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A Framework for Future Studies of Personalised Medicine: Affordance, Travelling, and Governance of Expertise

Chapter in book
Authors Morten Sager
Fredrik Bragesjö
Aant Elzinga
Published in Emerging Health Technology: Relocation of Innovative Visual Knowledge and Expertise / edited by Kristian Wasen
Pages 101-124
ISBN 978-3-642-32569-4
Publisher Springer
Place of publication Berlin Heidelberg
Publication year 2012
Published at Department of Philosophy, Linguistics and Theory of Science
Pages 101-124
Language en
Links dx.doi.org/10.1007%2F978-3-642-3257...
Keywords Evidence-based medicine, Personalised medicine, Affordance, Governance, Expertise, Telemedicine
Subject categories Philosophy, Theory of science

Abstract

Through individualised genomic knowledge and the digital tools of telemedicine, personalised treatments may be able to solve the “irresolvable” conflict between the evidence-based and person-centred medicine movements. The aim of this chapter is to offer a framework for future work concerning these developments. As indispensable human elements are often rendered invisible with these technologies, expertise is critical. Furthermore, it is important to consider the unpredictable and transformative effects of materialities and, consequently, how expertise travels. The pursuit of analytical work without acceptance of the general and often abstract polarisation between evidence and persons in internal medical debates requires acknowledgement of both the distribution of expertise and influence (e.g., the governance of expertise). Finally, hybrids of humans and non-humans are ubiquitous but require scrutiny. That is, the affordance of technologies that embody, enclose and translate expertise in new forms has reconfiguring effects on the roles of experts and physician-patient relationships

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