从“如果-那么”到“如果”?用后人类思辨伦理重新思考医疗算法。

IF 2.6 3区 医学 Q1 NURSING
Jamie Smith, Goda Klumbyte, Ren Loren Britton
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引用次数: 2

摘要

本文讨论了算法思维和管理在医疗保健中的作用,以及这可能造成的排斥。我们认为,循证医学依赖于研究和数据来为病人的旅程创造路径。再加上医疗保健领域基于数据的算法预测工具,他们建立了所谓的医疗保健算法——一种产生算法治理形式的医疗保健管理模式。基于关键的后人类主义观点,我们展示了医疗保健算法如何取决于对身体的权威产生的方式,以及预测性医疗保健算法如何再现它们所产生的世界的不平等,将可能的未来集中在通过算法生物权力调节的现有规范上。与此相反,我们探索后人类投机伦理,作为挑战医疗算法中“伦理”和“护理”理解的一种方式。我们提出了一些可能的途径,将投机伦理纳入医疗保健,同时仍然严格关注医疗保健管理和预测的算法模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From 'if-then' to 'what if?' Rethinking healthcare algorithmics with posthuman speculative ethics.

This article discusses the role that algorithmic thinking and management play in health care and the kind of exclusions this might create. We argue that evidence-based medicine relies on research and data to create pathways for patient journeys. Coupled with data-based algorithmic prediction tools in health care, they establish what could be called health care algorithmics-a mode of management of healthcare that produces forms of algorithmic governmentality. Relying on a critical posthumanist perspective, we show how healthcare algorithmics is contingent on the way authority over bodies is produced and how predictive health care algorithms can reproduce inequalities of the worlds from which they are made, centreing possible futures on existing normativities regulated through algorithmic biopower. In contrast to that, we explore posthuman speculative ethics as a way to challenge understanding of 'ethics' and 'care' in healthcare algorithmics. We suggest some possible avenues towards working speculative ethics into health care while still being critically attentive to algorithmic modes of management and prediction in health care.

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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
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