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首页> 外文期刊>Computer supported cooperative work >The Virtual Clinic: Two-sided Affordances in Consultation Practice
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The Virtual Clinic: Two-sided Affordances in Consultation Practice

机译：虚拟诊所：咨询实践中的两面性

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Telecare has the potential to increase the quality of care while also decreasing costs. However, despite great potential, efficiency in care practices and cost reduction remain hypothetical. Within computer supported cooperative work (CSCW), one focus of telecare research has been on awareness support in distributed real-time communication in comparison to physical meetings since face-to-face consultations have been known as the "gold standard" of conducting care. Research has shown that it is hard to maintain qualities such as awareness through video-mediated meetings. In this research, the goal has not been to mimic the qualities of face-to-face consultations but rather to document the qualities of three types of patient meetings (consultations) and to understand in what kinds of situations each consultation type is a viable option. In this paper, we focus on the essential qualities of i) face-to-face consultations, ii) video-based consultations, and iii) telephone consultations and shed light on their affordances. The research contribution includes an extension of the affordance lens to incorporate socio-technical, two-sided affordances, that constitute important aspects for understanding complexity when heterogeneous actors co-existing in a practice, where affordances can differ for different "sides" in the complex practice-a view that is fruitful when dealing with heterogeneous actors and a set of analog and digital tools in a practice.
机译：Telecare有潜力在提高医疗质量的同时降低成本。然而，尽管潜力巨大，但护理实践的效率和成本降低仍然是假设的。在计算机支持的合作工作（CSCW）中，与面对面的会议相比，远程护理研究的重点之一是在分布式实时通信中的意识支持，因为面对面的咨询被称为进行行为的“黄金标准”关心。研究表明，通过视频会议来维持意识等品质是很困难的。在本研究中，目标不是模仿面对面咨询的质量，而是记录三种类型的患者会议（咨询）的质量，并了解每种咨询类型在哪种情况下是可行的选择。 。在本文中，我们着重于以下方面的基本素质：i）面对面的咨询，ii）基于视频的咨询和iii）电话咨询，并阐明了他们的负担能力。该研究的贡献包括提供能力的扩展，以纳入社会技术，两方面的能力，这构成了理解异质参与者在实践中并存时的复杂性的重要方面，在这种情况下，能力对于不同的“方面”可能有所不同。复杂实践-在实践中与异类参与者和一组模拟和数字工具打交道时很有用的观点。

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