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1.
Media Cult Soc ; 45(4): 859-868, 2023 May.
Article in English | MEDLINE | ID: mdl-37124141

ABSTRACT

The COVID-19 pandemic has reconfigured every social, political, economic and cultural aspect of modern society. Millions of people have been stuck in lockdown within and across borders, national and regional terrains, in their homes and worse places. At this time of unprecedented change and 'stuckedness', digital communication technologies have served as a lifeline to forge and nurture communication, intimate ties and a sense of continuity and belongingness. But being stuck and simultaneously virtually mobile has brought many difficulties, tensions and paradoxes. In this paper we discuss first insights from a study with 15 members of the older Culturally and Linguistically Diverse (CALD) population in Victoria, Australia to explore experiences of being physically stuck and virtually mobile. We find practices of translocal care - ways of caring for distant others through digital technologies, has been made more complex by the pandemic and shaped by two dynamics: networked collective 'existential mobility', and a quantification of feeling that we call 'intimacy 5.0'.

2.
J Med Ethics ; 48(11): 852-856, 2022 11.
Article in English | MEDLINE | ID: mdl-34426519

ABSTRACT

Artificial intelligence (AI) is changing healthcare and the practice of medicine as data-driven science and machine-learning technologies, in particular, are contributing to a variety of medical and clinical tasks. Such advancements have also raised many questions, especially about public trust. As a response to these concerns there has been a concentrated effort from public bodies, policy-makers and technology companies leading the way in AI to address what is identified as a "public trust deficit". This paper argues that a focus on trust as the basis upon which a relationship between this new technology and the public is built is, at best, ineffective, at worst, inappropriate or even dangerous, as it diverts attention from what is actually needed to actively warrant trust. Instead of agonising about how to facilitate trust, a type of relationship which can leave those trusting vulnerable and exposed, we argue that efforts should be focused on the difficult and dynamic process of ensuring reliance underwritten by strong legal and regulatory frameworks. From there, trust could emerge but not merely as a means to an end. Instead, as something to work in practice towards; that is, the deserved result of an ongoing ethical relationship where there is the appropriate, enforceable and reliable regulatory infrastructure in place for problems, challenges and power asymmetries to be continuously accounted for and appropriately redressed.


Subject(s)
Artificial Intelligence , Medicine , Humans , Trust , Delivery of Health Care
3.
Death Stud ; 43(7): 407-413, 2019.
Article in English | MEDLINE | ID: mdl-31392937

ABSTRACT

This special issue entitled "Futures of Digital Death: Mobilities of Loss and Commemoration" explores the topic of digital death and how technologies are reconfigured by and reconfiguring social relationships with the deceased and dying loved ones as well as the larger ecosystem supporting such relationships. This Introduction article starts with an overview of the past research on digital death intended to provide a relevant context for the five papers included in this issue. Then, we reflect on how the current papers, or the present research, build on the past and can be used to address existing gaps and to inform future new research directions in order to move the field forward.


Subject(s)
Attitude to Death , Social Sciences/trends , Grief , Humans , Inventions , Technology , Thanatology
4.
HERD ; 4(4): 12-33, 2011.
Article in English | MEDLINE | ID: mdl-21960190

ABSTRACT

OBJECTIVE: To investigate the connections between, and respective contributions of, evidence-based and experience-based methods in the redesign of healthcare services. BACKGROUND: Evidence-based medicine (EBM) preceded (and inspired) the development of evidence-based design (EBD) for healthcare facilities. A key feature of debate around EBM has been the question of interpretation of the guidance by experienced clinicians, to achieve maximum efficacy for individual patients. This interpretation and translation of guidelines-avoiding a formulaic approach, allowing for divergent cultural and geographical exigencies, creating innovative, context-specific solutions-is the subject of this discussion, which examines the potential for integration of evidence-based and experience-based approaches in the development of creative solutions to healthcare services in England. This paper examines Practice-Based Commissioning (PBC) in England, which devolves responsibility for commissioning new services for patients to frontline clinicians, relying on their understanding of patient needs at the local level. METHODS: An 18-month project, funded by the Health and Care Infrastructure Research and Innovation Centre (HaCIRIC), examined PBC frameworks in England, investigating the impact of different models of governance on the development of service redesign proposals to answer the following questions: How do clinicians interpret the multiplicity of guidance from government agencies and translate this into knowledge that can be effectively used to redesign patient care pathways aligned with local healthcare priorities? How can understanding patient and staff "experiences" and key "touch points" of interaction with local healthcare services be used to provide a creative, customized solution to the design of healthcare services in a local, community-based framework?


Subject(s)
Evidence-Based Practice , Facility Design and Construction , England , Models, Theoretical , Public Sector , State Medicine
5.
Health Informatics J ; 13(1): 23-35, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17296616

ABSTRACT

Recent advances in medical imaging, information and communication technology promise to support medical visual practice as well as everyday healthcare experience. However, this potential is not easy to realize. A better understanding of existing practices can inform socio-technical innovation. We draw on ethnographic observations and our involvement in the design of 'palpable computing' to examine the use of ultrasound imaging technologies in consultations with pregnant women with a view to ideas and implications for socio-technical innovation.


Subject(s)
Nurse-Patient Relations , Ultrasonography, Prenatal/psychology , Anthropology, Cultural , Female , Humans , Nurses , Pregnancy
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