INVESTIGATING POSSIBILITIES AND PROBABILITIES OF BIOMEDICALINFORMATICS (BMI): BEYOND BIOLOGY AND INFORMATION

informatics;medicine;Computer Science

Sappington, RodneyDas, Veena ;

Johns Hopkins University

关键词: informatics;    medicine;    Computer Science;   

Others  :  https://jscholarship.library.jhu.edu/bitstream/handle/1774.2/38021/SAPPINGTON-DISSERTATION-2014.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: JOHNS HOPKINS DSpace Repository

【 摘 要 】

My work focuses on how medicalized minds and bodies are refashioned through the concepts and technologies of Biomedical Informatics (BMI). I attempt to make visible objects of informatics that mark the human as a digital machine operating among and within computerized agencies, artificial intelligence, and what has been termed Big Data correlation. Specifically, the anthropological puzzle that I investigate focuses on the BMI imagination and its implicit and implemented effects upon doctors as operators, patients as sites, and informaticians as technicians of ;;new” medicine in a world of expanding computerized data that shifts and refashions the human care encounter.I argue that the contemporary of BMI has a far wider organizing effect upon healthcare and medicalized bodies than previous aspirations based on computer technology as mere tools in medicine. Through a rapid development and deployment of intelligent databases and computerized networks, BMI is currently restructuring modes of clinical care. As a set of scientific practices, it is reconstituting earlier medical informatics of the 1970s, 1980’s, 1990’s and pushing these modes of care in different directions. Such restructurings come in contact with non-human operations of medico-scientific systems of knowledge and through programmable expressions that impinge upon doctors’ deliberations through everyday encounters with patients.I approach these puzzles and clinical experiences through the figure of an informatics body that frames emergent arrangements of computerized algorithms, organization, disease, genomics, and therapeutic order. As an informatics body, the human falls under questions embedded in this deeper convergence of medical digitalization. Complex computerizations and algorithmic forms that are designed to bring clinical improvement are giving rise to unanticipated effects that are refashioning the body of the patient and the mind of the physician in ways that have been under-examined. In futures of biomedicine that I investigate, an informatics-based medicine, the figure of the human in the continuum of care is constantly being reengineered and redeployed. Throughout my investigation I ask What acts, human and non-human, possess the possibility of therapeutic improvement and can bring other things to life that do not originate in current therapeutic order? I suggest that systems of machine agency that are targeting and monitoring for disease and health are reconstituting who and what has access to care, as well as access to decision agency among intelligent and computerized care data.