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https://www.readbyqxmd.com/read/29675960/translating-value-based-health-care-an-experiment-into-healthcare-governance-and-dialogical-accountability
#1
Morten Bonde, Claus Bossen, Peter Danholt
This article analyses an experiment into healthcare governance in Denmark inspired by principles of value-based health care and intended to re-orient the focus of healthcare governance from 'productivity' to 'value for the patient'. The region in charge of the experiment exempted nine hospital departments from activity-based financing and accountability based on diagnosis-related groups, which allegedly incentivised hospitals in 'perverse' and counterproductive ways. Instead, the departments were to develop new indicators from their local practices to support and account for quality and value for the patient...
April 19, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29441595/analysing-barriers-to-service-improvement-using-a-multi-level-theory-of-innovation-the-case-of-glaucoma-outpatient-clinics
#2
Simon Turner, Christos Vasilakis, Martin Utley, Paul Foster, Aachal Kotecha, Naomi J Fulop
The development and implementation of innovation by healthcare providers is understood as a multi-determinant and multi-level process. Theories at different analytical levels (i.e. micro and organisational) are needed to capture the processes that influence innovation by provide. This article combines a micro theory of innovation, actor-network theory, with organisational level processes using the 'resource based view of the firm'. It examines the influence of, and interplay between, innovation-seeking teams (micro) and underlying organisational capabilities (meso) during innovation processes...
February 13, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29414487/following-the-moving-and-changing-attachments-and-assemblages-of-addiction-applying-the-actor-network-approach-to-autobiographies
#3
Jukka Törrönen, Christoffer Tigerstedt
The article applies actor network theory (ANT) to autobiographical data on alcohol dependence to explore what ANT can offer to the analysis of 'addiction stories'. By defining 'addiction' as a relational achievement, as the effect of elements acting together as a configuration of human and non-human actors, the article demonstrates how the moving and changing attachments of addiction can be dynamically analyzed with concepts of 'assemblage', 'mediator', 'tendency', 'translation', 'trajectory', 'immutable mobile', 'fluid' and 'bush fire'...
January 30, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29349880/beyond-the-realist-turn-a-socio-material-analysis-of-heart-failure-self-care
#4
Allan McDougall, Elizabeth Anne Kinsella, Mark Goldszmidt, Karen Harkness, Patricia Strachan, Lorelei Lingard
For patients living with chronic illnesses, self-care has been linked with positive outcomes such as decreased hospitalisation, longer lifespan, and improved quality of life. However, despite calls for more and better self-care interventions, behaviour change trials have repeatedly fallen short on demonstrating effectiveness. The literature on heart failure (HF) stands as a case in point, and a growing body of HF studies advocate realist approaches to self-care research and policymaking. We label this trend the 'realist turn' in HF self-care...
January 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29235133/operating-on-the-self-transforming-agency-through-obesity-surgery-and-treatment
#5
Else Vogel
In this article, I describe the processes through which patients diagnosed with 'morbid obesity' become active subjects through undergoing obesity surgery and an empowerment lifestyle programme in a Dutch obesity clinic. Following work in actor-network theory and material semiotics that complicates the distinction between active and passive subjects, I trace how agency is configured and re-distributed throughout the treatment trajectory. In the clinic's elaborate care assemblage - consisting of dieticians, exercise coaches and psychologists - the person is not only actively involved in his/her own change, the subject of intervention is the self as 'actor': his/her material constitution, inclinations and feelings...
December 12, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29148114/on-the-character-and-production-of-active-participation-in-neuro-rehabilitation-an-actor-network-perspective
#6
Simon Horton, Kathryn Mares, Neil Coull, Fiona Poland
The importance of patients' active involvement in neuro-rehabilitation after acquired brain injury has been consistently emphasised in recent years. However, most approaches fail to show how 'active participation' is practically enacted, focusing on individualised explanations of patient choice and behaviours, or notions of inherent patient traits. Using actor-network theory (ANT) as a sensitising concept, we investigated neuro-rehabilitation practices, asking how participation is shaped through biological and socio-material specificities, how rights to knowledge and expertise are constructed, and how a body acclimatises and adjusts within an order of participation and transformation...
November 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29027040/actor-network-theory-and-the-osce-formulating-a-new-research-agenda-for-a-post-psychometric-era
#7
Margaret Bearman, Rola Ajjawi
The Objective Structured Clinical Examination (OSCE) is a ubiquitous part of medical education, although there is some debate about its value, particularly around possible impact on learning. Literature and research regarding the OSCE is most often situated within the psychometric or competency discourses of assessment. This paper describes an alternative approach: Actor-network-theory (ANT), a sociomaterial approach to understanding practice and learning. ANT provides a means to productively examine tensions and limitations of the OSCE, in part through extending research to include social relationships and physical objects...
October 12, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28985994/from-mundane-medicines-to-euphorigenic-drugs-how-pharmaceutical-pleasures-are-initiated-foregrounded-and-made-durable
#8
Henry Bundy, Gilbert Quintero
BACKGROUND: Examining how pharmaceuticals are used to induce pleasure presents a unique opportunity for analyzing not only how pleasure is assembled and experienced through distinct consumption practices but also how mundane medicines can become euphorigenic substances. METHODS: Drawing on qualitative research on the non-medical use of prescription drugs by young adults in the United States, this paper utilizes Actor-Network Theory (ANT) to examine how prescription medicines come to produce pleasure...
November 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28876450/what-has-become-of-critique-reassembling-sociology-after-latour
#9
Tom Mills
This paper offers a defence of sociology through an engagement with Actor Network Theory (ANT) and particularly the critique of 'critical' and politically engaged social science developed by Bruno Latour. It argues that ANT identifies some weaknesses in more conventional sociology and social theory, and suggests that 'critical' and 'public' orientated sociologists can learn from the analytical precision and ethnographic sensibilities that characterize ANT as a framework of analysis and a research programme...
September 6, 2017: British Journal of Sociology
https://www.readbyqxmd.com/read/28714325/actor-network-theory-and-micro-learning-networks
#10
Alex Harding
No abstract text is available yet for this article.
September 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28649120/must-we-embody-context
#11
Barbara Hahn
The essays in this forum brace this meditation on the historiography of technology. Understanding devices incorporates the context of any particular hardware, as John Staudenmaier showed by quantifying the contents of the first decades of Technology and Culture. As contextualist approaches have widened from systems theory through social construction and into the assemblages of actor-network theory, the discipline has kept artifacts at the analytical center: it is the history of technology that scholars seek to understand...
2017: Technology and Culture
https://www.readbyqxmd.com/read/28641502/ordering-theories-typologies-and-conceptual-frameworks-for-sociotechnical-change
#12
Benjamin K Sovacool, David J Hess
What theories or concepts are most useful at explaining socio technical change? How can - or cannot - these be integrated? To provide an answer, this study presents the results from 35 semi-structured research interviews with social science experts who also shared more than two hundred articles, reports and books on the topic of the acceptance, adoption, use, or diffusion of technology. This material led to the identification of 96 theories and conceptual approaches spanning 22 identified disciplines. The article begins by explaining its research terms and methods before honing in on a combination of fourteen theories deemed most relevant and useful by the material...
October 2017: Social Studies of Science
https://www.readbyqxmd.com/read/28571509/a-long-history-of-breakdowns-a-historiographical-review
#13
Dániel Margócsy
The introduction to this special issue argues that network breakdowns play an important and unacknowledged role in the shaping and emergence of scientific knowledge. It focuses on transnational scientific networks from the early modern Republic of Letters to 21st-century globalized science. It attempts to unite the disparate historiography of the early modern Republic of Letters, the literature on 20th-century globalization, and the scholarship on Actor-Network Theory. We can perceive two, seemingly contradictory, changes to scientific networks over the past four hundred years...
May 1, 2017: Social Studies of Science
https://www.readbyqxmd.com/read/28466752/what-makes-a-robot-social
#14
Raya A Jones
Rhetorical moves that construct humanoid robots as social agents disclose tensions at the intersection of science and technology studies (STS) and social robotics. The discourse of robotics often constructs robots that are like us (and therefore unlike dumb artefacts). In the discourse of STS, descriptions of how people assimilate robots into their activities are presented directly or indirectly against the backdrop of actor-network theory, which prompts attributing agency to mundane artefacts. In contradistinction to both social robotics and STS, it is suggested here that to view a capacity to partake in dialogical action (to have a 'voice') is necessary for regarding an artefact as authentically social...
April 1, 2017: Social Studies of Science
https://www.readbyqxmd.com/read/28460211/controversies-about-cervical-cancer-screening-a-qualitative-study-of-roma-women-s-non-participation-in-cervical-cancer-screening-in-romania
#15
Trude Andreassen, Elisabete Weiderpass, Florian Nicula, Ofelia Suteu, Andreea Itu, Minodora Bumbu, Aida Tincu, Giske Ursin, Kåre Moen
Romania has Europe's highest incidence and mortality of cervical cancer. While a free national cervical cancer-screening programme has been in operation since 2012, participation in the programme is low, particularly in minority populations. The aim of this study was to explore Roma women's (non)participation in the programme from women's own perspectives and those of healthcare providers and policy makers. We carried out fieldwork for a period of 125 days in 2015/16 involving 144 study participants in Cluj and Bucharest counties...
June 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28433927/performing-boundary-work-the-emergence-of-a-new-practice-in-a-hybrid-operating-room
#16
Kajsa Lindberg, Lars Walter, Elena Raviola
This paper addresses the processes of boundary work, in relation to the introduction of new technology, unfolding during the emergence of new medical practices. Inspired by Gieryn's fluid and practical view of boundaries and boundary work, and by Actor-Network Theory's description of scripting processes, we study the processes of negotiating and (re-)constructing boundaries in order to reveal both the interactions between different kinds of boundary work and their situatedness in the context of the emerging practice...
June 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28429970/taking-data-seriously-the-value-of-actor-network-theory-in-rethinking-patient-experience-data
#17
Amit Desai, Giulia Zoccatelli, Mary Adams, Davina Allen, Sally Brearley, Anne Marie Rafferty, Glenn Robert, Sara Donetto
Hospitals are awash with patient experience data, much of it collected with the ostensible purpose of improving the quality of patient care. However, there has been comparatively little consideration of the nature and capacities of data itself. Using insights from actor-network theory, we propose that paying attention to patient experience data as having agency in particular hospital interactions allows us to better trace how and in what circumstances data lead (or fail to lead) to quality improvement.
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28380169/-responsible-research-and-development-translating-absences-from-nanotechnology-in-portugal
#18
Paulo F C Fonseca, Tiago Santos Pereira
This article analyzes how responsible innovation has been discussed and implemented in the context of one of the Portuguese government's main activities to foster nanotechnology. Through the actor-network theory and the sociology of absences, we investigate the process of coproduction at the International Iberian Nanotechnology Laboratory to identify how concerns about responsible development have been implemented or ignored in the rules and practices. The institute emerged from a sociotechnical imagination that views it as an autonomous unit for producing technological innovations aimed exclusively at increasing competitiveness in a global market, which has been an obstacle to the materialization of robust responsible development practices...
January 2017: História, Ciências, Saúde—Manguinhos
https://www.readbyqxmd.com/read/28018016/an-ethical-moment-in-data-sharing
#19
Catherine Heeney
This study draws on interviews with forty-nine members of a biomedical research community in the UK that is involved in negotiating data sharing and access. During an interview, an interviewee used the words "ethical moment" to describe a confrontation between collaborators in relation to data sharing. In this article, I use this as a lens for thinking about relations between "the conceptual and the empirical" in a way that allows both analyst and actor to challenge the status quo and consider other ethical possibilities...
January 2017: Science, Technology & Human Values
https://www.readbyqxmd.com/read/27789102/nps-and-the-methadone-queue-spillages-of-space-and-time
#20
Liviu Alexandrescu
BACKGROUND: Between 2008 and 2013, powder-stimulants sold by 'head shops' as novel psychoactive substances (NPS) or 'legal highs' have displaced heroin among groups of injecting substance users in Bucharest, Romania. Rising HIV-infection rates and other medical or social harms have been reported to follow this trend. METHODS: The study builds on two sets of original (N=30) and existing (N=20) interview data and on observations collected mainly at the site of a methadone substitution treatment facility...
October 24, 2016: International Journal on Drug Policy
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