我的时间、你的时间、我们的时间。老年患者和全科医生对电子邮件咨询的时间敏感性。

IF 2.5 2区 医学 Q2 HEALTH POLICY & SERVICES Health Sociology Review Pub Date : 2024-03-01 Epub Date: 2024-02-22 DOI:10.1080/14461242.2024.2316742
Anette Grønning, Line Maria Simonsen, Elle C Lüchau, Elisabeth Assing Hvidt, Maja Klausen
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引用次数: 0

摘要

在本研究中,我们讨论了全科医生的电子邮件咨询如何作为一种时间技术,改变工作条件以及全科医生与患者之间的权力关系。我们借鉴了丹麦的经验材料,对 65 岁以上的患者进行了 68 次半结构式访谈,并与 17 名全科医生进行了两次焦点小组讨论。我们的理论出发点主要源于媒体理论家莎拉-夏尔马(Sarah Sharma,2014 年)的 "权力时序图"(power-chronography)概念,该概念描述了权力是如何嵌入时间关系和日常生活中的;其次,我们还借鉴了社会学家朱迪-瓦伊克曼(Judy Wajcman,2015 年)的 "多重时间景观"(multiple temporal landscapes)概念。患者和全科医生根据他们对对方时间的期望和想法,校准自己的时间,调整彼此的时间。患者和全科医生都可以被视为 "时间工作者",而电子邮件咨询则是一种数字技术,它促进了一个人的时间与另一个人的时间之间的重新调整,这需要大量的劳动。电子邮件问诊重新安排了全科医生与病人之间的界限,从而改变了权力关系。医疗机构应该考虑数字系统 "节省 "了谁的时间和劳动。
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My time, your time, our time. Older patients' and GPs' time sensibilities around email consultations.

In this study, we discuss how email consultations in general practice operate as a temporal technology, transforming working conditions and power relations between general practitioners (GPs) and patients. We draw on empirical material from Denmark in the form of a set of semi-structured interviews with 53 patients and 15 GPs, including two focus group discussions with 17 GPs. Our theoretical point of departure stems primarily from media theorist Sarah Sharma's (2014) concept of power-chronography, which describes how power is embedded in temporal relations and everyday life and secondarily from sociologist, Judy Wajcman's (2015) concept of multiple temporal landscapes. Patients and GPs calibrate their own time and attune their mutual time according to their expectations and ideas about the other party's time. The patient and the GP can both be viewed as 'time workers' and the email consultation as a digital technology fostering the recalibration of one person's time to that of another, requiring significant labour. The email consultation rearranges the GP-patient boundaries and thereby the power relations. Health institutions ought to consider whose time and labour is being 'saved' with digital systems.

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来源期刊
CiteScore
7.50
自引率
0.00%
发文量
14
期刊介绍: An international, scholarly peer-reviewed journal, Health Sociology Review explores the contribution of sociology and sociological research methods to understanding health and illness; to health policy, promotion and practice; and to equity, social justice, social policy and social work. Health Sociology Review is published in association with The Australian Sociological Association (TASA) under the editorship of Eileen Willis. Health Sociology Review publishes original theoretical and research articles, literature reviews, special issues, symposia, commentaries and book reviews.
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