Les défis que soulève l’informatisation de la pratique médicale sur le plan de l'innovation technologique
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Résumé : Dans cet article, nous explorons les multiples défis soulevés par l’informatisation du travail médical à partir de la problématique de la mise en place du virage ambulatoire dans le secteur de la santé. Nous montrons que le processus d’innovation technologique au sein des organisations de soins repose trop souvent sur une logique technico-économique, sous-estimant le rôle du professionnel de la santé en tant que porteur de pratiques. Nous mettons l’accent sur l’idée, forte, qu’il y a nécessité pour ces organisations de repenser le processus d’innovation technologique en intégrant une logique médico-intégrative fondée sur un modèle organisationnel de collaboration entre des sujets aux domaines d’expertise complémentaires (professionnels de la santé, gestionnaires, administrateurs, promoteurs de nouvelles technologies, ingénieurs et informaticiens, etc.), c’est-à-dire un modèle qui permet d’aller à la rencontre de « l’usager réel » et qui ne se limite pas à penser un « usager modèle ». D’où le modèle intégratif sur lequel nous insistons, qui repose à la fois sur le rôle central des professionnels de la santé dans le processus d’innovation technologique comme experts de leur quotidienneté et sur la prise en compte des enjeux technologiques et économiques auxquels sont confrontées les organisations de soins. Finalement, nous posons la nécessité de repenser la communication dans les organisations de soins. Abstract: In this article, based on the problem of the shift to outpatient care in the healthcare sector, we explore the multiple challenges raised by the computerization of medical work. We show how the process of technological innovation within health organizations too often rests on a technical-economic logic, thereby underestimating the role of health practitioners as the ones who communicate practices. We focus on the idea that it is necessary for these organizations to rethink the process of technological innovation by integrating a medical-integrative logic based on an organization model of collaboration between subjects from different areas of expertise (health professionals, managers, administrators, promoters of new technologies, engineers and computer experts, etc.), that is to say, a model that reaches out to the “real user” and that is not limited to picturing a “model user”. This is why we insist on an integrative model, which is based on health professionals as experts of their daily work, playing a central role in the process of technological innovation as well as on the consideration of the technological and economic processes that health organizations are confronted with. Ultimately, we propose that it is necessary to rethink communication between health care organizations.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.030 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it