scholarly journals Enchanting, Evoking, and Affecting: The Invisible Work of Technology Implementation in Homecare

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’.

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):  
Lyudmila Kaspruk

When analyzing the historical and medical aspects of the organization of medical and social services for the elderly and senile people in Russia in the late XX — early XXI centuries not only obvious achievements in this sphere, but also a number of problems requiring solution were identified. The primary role in the delivery of medical care to geriatric patients is assigned to the primary health care sector. However the work of the geriatric service in the format of a single system for the provision of long-term medical and social care based on the continuity of patient management between differ- ent levels of the health care system and between the health and social protection services is not well organized. There is no clear coordination and interaction between health care and social protection institutions, functions of which include providing care to older citizens, and it significantly reduces the effectiveness of the provision of both medical and social services.


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

2010 ◽  
Vol 154-155 ◽  
pp. 417-420
Author(s):  
Di Cui ◽  
He Liang

The quenching process is a complex process, which involves quenching medium flow field, work piece temperature and stress field. In this paper, the 40Cr steel belt wheel is chosen for the sample of finite element method to simulate the quenching process. The temperature changes with time at any position in the work piece are directly reflected in the actual quenching process. The cooling curves of center and general surface are obtained after simulation. Combined with cooling curve of transformation of under cooled austenite, it is easy to predict whether the technological results meet the performance of organization, and conduct a security assessment of the work piece.


Author(s):  
Anmol Arora ◽  
Andrew Wright ◽  
Mark Cheng ◽  
Zahra Khwaja ◽  
Matthew Seah

AbstractHealthcare as an industry is recognised as one of the most innovative. Despite heavy regulation, there is substantial scope for new technologies and care models to not only boost patient outcomes but to do so at reduced cost to healthcare systems and consumers. Promoting innovation within national health systems such as the National Health Service (NHS) in the United Kingdom (UK) has been set as a key target for health care professionals and policy makers. However, while the UK has a world-class biomedical research industry, several reports in the last twenty years have highlighted the difficulties faced by the NHS in encouraging and adopting innovations, with the journey from idea to implementation of health technology often taking years and being very expensive, with a high failure rate. This has led to the establishment of several innovation pathways within and around the NHS, to encourage the invention, development and implementation of cost-effective technologies that improve health care delivery. These pathways span local, regional and national health infrastructure. They operate at different stages of the innovation pipeline, with their scope and work defined by location, technology area or industry sector, based on the specific problem identified when they were set up. In this introductory review, we outline each of the major innovation pathways operating at local, regional and national levels across the NHS, including their history, governance, operating procedures and areas of expertise. The extent to which innovation pathways address current challenges faced by innovators is discussed, as well as areas for improvement and future study.


2021 ◽  
Vol 29 (03) ◽  
pp. 183-206
Author(s):  
Sanna Joensuu-Salo ◽  
Emilia Kangas ◽  
Jutta Mäkipelkola

Developing new services is vital for a service-based company to succeed in the long run. This requires both innovation capability and understanding customer needs. Previous research has shown that if a firm wishes to develop an innovation superior to the competition, it must have both a strong technology orientation and a strong market orientation. The objective of this study was to examine the effect of market orientation and technology orientation on service innovation capability in SMEs operating in the field of social and health care. In addition, this study examined the obstacles to using digitalization and new technologies in service innovations. Mixed methods design was applied so both quantitative and qualitative data was used. The results from the quantitative part of this study show that both technology orientation and market orientation have a positive and statistically significant effect on service innovation capability in SMEs operating in the field of social and health care. Furthermore, market orientation is the most important variable in the model. The results from the qualitative element again show that some of the hindering factors of using digitalization and new technologies arise from practices and attitudes of social and health care actors but others arise from the digitalization and new technologies themselves.


1997 ◽  
Vol 23 (2-3) ◽  
pp. 319-337
Author(s):  
Loretta M. Kopelman ◽  
Michael G. Palumbo

What proportion of health care resources should go to programs likely to benefit older citizens, such as treatments for Alzheimer’s disease and hip replacements, and what share should be given to programs likely to benefit the young, such as prenatal and neonatal care? What portion should go to rare but severe diseases that plague the few, or to common, easily correctable illnesses that afflict the many? What percentage of funds should go to research, rehabilitation or to intensive care? Many nations have made such hard choices about how to use their limited funds for health care by explicitly setting priorities based on their social commitments. In the United States, however, allocation of health care resources has largely been left to personal choice and market forces. Although the United States spends around 14% of its gross national product (GNP) on health care, the United States and South Africa are the only two industrialized countries that fail to provide citizens with universal access.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Deborah J. Milly

PurposeThis article analyzes recent Japanese efforts to recruit care labor from seven Asian countries to identify the relative contributions to migrants and their respective countries' health systems. Besides considering the factors affecting migration from, and benefits to, sending countries, it asks how differences in the role of public and private actors may matter.Design/methodology/approachThe study uses two stages of analysis. The first uses quantitative and qualitative data for seven countries that send care labor migrants to Japan to identify differences in benefits for individual migrants and health care systems in the sending countries. The second stage examines recent initiatives for funding care worker training in Japan to assess the relative impacts of different public-private cooperative arrangements, especially in terms of Vietnam.FindingsIn addition to general migration policy mechanisms provided by the destination country, bilateral relationships and foreign assistance, along with economic, demographic and health care conditions in the origin countries, contribute to the relative benefits of migration. Among countries supplying care labor to Japan, Vietnam is obtaining the most benefits for its health care system in return.Originality/valueResponding to central concerns surrounding care labor migration, the article compares across countries sending care workers to a single country. The comparison highlights a constellation of factors that contribute the greatest benefits. The article identifies how different types of public and private relationships can influence this process. The study provides observations applicable to other welfare states developing care labor migration relationships.


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