我的时间,你的时间,我们的时间. 老年患者和全科医生对电子邮件咨询的时间敏感性
Anette Grønning1, Line Maria Simonsen2, Elle C Lüchau2
1Department of Design, Media and Educational Science, University of Southern Denmark, Odense M, Denmark.
概括
一般实践中的电子邮件咨询作为时间技术,重塑一般医生和患者之间的工作和权力动态. 这个数字工具需要大量的劳动力,改变了既定的GP-患者边界和权力关系.
科学领域:
- 数字健康数字健康
- 技术社会学技术的社会学.
- 一般实践 一般实践
背景情况:
- 电子邮件咨询在一般实践中越来越多地使用.
- 数字通信对医疗保健专业人员与患者关系的影响需要调查.
- 现有的研究缺乏对电子邮件咨询固有的时间和权力动态的关注.
研究的目的:
- 分析电子邮件咨询作为一般实践中的时间技术.
- 探索电子邮件咨询如何改变全科医生和患者之间的工作条件和权力关系.
- 在电子邮件咨询期间检查时间重新校准所涉及的劳动力.
主要方法:
- 采用半结构面试对53名患者和15名全科医生进行的定性研究.
- 包括两个重点小组讨论与17名全科医生.
- 理论框架基于莎拉·沙玛的权力计时概念和朱迪·瓦奇曼的多重时间景观.
主要成果:
- 电子邮件咨询作为时间技术,影响全科医生和患者的时间管理.
- 患者和全科医生都从事"时间工作",根据共同的期望对他们的时间进行校准.
- 电子邮件咨询的数字性质需要大量的时间重新校准劳动力,改变GP-患者边界和权力动态.
结论:
- 电子邮件咨询不是中立的技术,而是积极重塑一般实践中的时间关系和权力结构.
- 在医疗保健中实施数字系统需要仔细考虑对患者和医疗保健专业人员的时间和劳动力需求.
- 卫生机构必须批判性地评估谁的时间和劳动力真正被数字通信工具优化.
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