tech medicine and vulnerable human beings come into close contact. Focusing on a number of medical and ethical challenges encountered by staff and parents, this book provides a new perspective on the complexity of these treatments and the inventiveness of those involved.
Traces the establishment of the Royal College of Physicians and Surgeons of Glasgow as a licensing body to its eminence as a centre of teaching in the 18th century. The text then covers the subsequent decline of the college in the 19th century with an account of how, in conjunction with Glasgow University, it re-established itself as the guarantor of high medical standards of learning and practice.
This book, with its strong international orientation, introduces the reader to the challenges, lessons learned and new insights of health information management at the beginning of the twenty-first century.
This essential text provides a readable yet sophisticated overview of the basic concepts of information technologies as they apply in healthcare. Spanning areas as diverse as the electronic medical record, searching, protocols, and communications as well as the Internet, Enrico Coiera has succeeded in making this vast and complex area accessible and understandable to the non-specialist, while providing everything that students of medical informatics need to know to accompany their course.
In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common—their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces ‘traditional’ religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health’s foundation in science, particularly the science of epidemiology. The rigid rules of ‘scientific evidence’ used to determine the cause of illness and disease can work against the most vulnerable in society by putting sectors of the population, such as underrepresented workers, at a disadvantage. This study focuses on this tension between traditional science and the changing vision articulated within public health (and across many disciplines) that calls for a collective response to uncontrolled capitalism and unremitting globalization, and to the way in which health inequalities and their association with social inequalities provides a political rhetoric that calls for a new redistributive social programme. Drawing on decades of research, the author argues that public health is both a cult and a science of contemporary society.