How do development and use of new technology relate? How can
users contribute to innovation? This volume is the first to study
these questions by following particular technologies over several
product launches in detail. It examines the emergence of inventive
ideas about future technology and uses, how these are developed
into products and embedded in health care practices, and how the
form and impact of these technologies then evolves through several
rounds of design and deployment across different types of
organizations.
Examining these processes through three case studies of health
care innovations, these studies reveal a blind spot in extant
research on development-use relations. The majority of studies have
examined shorter 'episodes' moments within particular design
projects, implementation processes, usability evaluations, and
human-machine interactions. Studies with longer time-frames have
resorted to a relatively coarse 'grain-size' of analysis and hence
lost sight of how the interchange is actually done. As a result
there are no social science, information systems, or management
texts which comprehensively or adequately address:
how different moments, sites and modes of shaping new technology
determine the evolution of new technology;
the detailed mechanisms of learning, interaction, and domination
between different actors and technology during these drawn out
processes; and
the relationship of technology projects and the professional
practices and social imaginations that are associated in technology
development, evaluation, and usage.
The "biographies of technologies and practices" approach to new
technology advanced in this volume offers us urgent new insight to
core empirical and theoretical questions about how and where
development projects gain their representations of future use and
users, how usage is actually designed, how users' requests and
modifications affect designs, and what kind of learning takes place
between developers and users in different phases of innovation-all
crucial to our understanding and ability to advance new health
technology, and innovation more generally.
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