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Rationalizing Medical Work: Decision-Support Techniques and Medical Practices by Marc Berg,

Our response to the skyrocketing cost university of utah medical and nonuniform delivery of medical care has been a call for the rationalizing of medical practice through decision-support techniques. These tools, which include protocols, decision analysis, university of utah medical and expert systems, have generated much debate. Advocates argue that they will make medical practice more rational, more uniform, university of utah medical and more efficient university of utah medical and that they will transform the "art" of medical work into a "science." Critics argue that formal tools cannot university of utah medical and should not supplant humans in most real-life tasks. Marc Berg takes the issues raised by advocates university of utah medical and critics as points of departure for investigation, rather than as positions to choose from. Drawing on insights university of utah medical and methodologies from science university of utah medical and technology studies, he attempts to understand what "rationalizing medical practices" means: what these tools do university of utah medical and how they work in concrete medical practices. Rather than take a stand for or against decision-support techniques, he shows how they transform medical practices university of utah medical and discusses what is gained university of utah medical and what is lost. Berg investigates how new discourses on medical work university of utah medical and its problems are linked to the development of decision-support tools. Studying the construction of several individual technologies, he looks at what medical work consists of university of utah medical and how the new technologies figure in university of utah medical and transform it. Although he focuses on decision-support techniques in the field of medicine, the issues he raises are relevant wherever rationalizing techniques are being debated or constructed. Touching upon broader issues of standardization, universality, localization, university of utah medical and the politics of technology, Berg addresses problems that are central to medical sociology, technology studies, university of utah medical and tool design.
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