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The social life of biomedical data

Capturing, obscuring, and envisioning care in the digital safety-net

Bibliographic Data

ID4594345
AuthorsTaylor Marion Cruz (0000-0002-1943-7718, California State University, Fullerton, corresponding author)
Year2022
Volume294
Pages114670
Publication date2022-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2021.114670
PMID35114488
OpenAlexW4206642598
LanguageEN
Citations received20
References cited57

Biomedical investment in digital technologies has flooded society with staggering volumes of data, spurring high-tech innovations such as performance metrics, clinical algorithms, and public data dashboards. In examining the social life of data artifacts, scholars draw from actor-network theory to emphasize data's ability to represent social reality while circulating within it, while others suggest formal data models fail to account for invisible relations on the ground. Yet little work has examined the role of human reflexivity in crafting complex human-data configurations in practice, such as how situated human actors relate to data representations within the social reality they intimately know themselves. Drawing on ethnographic fieldwork of Electronic Health Records (EHRs) and data analytics integration from inside the digital safety-net, this article shows how health care workers recognize data simultaneously capture, obscure, and envision their everyday work of caring for the marginalized. By demonstrating how the same data point may in one context demonstrate good care while in another obscure it, these findings suggest need to broaden attention to the social life of data beyond delimited focus on standards and their travels. Digital technologies do not simply capture the social, but multiply it. Biomedical data then do not have one social life, but many

Big data · Context (archaeology · Data science · Digital health · Epistemology · Ethnography · Everyday life · Health care · Internet privacy · Political science · Public relations · Reflexivity · Situated · Social science · Sociology · Computer Science · Ethics and Social Impacts of AI · Ethics in Clinical Research · Race, Genetics, and Society · Artificial Intelligence

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Unique citing works20
Citations per year5
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 19

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