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ERIC Number: ED421710
Record Type: Non-Journal
Publication Date: 1998-Apr
Pages: 10
Abstractor: N/A
Reference Count: N/A
ISBN: N/A
ISSN: N/A
Technological Change and the Material Conditions of the Literate Practice of Medicine.
Dutcher, Violet A.
A study, to support the need for exploratory research, was designed to elicit a description of the medical chart located in its setting--the chart was looked "through" as a tool (as a means to an end to effect particular medical goals) and looked "at" itself as technology. This could provide a way to understand the relationship between the practice and the process of writing and material tools, a way to understand the relationship between the practice and the process of writing and technology. Data were collected from a medical college in the midwest with a multi-disciplinary work site associated with 16 hospitals. Features of the chart as a tool came directly from the sample chart in the student manual; 13 features, their descriptions, and instructions to predoctoral students enabled the identification of distinctive characteristics that make the medical chart a unique tool. Methodology for examination of the chart as technology involved listing its systemic complexities: its actions, uses, objects, participants, and goals. A complex array of issues involving knowledge control, textual production, and the jurisdiction of social disease accompanies the person to person interaction at the site--the technologizing of literacy. Moreover, the medical goal of providing optimum health care is not separated from the writing of this health care. Thus, the chart takes on a given shape not only because of standardization and specified, systematized procedures but also because it is tied to humans and their choices informed by ideological, political, economical, and ethical concerns. (NKA)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A