Thursday, November 7, 2019

Questions (more) about medical records coming out of Berg & Bowker

How did the medical record come to mediate its _______ ?


What domain(s) are our focus?  The clinical setting.  Hospital.  Insurance setting (health, life, malpractice?).  Research setting.  Legal setting (e.g.,, malpractice). Educational.  Governmental. Economics.  Public health.


Who is our focus?  What kinds of subjects Patients Professionals.


How do the records set up terrains of inequality?  E.g., between doctors and nurses, or between differently-gendered patients, or other differently-classed patients? access inequality. legal accountabilities.


When is our focus?  Early modern? 19th century (esp. professionalization).  Early twentieth-century?  Post-war period?  Late-20th century?


Which is our primary category of analysis (just to start)?  Power KnowledgeSubjectivity?


                  Falling out of the above.... we might get our object of inquiry.


Specific objects of inquiry (what technologies/techno-practices?): early standardized medical records (when?); medical records textbooks (when were the first ones written?); insurance company reports?; legal documents (public case records)

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