Antoinette De Bont
Biographic Data
| ID | 92640 |
|---|---|
| NAME | Antoinette De Bont |
| GIVEN NAMES | Antoinette |
| FAMILY NAME | De Bont |
| SIGNATURE | DE BONT A |
| AFFILIATIONS | Erasmus University Rotterdam |
| ORCID | 0000-0002-0745-4537 |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 85 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 5 |
Doubt or punish: On algorithmic pre-emption in acute psychiatry
Machine learning algorithms have begun to enter clinical settings traditionally resistant to digitalisation, such as psychiatry. This raises questions around how algorithms will be incorporated in professionals’ practices, and with what implications for care provision. This paper addresses such questions by examining the pilot of an algorithm for the prediction of inpatient violence in two acute psychiatric clinics in the Netherlands. Violence is…
From Attention to Attunement: Data-Driven Efficiency and Embodied Care in the Intensive Care Unit
Machine learning-driven efficiency is increasingly cast as a way to insure the future sustainability of understaffed healthcare systems. This article offers a glimpse into the potential practical repercussion of efficiency achieved through machine learning by examining how nurses' practices of care provision are reappraised under machine learning logics. Building on a 4-month ethnographic fieldwork in the context of an innovation project in Dutch…
Você precisa criar vínculos com quem você treina: Misturando culturas epistêmicas no treinamento de residência médica
Este artigo aborda a reforma contemporânea da educação médica de pós-graduação que visa padronizar o treinamento. As reformas são orientadas por intervenções de políticas públicas para aumentar a qualidade do atendimento, objetivar o desempenho e preparar os residentes para as mudanças nas necessidades de assistência médica. Este artigo se baseia em estudos etnográficos feitos nos Países Baixos, estudando como novos padrões de treinamento foram i…
Value-based health care in translation: From global popularity to primary care for Dutch elderly patients
In this article we examine the fragmented interpretation and implementation of a remarkably popular concept, value-based health care (VBHC). By building on a case study of a project team working on the development of value-based primary care services for elderly patients, we shed new light on the way in which VBHC transitions from theory to practice. The concept of 'translation' is used to theoretically frame our analysis. Between June 2021 and M…
Eye for an AI: More-than-seeing, fauxtomation, and the enactment of uncertain data in digital pathology
Artificial Intelligence (AI) tools are being developed to assist with increasingly complex diagnostic tasks in medicine. This produces epistemic disruption in diagnostic processes, even in the absence of AI itself, through the datafication and digitalization encouraged by the promissory discourses around AI. In this study of the digitization of an academic pathology department, we mobilize Barad's agential realist framework to examine these epist…
Ethics as Discursive Work: The Role of Ethical Framing in the Promissory Future of Data-driven Healthcare Technologies
The allure of a "data-driven" future healthcare system continues to seduce many. Increasingly, work in Science & Technology Studies and related fields started to interrogate the saliency of this promissory rhetoric by raising ethical questions concerning epistemology, bias, surveillance, security, and opacity. Less visible is how ethical arguments are used as part of discursive work by various practitioners engaged in data-driven initiatives in h…
Incorporating Public Values Through Multiple Accountability: A Case Study on Quality Regulation of Emergency Care in the Netherlands by an Independent Regulatory Agency
In this paper, we explore how multiple accountability (MA) can enable an independent regulatory agency to deal with multiple conflicting public values in a complex and politically salient decision-making process. We examined the decision-making process of the Dutch National Health Care Institute on quality regulation of emergency care in the Netherlands. Using insights derived from ethnography, document analysis, and interviews, we show that MA r…
Why Personal Dreams Matter: How professionals affectively engage with the promises surrounding data-driven healthcare in Europe
Recent buzzes around big data, data science and artificial intelligence portray a data-driven future for healthcare. As a response, Europe's key players have stimulated the use of big data technologies to make healthcare more efficient and effective. Critical Data Studies and Science and Technology Studies have developed many concepts to reflect on such overly positive narratives and conduct critical policy evaluations. In this study, we argue th…
Conceptualizing the digitalization of healthcare work: A metaphor-based Critical Interpretive Synthesis
Who contextualises clinical epidemiological evidence? A political analysis of the problem of evidence-based medicine in the layered Dutch healthcare system
We critically examine the discussion on the role of evidence-based medicine (EBM) in healthcare governance. We take the institutionally layered Dutch healthcare system as our case study. Here, different actors are involved in the regulation, provision and financing of healthcare services. Over the last decades, these actors have related to EBM to inform their actor specific roles. At the same time, EBM has increasingly been problematised. To bett…
Organized Discretion
Unveiling the controversy on egg freezing in The Netherlands: A Q-methodology study on women’s viewpoints
Preserving the option to conceive through egg freezing (oocyte cryopreservation) is surrounded by value conflicts and diverse viewpoints, particularly when non-medical or so-called 'social' reasons are involved. The debate is controversial and shaped by normative perceptions of the life course, including concepts regarding reproductive ageing, gender, motherhood and biomedicalization. To unravel the controversy and systematically identify the var…
Epistemic virtues and data-driven dreams: On sameness and difference in the epistemic cultures of data science and psychiatry
Data science and psychiatry have diverse epistemic cultures that come together in data-driven initiatives (e.g., big data, machine learning). The literature on these initiatives seems to either downplay or overemphasize epistemic differences between the fields. In this paper, we study the convergence and divergence of the epistemic cultures of data science and psychiatry. This approach is more likely to capture where and how the cultures differ a…
How Clinical Integration of Pharmacists in General Practice has Impact on Medication Therapy Management: A Theory-oriented Evaluation
The success of integrated pharmaceutical care is dependent on how NDPs collaborate with GPs and practice nurses. NDPs need to mobilize clinical pharmaceutical expertise into general practice. Yet, integrating quality management into clinical work is key to integrate pharmaceutical care. Paradoxically, full integration requires from NDPs to develop a distinct role in general practice
The Selfie framework for integrated care for multi-morbidity: Development and description
BACKGROUND: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. METHODS: A scoping review and expert discussions were used to identify …
Strengthening the evidence-base of integrated care for people with multi-morbidity in Europe using Multi-Criteria Decision Analyses MCDA
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Politics of policy learning: Evaluating an experiment on free pricing arrangements in Dutch dental care
In Dutch healthcare, new market mechanisms have been introduced on an experimental basis in an attempt to contain costs and improve quality. Informed by a constructivist approach, we demonstrate that such experiments are not neutral testing grounds. Drawing from semi-structured interviews and policy texts, we reconstruct an experiment on free pricing in dental care that turned into a critical example of market failure, influencing developments in…
Conceptualizations of Big Data and their epistemological claims in healthcare: A discourse analysis
In recent years, the healthcare field welcomed an emerging field of practices captured under the umbrella term 'Big Data'. This term is surrounded with positive rhetoric and promises about the ability to analyse real-world data quickly and comprehensively. Such rhetoric is highly consequential in shaping debates on Big Data. While the fields of Science and Technology Studies and Critical Data Studies have been instrumental in elaborating the negl…
Enhancing responsiveness and consistency: Comparing the collective use of discretion and discretionary room at inspectorates inEngland and theNetherlands
Discretion used to be considered a feature of individuals, but growing literature shows that it has collective features as well. To develop an understanding of the individual and cooperative work of inspectors in using discretion and the discretionary room granted to them, we compared two inspectorates: theCareQualityCommission (CQC) inEngland and theJointInspectorate forYouth (JIY) in theNetherlands. Our analysis reveals that inspectors engage w…
You need to bond with the ones you train’: Mixing epistemic cultures in medical residency training
This paper addresses contemporary reform in postgraduate medical education that aims to standardise training. The reforms are guided by public policy interventions to increase quality of care, objectify performance, and to prepare residents for changing health care needs. This paper draws on an ethnographic study in the Netherlands, studying how new training standards have been incorporated in everyday gynaecology and surgery residency training. …
Lessons for integration from 70 primary care projects
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Children's journeys through organizations: How inspectors evaluate coordination of care
Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the N etherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi‐structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to ana…
Introducing incident reporting in primary care: A translation from safety science into medical practice
In this article, we examine how incident reporting procedures become part of the way primary health care professionals deal with safety problems. Between 2006 and 2010, we studied documents, observed incident reporting committee meetings and conducted formal and informal interviews in five Dutch primary health care centres and one general practitioner's out-of-hours service to describe the introduction of incident reporting procedures. In this ar…
Hiding complexity, uncertainty and ambiguity: How inspectorates simplify issues to create enforceable action
As governmental tasks are decentralised (transferred from central government to administrative agencies and local governments), inspectorates are expected to strengthen their regulatory role and tackle social problems. This is difficult, however, when they must assess complex, uncertain or ambiguous situations in which the pre-defined assessment criteria that inspectorates normally use are either unavailable or contested by the actors involved. I…
Reconfiguring Policy and Clinical Practice: How Databases Have Transformed the Regulation of Pharmaceutical Care
This article's aim is to understand if and how the efforts to accumulate and organize clinical data transformed the regulation of pharmaceutical care. The authors analyze how the employment of databases by collectives of physicians and researchers shape both clinical and policy practice-and thereby reshape the relation between clinical work and policy. Since the late 1990s, Dutch government has supported the development of clinical databases for …
Enhancing responsiveness and consistency: Comparing the collective use of discretion and discretionary room at inspectorates inEngland and theNetherlands
Discretion used to be considered a feature of individuals, but growing literature shows that it has collective features as well. To develop an understanding of the individual and cooperative work of inspectors in using discretion and the discretionary room granted to them, we compared two inspectorates: theCareQualityCommission (CQC) inEngland and theJointInspectorate forYouth (JIY) in theNetherlands. Our analysis reveals that inspectors engage w…
Conceptualizations of Big Data and their epistemological claims in healthcare: A discourse analysis
In recent years, the healthcare field welcomed an emerging field of practices captured under the umbrella term 'Big Data'. This term is surrounded with positive rhetoric and promises about the ability to analyse real-world data quickly and comprehensively. Such rhetoric is highly consequential in shaping debates on Big Data. While the fields of Science and Technology Studies and Critical Data Studies have been instrumental in elaborating the negl…
Learning to doctor: Tinkering With Visibility in Residency Training
Medical doctors in teaching hospitals aim to serve the two central goals of patient care and medical training. Whereas patient care asks for experience, expertise and close supervision, medical training requires space to practise and the 'invisibility' of medical residents. Yet current reforms in postgraduate medical training point to an increasing emphasis on the measurable visibility of residents. Drawing on an ethnographic study of gynaecology…
Conceptualizing the digitalization of healthcare work: A metaphor-based Critical Interpretive Synthesis
Epistemic virtues and data-driven dreams: On sameness and difference in the epistemic cultures of data science and psychiatry
Data science and psychiatry have diverse epistemic cultures that come together in data-driven initiatives (e.g., big data, machine learning). The literature on these initiatives seems to either downplay or overemphasize epistemic differences between the fields. In this paper, we study the convergence and divergence of the epistemic cultures of data science and psychiatry. This approach is more likely to capture where and how the cultures differ a…
Eye for an AI: More-than-seeing, fauxtomation, and the enactment of uncertain data in digital pathology
Artificial Intelligence (AI) tools are being developed to assist with increasingly complex diagnostic tasks in medicine. This produces epistemic disruption in diagnostic processes, even in the absence of AI itself, through the datafication and digitalization encouraged by the promissory discourses around AI. In this study of the digitization of an academic pathology department, we mobilize Barad's agential realist framework to examine these epist…
You need to bond with the ones you train’: Mixing epistemic cultures in medical residency training
This paper addresses contemporary reform in postgraduate medical education that aims to standardise training. The reforms are guided by public policy interventions to increase quality of care, objectify performance, and to prepare residents for changing health care needs. This paper draws on an ethnographic study in the Netherlands, studying how new training standards have been incorporated in everyday gynaecology and surgery residency training. …
Why Personal Dreams Matter: How professionals affectively engage with the promises surrounding data-driven healthcare in Europe
Recent buzzes around big data, data science and artificial intelligence portray a data-driven future for healthcare. As a response, Europe's key players have stimulated the use of big data technologies to make healthcare more efficient and effective. Critical Data Studies and Science and Technology Studies have developed many concepts to reflect on such overly positive narratives and conduct critical policy evaluations. In this study, we argue th…
How Clinical Integration of Pharmacists in General Practice has Impact on Medication Therapy Management: A Theory-oriented Evaluation
The success of integrated pharmaceutical care is dependent on how NDPs collaborate with GPs and practice nurses. NDPs need to mobilize clinical pharmaceutical expertise into general practice. Yet, integrating quality management into clinical work is key to integrate pharmaceutical care. Paradoxically, full integration requires from NDPs to develop a distinct role in general practice
Incorporating Public Values Through Multiple Accountability: A Case Study on Quality Regulation of Emergency Care in the Netherlands by an Independent Regulatory Agency
In this paper, we explore how multiple accountability (MA) can enable an independent regulatory agency to deal with multiple conflicting public values in a complex and politically salient decision-making process. We examined the decision-making process of the Dutch National Health Care Institute on quality regulation of emergency care in the Netherlands. Using insights derived from ethnography, document analysis, and interviews, we show that MA r…
Politics of policy learning: Evaluating an experiment on free pricing arrangements in Dutch dental care
In Dutch healthcare, new market mechanisms have been introduced on an experimental basis in an attempt to contain costs and improve quality. Informed by a constructivist approach, we demonstrate that such experiments are not neutral testing grounds. Drawing from semi-structured interviews and policy texts, we reconstruct an experiment on free pricing in dental care that turned into a critical example of market failure, influencing developments in…
Children's journeys through organizations: How inspectors evaluate coordination of care
Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the N etherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi‐structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to ana…
Unexpected Advantages of Less Accurate Performance Measurements. How Simple Prescription Data Works in a Complex Setting Regarding the Use of Medications
In this paper we argue that performance measurement can be done better by general, less accurate measurements than by complex – and possible more accurate – ones. The conclusions of this study are drawn from a case study of the Dutch Foundation for Effective Use of Medication. While most studies about performance measurements focus on the management of public service organizations, this case study – informed by the literature from Science and Tec…
Ethics as Discursive Work: The Role of Ethical Framing in the Promissory Future of Data-driven Healthcare Technologies
The allure of a "data-driven" future healthcare system continues to seduce many. Increasingly, work in Science & Technology Studies and related fields started to interrogate the saliency of this promissory rhetoric by raising ethical questions concerning epistemology, bias, surveillance, security, and opacity. Less visible is how ethical arguments are used as part of discursive work by various practitioners engaged in data-driven initiatives in h…
IT-supported skill-mix change and standardisation in integrated eyecare: Lessons from two screening projects in The Netherlands
Although the integration seems promising, much work is needed to ensure a synergistic relationship between skill-mix change and IT. Developing IT-supported skill-mix change by means of standardisation is a matter of tailoring standardisation to fit the situation at hand, while dealing with the local constraints of available technology and organisational context
IT-supported skill-mix change and standardisation in integrated eyecare: Lessons from two screening projects in The Netherlands
Although the integration seems promising, much work is needed to ensure a synergistic relationship between skill-mix change and IT. Developing IT-supported skill-mix change by means of standardisation is a matter of tailoring standardisation to fit the situation at hand, while dealing with the local constraints of available technology and organisational context
Unexpected Advantages of Less Accurate Performance Measurements. How Simple Prescription Data Works in a Complex Setting Regarding the Use of Medications
In this paper we argue that performance measurement can be done better by general, less accurate measurements than by complex – and possible more accurate – ones. The conclusions of this study are drawn from a case study of the Dutch Foundation for Effective Use of Medication. While most studies about performance measurements focus on the management of public service organizations, this case study – informed by the literature from Science and Tec…
Introducing incident reporting in primary care: A translation from safety science into medical practice
In this article, we examine how incident reporting procedures become part of the way primary health care professionals deal with safety problems. Between 2006 and 2010, we studied documents, observed incident reporting committee meetings and conducted formal and informal interviews in five Dutch primary health care centres and one general practitioner's out-of-hours service to describe the introduction of incident reporting procedures. In this ar…
Hiding complexity, uncertainty and ambiguity: How inspectorates simplify issues to create enforceable action
As governmental tasks are decentralised (transferred from central government to administrative agencies and local governments), inspectorates are expected to strengthen their regulatory role and tackle social problems. This is difficult, however, when they must assess complex, uncertain or ambiguous situations in which the pre-defined assessment criteria that inspectorates normally use are either unavailable or contested by the actors involved. I…
Reconfiguring Policy and Clinical Practice: How Databases Have Transformed the Regulation of Pharmaceutical Care
This article's aim is to understand if and how the efforts to accumulate and organize clinical data transformed the regulation of pharmaceutical care. The authors analyze how the employment of databases by collectives of physicians and researchers shape both clinical and policy practice-and thereby reshape the relation between clinical work and policy. Since the late 1990s, Dutch government has supported the development of clinical databases for …
Learning to doctor: Tinkering With Visibility in Residency Training
Medical doctors in teaching hospitals aim to serve the two central goals of patient care and medical training. Whereas patient care asks for experience, expertise and close supervision, medical training requires space to practise and the 'invisibility' of medical residents. Yet current reforms in postgraduate medical training point to an increasing emphasis on the measurable visibility of residents. Drawing on an ethnographic study of gynaecology…
Lessons for integration from 70 primary care projects
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Children's journeys through organizations: How inspectors evaluate coordination of care
Inspectorates have been criticized for assessing compliance with the rules rather than outcomes for children. In the N etherlands, inspectorates have developed a ‘journey tool’ to reconstruct children's travels through all the organizations providing care. Using document analysis and semi‐structured interviews, we evaluated how inspectors use this tool in practice. We applied an ontological theoretical framework to the coordination of care to ana…
You need to bond with the ones you train’: Mixing epistemic cultures in medical residency training
This paper addresses contemporary reform in postgraduate medical education that aims to standardise training. The reforms are guided by public policy interventions to increase quality of care, objectify performance, and to prepare residents for changing health care needs. This paper draws on an ethnographic study in the Netherlands, studying how new training standards have been incorporated in everyday gynaecology and surgery residency training. …
Enhancing responsiveness and consistency: Comparing the collective use of discretion and discretionary room at inspectorates inEngland and theNetherlands
Discretion used to be considered a feature of individuals, but growing literature shows that it has collective features as well. To develop an understanding of the individual and cooperative work of inspectors in using discretion and the discretionary room granted to them, we compared two inspectorates: theCareQualityCommission (CQC) inEngland and theJointInspectorate forYouth (JIY) in theNetherlands. Our analysis reveals that inspectors engage w…
The Selfie framework for integrated care for multi-morbidity: Development and description
BACKGROUND: The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires a shift from disease- towards person-centred integrated care. The aim of the current study was to develop a conceptual framework that can aid the development, implementation, description, and evaluation of integrated care programmes for multi-morbidity. METHODS: A scoping review and expert discussions were used to identify …
Strengthening the evidence-base of integrated care for people with multi-morbidity in Europe using Multi-Criteria Decision Analyses MCDA
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Politics of policy learning: Evaluating an experiment on free pricing arrangements in Dutch dental care
In Dutch healthcare, new market mechanisms have been introduced on an experimental basis in an attempt to contain costs and improve quality. Informed by a constructivist approach, we demonstrate that such experiments are not neutral testing grounds. Drawing from semi-structured interviews and policy texts, we reconstruct an experiment on free pricing in dental care that turned into a critical example of market failure, influencing developments in…
Conceptualizations of Big Data and their epistemological claims in healthcare: A discourse analysis
In recent years, the healthcare field welcomed an emerging field of practices captured under the umbrella term 'Big Data'. This term is surrounded with positive rhetoric and promises about the ability to analyse real-world data quickly and comprehensively. Such rhetoric is highly consequential in shaping debates on Big Data. While the fields of Science and Technology Studies and Critical Data Studies have been instrumental in elaborating the negl…
How Clinical Integration of Pharmacists in General Practice has Impact on Medication Therapy Management: A Theory-oriented Evaluation
The success of integrated pharmaceutical care is dependent on how NDPs collaborate with GPs and practice nurses. NDPs need to mobilize clinical pharmaceutical expertise into general practice. Yet, integrating quality management into clinical work is key to integrate pharmaceutical care. Paradoxically, full integration requires from NDPs to develop a distinct role in general practice
Organized Discretion
Unveiling the controversy on egg freezing in The Netherlands: A Q-methodology study on women’s viewpoints
Preserving the option to conceive through egg freezing (oocyte cryopreservation) is surrounded by value conflicts and diverse viewpoints, particularly when non-medical or so-called 'social' reasons are involved. The debate is controversial and shaped by normative perceptions of the life course, including concepts regarding reproductive ageing, gender, motherhood and biomedicalization. To unravel the controversy and systematically identify the var…
Epistemic virtues and data-driven dreams: On sameness and difference in the epistemic cultures of data science and psychiatry
Data science and psychiatry have diverse epistemic cultures that come together in data-driven initiatives (e.g., big data, machine learning). The literature on these initiatives seems to either downplay or overemphasize epistemic differences between the fields. In this paper, we study the convergence and divergence of the epistemic cultures of data science and psychiatry. This approach is more likely to capture where and how the cultures differ a…
Who contextualises clinical epidemiological evidence? A political analysis of the problem of evidence-based medicine in the layered Dutch healthcare system
We critically examine the discussion on the role of evidence-based medicine (EBM) in healthcare governance. We take the institutionally layered Dutch healthcare system as our case study. Here, different actors are involved in the regulation, provision and financing of healthcare services. Over the last decades, these actors have related to EBM to inform their actor specific roles. At the same time, EBM has increasingly been problematised. To bett…
Incorporating Public Values Through Multiple Accountability: A Case Study on Quality Regulation of Emergency Care in the Netherlands by an Independent Regulatory Agency
In this paper, we explore how multiple accountability (MA) can enable an independent regulatory agency to deal with multiple conflicting public values in a complex and politically salient decision-making process. We examined the decision-making process of the Dutch National Health Care Institute on quality regulation of emergency care in the Netherlands. Using insights derived from ethnography, document analysis, and interviews, we show that MA r…
Why Personal Dreams Matter: How professionals affectively engage with the promises surrounding data-driven healthcare in Europe
Recent buzzes around big data, data science and artificial intelligence portray a data-driven future for healthcare. As a response, Europe's key players have stimulated the use of big data technologies to make healthcare more efficient and effective. Critical Data Studies and Science and Technology Studies have developed many concepts to reflect on such overly positive narratives and conduct critical policy evaluations. In this study, we argue th…
Conceptualizing the digitalization of healthcare work: A metaphor-based Critical Interpretive Synthesis
Eye for an AI: More-than-seeing, fauxtomation, and the enactment of uncertain data in digital pathology
Artificial Intelligence (AI) tools are being developed to assist with increasingly complex diagnostic tasks in medicine. This produces epistemic disruption in diagnostic processes, even in the absence of AI itself, through the datafication and digitalization encouraged by the promissory discourses around AI. In this study of the digitization of an academic pathology department, we mobilize Barad's agential realist framework to examine these epist…
Ethics as Discursive Work: The Role of Ethical Framing in the Promissory Future of Data-driven Healthcare Technologies
The allure of a "data-driven" future healthcare system continues to seduce many. Increasingly, work in Science & Technology Studies and related fields started to interrogate the saliency of this promissory rhetoric by raising ethical questions concerning epistemology, bias, surveillance, security, and opacity. Less visible is how ethical arguments are used as part of discursive work by various practitioners engaged in data-driven initiatives in h…
Você precisa criar vínculos com quem você treina: Misturando culturas epistêmicas no treinamento de residência médica
Este artigo aborda a reforma contemporânea da educação médica de pós-graduação que visa padronizar o treinamento. As reformas são orientadas por intervenções de políticas públicas para aumentar a qualidade do atendimento, objetivar o desempenho e preparar os residentes para as mudanças nas necessidades de assistência médica. Este artigo se baseia em estudos etnográficos feitos nos Países Baixos, estudando como novos padrões de treinamento foram i…
Political science (21 works) · Computer Science (20 works) · Sociology (17 works) · Health care (14 works) · Law (13 works) · Medicine (12 works) · Business (10 works) · Epistemology (10 works) · Public relations (10 works) · Psychology (9 works)