scholarly journals The Invisible Work of Being a Patient and Implications for Health Care: “[the doctor is] my business partner in the most important business in my life, staying alive.”

Author(s):  
KENTON T. UNRUH ◽  
WANDA PRATT
Author(s):  
Lieke Oldenhof ◽  
Jeroen Postma ◽  
Roland Bal

This chapter explores the meaning of place for health care governance. Although place is gaining importance in public health studies, it remains under theorized as an analytical concept. As a consequence, place is merely viewed as a context variable or a neutral backdrop for policymaking. This chapter provides a more dynamic reconceptualization of place by looking at the activity of replacing as a means to govern health care. Three different cases of re-placement of care are discussed that show how re-placements work out in practice: e-health, concentration of hospital care and neighbourhood care. The cases reveal not only the invisible work that is necessary to establish and maintain re-placements, but also demonstrate the political and symbolic uses of place for health care governance.


Author(s):  
Marie Ertner

New technologies are implemented in health care with the promises of replacing care work, but implementing technology into care also requires a lot of work. On the basis of ethnographic field- work in a Danish homecare unit, this paper explores a phenomenon increasingly pervading the work of health care personnel in the Nordic countries and other welfare states around the world; the implementation of technology in health and elder care.The paper asks what work is involved in making new technologies enter health and elder care. Drawing on STS research on technology implementation, the paper analyses the invisible work of technology implementation, a complex process that involves skilled affective, symbolic, and evocative practices such as enchanting, affect- ing, and evoking certain imaginaries and beliefs.What is being implemented along these processes, the paper argues is not only technology, but also new municipal and home care workers reconfig- ured as ‘implementation agents’, and ‘digital older citizens’.


2021 ◽  
pp. 1-17
Author(s):  
Ana María Rio Poncela ◽  
L. Romero Gutierrez ◽  
D. D. Bermúdez ◽  
M. Estellés

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 341-345
Author(s):  
Hosana Ferreira Rates ◽  
Ricardo Bezerra Cavalcante ◽  
Regina Consolação dos Santos ◽  
Marilia Alves

ABSTRACT Objective: to reflect on the everyday life in nursing work based on Michel de Certeau's theorization. Results: everyday life in nursing work is permeated by tactics of subjects who practice the place. Their movements escape standards, protocols and rules, re-signifying the cultural system defined beforehand. There is a practice proper to professionals who (re)invent the care based on their intentions and pressures. Patients/users also move, create their own itinerary and, similarly to professionals, use strategies to achieve specific results in the therapeutic process. Conclusion: to think on the everyday life in nursing work as an object of research requires to consider the care (re)invention in every act in health care. We need to dive into the invisible dimension of the uncontrollable tactics of subjects that re-signify the social system.


2017 ◽  
Vol 55 (9) ◽  
pp. 2583-2589 ◽  
Author(s):  
Peter H. Gilligan

ABSTRACT The “invisible army” of clinical microbiologists is facing major changes and challenges. The rate of change in both the science and technology is accelerating with no end in sight, putting pressure on our army to learn and adapt as never before. Health care funding in the United States is undergoing dramatic change which will require a new set of assumptions about how clinical microbiology is practiced here. A major challenge facing the discipline is the replacement of a generation of clinical microbiologists. In my opinion, it is incumbent on us in the invisible army to continue to work with the American Society for Microbiology (ASM) in meeting the future challenges faced by our discipline. In this commentary, I will first discuss some recent history of clinical microbiology within ASM and then some current challenges we face.


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