医疗实践中的无知

A. Sendra, Sinikka Torkkola, Jaana Parviainen
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引用次数: 0

摘要

社交媒体改变了人们应对疾病的方式。虽然许多患者越来越多地使用这些在线平台来了解有关其病情的具体信息,但医疗保健专业人员通常将这些做法视为负面的,并且不考虑患者通过社交媒体产生的专业知识。通过结合社会认识论和无知研究的见解,本文从不同的角度提出了患者和医疗保健专业人员对社交媒体的不同理解的问题。研究共提出了四个观点:(1)医疗保健专业人员将来自患者社交媒体实践的具身知识视为不舒服的知识;(2)面对这些网络平台创造的具身知识,医护人员会采取多种行为来维护自己的权威和权力;(3)不考虑具身知识不仅会对患者与医护人员之间的信任产生影响,还会与认识论民粹主义和向以患者为中心的护理过渡有关;(4)媒体和数字健康素养可以帮助医疗保健专业人员加强在医疗保健中使用社交媒体。采用该框架不仅可以为医疗保健专业人员如何管理患者的社交媒体实践提供有价值的见解,还可以为改善医疗保健数字化开辟新的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Non-knowledge in Medical Practices
Social media has transformed how individuals handle their illnesses. While many patients increasingly use these online platforms to understand embodied information surrounding their conditions, healthcare professionals often frame these practices as negative and do not consider the expertise that patients generate through social media. Through a combination of insights from social epistemology and ignorance studies, this paper problematizes the distinctive understandings of social media between patients and healthcare professionals from a different perspective. A total of four ideas are introduced: (1) healthcare professionals see embodied knowledge that arises from patients’ social media practices as uncomfortable knowledge; (2) healthcare professionals engage in several behaviours to preserve their authority and power in front of embodied knowledge created through these online platforms; (3) failing to consider embodied knowledge can have consequences not only in terms of trust between patients and healthcare professionals but also in connection with epistemological populism and the transition towards patient-centred care; and (4) media and digital health literacy could help healthcare professionals enhance the uses of social media in healthcare. Adopting this framework allows not only to offer valuable insights into how healthcare professionals manage patients’ social media practices, but also opens new avenues to improve healthcare digitisation.
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