Telecare has the potential to increase the quality of care while also decreasing costs. However, despite great potential, efficiency in care practices and cost reduction remain hypothetical. Within computer supported cooperative work (CSCW), one focus of telecare research has been on awareness support in distributed real-time communication in comparison to physical meetings since face-to-face consultations have been known as the “gold standard” of conducting care. Research has shown that it is hard to maintain qualities such as awareness through video-mediated meetings. In this research, the goal has not been to mimic the qualities of face-to-face consultations but rather to document the qualities of three types of patient meetings (consultations) and to understand in what kinds of situations each consultation type is a viable option. In this paper, we focus on the essential qualities of i) face-to-face consultations, ii) video-based consultations, and iii) telephone consultations and shed light on their affordances. The research contribution includes an extension of the affordance lens to incorporate socio-technical, two-sided affordances, that constitute important aspects for understanding complexity when heterogeneous actors co-existing in a practice, where affordances can differ for different “sides” in the complex practice—a view that is fruitful when dealing with heterogeneous actors and a set of analog and digital tools in a practice.

中文翻译：

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虚拟诊所：咨询实践中的两面性

Telecare有潜力在提高医疗质量的同时降低成本。然而，尽管潜力巨大，但护理实践的效率和成本降低仍然是假设的。在计算机支持的合作工作（CSCW）中，与面对面的会议相比，远程护理研究的重点是分布式实时通信中的意识支持，因为面对面的咨询被称为进行护理的“黄金标准”。研究表明，通过视频会议来保持意识等品质是很困难的。在本研究中，目标不是模仿面对面咨询的质量，而是记录三种类型的患者会议（咨询）的质量，并了解每种咨询类型在哪种情况下是可行的选择。 。在本文中，我们着重于以下方面的基本素质：i）面对面的咨询，ii）基于视频的咨询和iii）电话咨询，并阐明了他们的负担能力。该研究的贡献包括将支付能力的视角扩展到包含社会技术的双向支付能力，这构成了当异质参与者在实践中共存时理解复杂性的重要方面，其中在不同的“方面”，支付能力可能有所不同。练习-在练习中与异类参与者和一组模拟和数字工具打交道时很有用的观点。