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Resisting and promoting new technologies in clinical practice: the case of telepsychiatry

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  • May, Carl
  • Gask, Linda
  • Atkinson, Theresa
  • Ellis, Nicola
  • Mair, Frances
  • Esmail, Aneez

Abstract

New telecommunications technologies promise to profoundly change the spatial and temporal relationship between health professional and patient. This paper reports results from an ethnographic study of the introduction of a videophone or 'telemedicine' system intended to facilitate faster and more convenient referral of patients with anxiety and depression in primary care, to a community mental health team. We explore the reasons for contest over the telemedicine system in practice, contrasting professionals' critique of the technology in play with a more fundamental problem: the extent to which the telecommunications system threatened deeply embedded professional constructs about the nature and practice of therapeutic relationships.

Suggested Citation

  • May, Carl & Gask, Linda & Atkinson, Theresa & Ellis, Nicola & Mair, Frances & Esmail, Aneez, 2001. "Resisting and promoting new technologies in clinical practice: the case of telepsychiatry," Social Science & Medicine, Elsevier, vol. 52(12), pages 1889-1901, June.
  • Handle: RePEc:eee:socmed:v:52:y:2001:i:12:p:1889-1901
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    Citations

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    Cited by:

    1. Andreassen, Hege K. & Dyb, Kari & May, Carl R. & Pope, Catherine J. & Warth, Line L., 2018. "Digitized patient–provider interaction: How does it matter? A qualitative meta-synthesis," Social Science & Medicine, Elsevier, vol. 215(C), pages 36-44.
    2. May, Carl & Finch, Tracy & Mair, Frances & Mort, Maggie, 2005. "Towards a wireless patient: Chronic illness, scarce care and technological innovation in the United Kingdom," Social Science & Medicine, Elsevier, vol. 61(7), pages 1485-1494, October.
    3. MacFarlane, Anne & Murphy, Andrew William & Clerkin, Pauline, 2006. "Telemedicine services in the Republic of Ireland: An evolving policy context," Health Policy, Elsevier, vol. 76(3), pages 245-258, May.
    4. Hedgecoe, Adam, 2005. "'At the point at which you can do something about it, then it becomes more relevant': Informed consent in the pharmacogenetic clinic," Social Science & Medicine, Elsevier, vol. 61(6), pages 1201-1210, September.
    5. Na-Kyoung Hwang & Sun-Hwa Shim & Hye-Won Cheon, 2022. "Use of Information and Communication Technology by South Korean Occupational Therapists Working in Hospitals: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    6. Kate Lyle, 2021. "Interventional STS: A Framework for Developing Workable Technologies," Sociological Research Online, , vol. 26(2), pages 410-426, June.
    7. Carboni, Chiara & Wehrens, Rik & van der Veen, Romke & de Bont, Antoinette, 2022. "Conceptualizing the digitalization of healthcare work: A metaphor-based Critical Interpretive Synthesis," Social Science & Medicine, Elsevier, vol. 292(C).
    8. Williams, Tracy & May, Carl & Mair, Frances & Mort, Maggie & Gask, Linda, 2003. "Normative models of health technology assessment and the social production of evidence about telehealth care," Health Policy, Elsevier, vol. 64(1), pages 39-54, April.
    9. Joanna L Hudson & Peter Bower & Evangelos Kontopantelis & Penny Bee & Janine Archer & Rose Clarke & Andrew S Moriarty & David A Richards & Simon Gilbody & Karina Lovell & Chris Dickens & Linda Gask & , 2019. "Impact of telephone delivered case-management on the effectiveness of collaborative care for depression and anti-depressant use: A systematic review and meta-regression," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-17, June.
    10. Ahmadi, Hossein & Nilashi, Mehrbakhsh & Shahmoradi, Leila & Ibrahim, Othman & Sadoughi, Farahnaz & Alizadeh, Mojtaba & Alizadeh, Azar, 2018. "The moderating effect of hospital size on inter and intra-organizational factors of Hospital Information System adoption," Technological Forecasting and Social Change, Elsevier, vol. 134(C), pages 124-149.
    11. Nicolini, Davide, 2006. "The work to make telemedicine work: A social and articulative view," Social Science & Medicine, Elsevier, vol. 62(11), pages 2754-2767, June.
    12. Jannie Kristine Bang Christensen, 2018. "The Emergence and Unfolding of Telemonitoring Practices in Different Healthcare Organizations," IJERPH, MDPI, vol. 15(1), pages 1-16, January.
    13. Bee, Penny Elizabeth & Lovell, Karina & Lidbetter, Nicola & Easton, Katherine & Gask, Linda, 2010. "You can't get anything perfect: "User perspectives on the delivery of cognitive behavioural therapy by telephone"," Social Science & Medicine, Elsevier, vol. 71(7), pages 1308-1315, October.

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