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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Engaging cultural humility diffractively.

Rory Crath1, J Cristian Rangel2

  • 1School for Social Work, Smith College, Northampton, Massachusetts, USA.

Journal of Evaluation in Clinical Practice
|June 13, 2020
PubMed
Summary
This summary is machine-generated.

New frameworks are needed to understand cultural humility in modern healthcare, considering technology's impact. This study proposes a new approach to analyze how technology shapes clinical encounters and patient care.

Keywords:
clinical assessmentcultural humilitydiffractive analysisnew-materialismtechnologized health care

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Area of Science:

  • Sociology of Health and Illness
  • Medical Anthropology
  • Science and Technology Studies

Background:

  • Conventional cultural humility models fail to account for technological advancements transforming healthcare.
  • Contemporary biomedical cultures require more complex frameworks to understand power dynamics in clinical settings.

Purpose of the Study:

  • To propose a broadened understanding of culture and power in healthcare, incorporating the impact of technology.
  • To advocate for expanded methodological tools for analyzing technology's agentic effects in healthcare encounters.

Main Methods:

  • Introduced a two-pronged intervention in cultural humility literature.
  • Suggested broadening the understanding of culture and power to include biomedicine's technological shift.
  • Invited experimentation with methodological tools to assess technology's multidimensional effects in healthcare.

Main Results:

  • A neo-materialist framework for cultural humility views care as dynamic material-discursive events.
  • Expanded analysis beyond human-centric views to include entangled dynamics of big data, pharmacology, devices, and patient/provider subjectivities.
  • Demonstrated implications for clinical assessment by viewing encounters as discontinuous, discursive-material processes.

Conclusions:

  • Diffractive evaluative inquiry fosters a distinct ethical practice of care.
  • This approach highlights emerging forms of accountability and responsibility within clinical encounters.