scholarly journals Seeing the value of experiential knowledge through COVID-19

2021 ◽  
Vol 43 (3) ◽  
Author(s):  
Sarah Atkinson ◽  
Hannah Bradby ◽  
Mariacarla Gadebusch Bondio ◽  
Anna Hallberg ◽  
Jane Macnaugthon ◽  
...  
Keyword(s):  
Social Conflict ◽  
Medical Knowledge ◽  
Experiential Knowledge ◽  
Knowledge Practices ◽  
Conspiracy Beliefs

AbstractSeeing the entwinement of social and epistemic challenges through COVID, we discuss the perils of simplistic appeals to ‘follow the science’. A hardened scientism risks excarbating social conflict and fueling conspiracy beliefs. Instead, we see an opportunity to devise more inclusive medical knowledge practices through endorsing experiential knowledge alongside traditional evidence types.

scholarly journals Diversiteit en complexiteit van kennis in zorginteracties

2021 ◽  
Vol 43 (2) ◽  
pp. 83-94
Author(s):  
Jana Declercq ◽  
Tessa van Charldorp ◽  
Mike Huiskes
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Knowledge ◽  
Experiential Knowledge ◽  
The Other ◽  
Future Research ◽  
Shared Decision ◽  
Care Providers ◽  
Special Issue ◽  
Complex Matter

Abstract The empirical papers in this special issue show that how knowledge is made relevant and negotiated in interaction is a complex matter. Traditionally, research on knowledge conceptualizes knowledge as being distributed across patients and health care providers, who respectively have access to experiential knowledge and medical knowledge of illness. In this view, both forms of knowledge then need to be transferred from one party to the other. However, our contributions show that interactions are more complex in many ways. First of all, there are more actors involved in medical interaction, such as translators and family members, who each uniquely contribute to what knowledge is constructed and how. Secondly, the forms and domains of knowledge cannot be reduced to medical and experiential knowledge, but for instance also concern knowledge on how health care interactions are structured. Thirdly, knowledge is not only about informing the other party in interaction but is for instance also used to account for decisions or to seek alignment. In this contribution we explore how these insights can inform future research and how it can help deepen our understanding of patient centredness and shared decision making in health care communication.

3D printing objects as knowledge artifacts for a do-it-yourself approach in clinical practice

2018 ◽  
Vol 52 (1) ◽  
pp. 163-186 ◽  
Author(s):  
Federico Cabitza ◽  
Angela Locoro ◽  
Aurelio Ravarini
Keyword(s):  
3D Printing ◽  
User Study ◽  
Medical Knowledge ◽  
Patient Specific ◽  
Free Text ◽  
Content Type ◽  
Knowledge Practices ◽  
Custom Made ◽  
Do It Yourself ◽  
The Impact

Purpose The purpose of this paper is to investigate the phenomenon of the digital do-it-yourself (DiDIY) in the medical domain. In particular, the main contribution of the paper is the analysis and discussion of a questionnaire-based user study focused on 3D printing (3DP) technology, which was conducted among clinicians of one of the most important research hospital group in Lombardy, Italy. Design/methodology/approach A general reflection on the notion of knowledge artifacts (KAs) and on the use of 3DP in medicine is followed by the research questions and by a more detailed analysis of the specialist literature on the usage of 3DP technology for diagnostic, training and surgical planning activities for clinicians and patients. The questionnaire-based user study design is then emerging from the conceptual framework for DiDIY in healthcare. To help focus on the main actors and assets composing the 3DP innovation roles in healthcare, the authors model: the DiDIY-er as the main initiator of the practice innovation; the available technology allowing the envisioning of new practices; the specific activities gaining benefits from the innovative techniques introduced; and the knowledge community continuously supporting and evolving knowledge practices. Findings The authors discuss the results of the user study in the light of the four main components of our DiDIY framework and on the notion of KA. There are differences between high expertise, or senior, medical doctors (MDs) and relatively lower expertise MDs, or younger MDs, regarding the willing to acquire 3DP competences; those who have seen other colleagues using 3DP are significantly more in favor of 3DP adoption in medical practices, and those who wish to acquire 3DP competence and do-by-themselves are significantly more interested in the making of custom-made patient-specific tools, such as cutting guides and templates; there are many recurrent themes regarding how 3DP usage and application may improve medical practice. In each of the free-text questions, there were comments regarding the impact of 3DP on medical knowledge practices, such as surgical rehearsal, surgery, pathology comprehension, patient-physician communication and teaching. Originality/value The 3DP adoption in healthcare is seen favorably and advocated by most of the respondents. In this domain, 3DP objects can be considered KAs legitimately. They can support knowledgeable practices, promote knowledge sharing and circulation in the healthcare community, as well as contribute to their improvement by the introduction of a new DiDIY mindset in the everyday work of MDs.

Social Conflict—Through a Lens Darkly

1974 ◽  
Vol 19 (4) ◽  
pp. 306-307
Author(s):  
DONALD ELMAN
Keyword(s):  
Social Conflict

Care, Labor and Medical Knowledge: Access to Health and Work in the Global Arena

2010 ◽  
Author(s):  
Sunil Khanna ◽  
Suzanne Morrissey ◽  
Amarah Niazi ◽  
Mirabelle Fernandes-Paul ◽  
Michele Gamburd ◽  
...  
Keyword(s):  
Medical Knowledge ◽  
Access To Health ◽  
Care Labor ◽  
Global Arena ◽  
Knowledge Access

The Separation of Reviewing Knowledge from Medical Knowledge

1995 ◽  
Vol 34 (01/02) ◽  
pp. 131-139 ◽  
Author(s):  
M. A. Musen ◽  
J. van der Lei
Keyword(s):  
Medical Knowledge ◽  
Patient Record ◽  
Patient Records ◽  
Computer Based ◽  
New Challenges ◽  
Arden Syntax

Abstract:The developers of reviewing systems that rely on computer-based patient-record systems as a source of data need to model reviewing knowledge and medical knowledge. We simulate how the same medical knowledge could be entered in four different systems: CARE, the Arden syntax, Essential-attending and HyperCritic. We subsequently analyze how the original knowledge is represented in the symbols or syntax used by these systems. We conclude that these systems provide different alternatives in dealing with the vocabulary provided by the computer-based patient records. In addition, the use of computer-based patient records for review poses new challenges for the content of that record: to facilitate review, the reasoning of the physician needs to be captured in addition to the actions of the physician.

Methodology of ECG Interpretation in the Padova Program

1990 ◽  
Vol 29 (04) ◽  
pp. 386-392 ◽  
Author(s):  
R. Degani ◽  
G. Bortolan
Keyword(s):  
Decision Making ◽  
Medical School ◽  
Fuzzy Set ◽  
Medical Knowledge ◽  
Main Aspect ◽  
Measurement Evaluation ◽  
Possibility Distributions ◽  
Linguistic Decision Making ◽  
The University ◽  
Ecg Interpretation

AbstractThe main lines ofthe program designed for the interpretation of ECGs, developed in Padova by LADSEB-CNR with the cooperation of the Medical School of the University of Padova are described. In particular, the strategies used for (i) morphology recognition, (ii) measurement evaluation, and (iii) linguistic decision making are illustrated. The main aspect which discerns this program in comparison with other approaches to computerized electrocardiography is its ability of managing the imprecision in both the measurements and the medical knowledge through the use of fuzzy-set methodologies. So-called possibility distributions are used to represent ill-defined parameters as well as threshold limits for diagnostic criteria. In this way, smooth conclusions are derived when the evidence does not support a crisp decision. The influence of the CSE project on the evolution of the Padova program is illustrated.

Sign in / Sign up

Export Citation Format

Share Document