digital health

Can I Get a Witness? The Limits of Evidence in Healthcare Quality Evaluation Systems in American Hospitals

LINDSAY FERRIS Ad Hoc, LLC DR. NICHOLE CARELOCK Ad Hoc, LLC “I got verbals, but verbals don’t hold up in court….I need it in black and white.” After Sheila submits hospital quality data to the Center for Medicaid and Medicare Services (CMS), reports indicate that her data hasn’t been received. She makes countless calls to the CMS Help Desk to get answers. They reassure her numerous times that they have her data, yet Sheila is insistent that she needs to see the change explicitly stated in the report. Sheila makes it her personal crusade to obtain material evidence because only written testimony will prove that her data has been submitted successfully and protect her facility from CMS penalties. At a time when we are becoming increasingly reliant on data and technology as the ultimate bearers of truth, Sheila exemplifies how people become stewards of evidence in service to these technical systems. As she moves her facilities’ data through CMS’ error-ridden reporting system, the burden of proof is on her to provide the...

Taking Sides in E-cigarette Research

RACHELLE ANNECHINO Critical Public Health Research Group, Prevention Research Center TAMAR ANTIN Critical Public Health Research Group, Prevention Research Center In the last ten years, an eclectic mix of electronic nicotine delivery products (‘e-cigarettes’) and practices have proliferated in the US with little restriction, producing a vast array of vaping mechanisms, flavors, and styles. At the same time, anti-tobacco movements have targeted e-cigarettes as a threat to public health and advocated for restricting e-cigarettes in much the same way as conventional cigarettes. While anti-vaping proponents associated with public health movements have typically regarded e-cigarettes as primarily harmful products that should be suppressed, vaping advocates regard e-cigarettes as harm reduction products that should be readily accessible to smokers. Distrust between these two warring “sides” animates the controversy over e-cigarettes. In our role as researchers conducting a qualitative study on e-cigarette use, we encountered...

“Hey, the water cooler sent you a joke!”: ‘Smart’, Pervasive and Persuasive Ethnography

by NIMMI RANGASWAMY, SAURABH SRIVASTAVA, TEJASVIN SRINIVASAN & PRIYANKA SHARMA (Xerox Research Centre, Bengaluru, India) Article 6 in the series Data, Design and Civics: Ethnographic Perspectives How must we conjure up smart spaces? ‘Smart city’ has become an over-indulged urban metaphor, whipping up an apparition of dispersed, highly networked and interconnected socio-economic, infrastructural and communication nodes. The smart city narrative seems to dwell on the idea of cites as ‘receptacles for technology’—and qualitative transformations are brought about by the application of technologies. Even after decades of research to the contrary, we still tell ourselves stories about the inevitable march of technology and its deterministic effect on culture and behavior. But aren’t cities also places that give birth to technologies? As researchers we are drawn to the miraculous nature of technology to sense, track and quantify not only human use of infrastructure but also the human ‘self’. We are working to...