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Richard Hull

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Medical Informatics, Web Design and Knowledge Management. May 4th 2000 ... Journal of the American Medical Informatics Association, Vol. 4, April-March, pp ... – PowerPoint PPT presentation

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Title: Richard Hull


1
Who designs all this stuff?The expert labour
behind the virtual
  • Richard Hull
  • Sociology
  • Department of Human Sciences,
  • Brunel University

2
Introduction
  • The social sciences and computing, since earliest
    days
  • The variety of ICTs
  • In combination - a familiar problematic
  • One response - the conduct of expert labour
  • The conduct of computing - frameworks of
    computing
  • Technical, Partnership and Benevolent frameworks
  • Medical Informatics, Web Design and Knowledge
    Management

3
The social sciences and computing
  • Social sciences - economics, sociology,
    ergonomics, anthropology, social psychology -
    have been an integral part of the design of
    computing devices from the very outset
  • But these involvements have been varied, not
    uniform. They do not represent one single
    ideology, or anything like that, and instead have
    come in a great variety of methodological,
    philosophical and political styles.
  • So, before adding to that plethora of social
    science comments and analyses, perhaps we need to
    better understand those who have been here
    before.

4
The limited variety of ICTs
  • There is an increasing variety of ICTs, both
    hardware and software, from digital watches to
    washing machine controllers, from mobile phones
    to weather prediction, from missile guidance to
    Hactivism
  • However, one of the consequences of the prior
    social science involvement in the design of ICTs
    is that we have to abandon some of the favourite
    concepts for understanding them, like
    information and interaction
  • If, on the other hand, we accept that the variety
    is limited, and that the possible uses and
    readings are limited - how can we understand
    those limits?

5
In combination ...
  • We now have a familiar problematic - changing
    historical patterns of social science involvement
    in a set of phenomena which manifest themselves
    in a limited variety of ways. We see this
    problematic in, e.g. social work, education,
    management and all its sub-functions like
    accounting and HRM.
  • The most useful perspectives - those which do not
    take these phenomena at face value - are those
    which focus on the disciplinary changes in
    expertise as new problematisations emerge, and on
    the everyday activities and practices of those
    experts.

6
The conduct of expert labour
  • Redefine Conduct (Hull, 1999)
  • to lead others - the discipline of expert
    labour
  • a way of behaving - the practices of expert
    labour
  • Discipline - the formal and informal social,
    institutional, intellectual and artefactual
    arrangements for maintaining and developing that
    form of expert labour
  • Practices - variety of ways in which labour is
    regularised and routinised, whether formally
    (tasks, etc) or informally (getting by,
    getting the work done)

7
Frameworks of computing
  • Ways of understanding, working with and
    developing software, artefacts and systems (Hull,
    1997)
  • Different understandings of the real and
    desirable relations between people and computers
  • A descriptive device, rather than conscious
    decisions made by practitioners
  • Frameworks can co-exist within a discipline (e.g.
    HCI) or a location (e.g. a research lab), or
    within an artifact (e.g. the personal computer)

8
The technical framework
  • Computers are logical machines programming
    provides input to them, based on logical and
    rational objectives, requirements, analysis and
    design. These are based on the assumption of
    rational human behaviour, both for individuals
    and organisations
  • Programs provide an accurate and unique
    representation, that is immediately apparent to
    the rational user
  • Information is totally definable as structured
    data knowledge is totally definable as
    information plus rules communication is merely
    the linear transfer of information or knowledge

9
The partnership framework
  • The computer is a useful partner, rather than a
    dominating or dominated machine
  • Humans derive information from each other in
    various different ways, through interaction, and
    so they will derive information from computers in
    various different ways, again through interaction
  • Thus one must study the characteristics of the
    individual user and the interface with the
    computer, so that the techniques and artefacts of
    computing (development methods, VDUs, software,
    etc) can be designed to suit these different but
    equal ways that humans use computers

10
The benevolent framework
  • Communication is a social affair, and social
    change will come from changing the control over
    the means of communication
  • Communication should be studied with a systemic
    rather than linear approach - the focus on
    networks - and one should focus on the uses of
    information and knowledge, rather than their
    precise nature
  • Knowledge is becoming a key resource
  • Computer systems and networks are thus central to
    improving communication and decision-making
    within organisations and society

11
Medical Informatics
  • Still far more dominated by the technical
    framework than other forms of Information Systems
    Development
  • That domination is slowly spawning resistance
  • New models of Requirements Analysis, and
    iterative development
  • Sub-disciplines, such as Healthcare Computing,
    developed by GPs
  • But the dominant technical model still reflected
    at senior decision making levels, for instance in
    the NHS and within most Medical Informatics
    software companies
  • In practice, designers engage in complex
    socio-technical activities (Kaplan), but partly
    constrained by the disciplinary and institutional
    limits of Medical Informatics, medicine and
    healthcare (Berg)

12
Web Design
  • Hypertext a key feature of the benevolent
    framework, although some early prescriptions for
    methods of hypertext design based in partnership
    (Trigg) and technical frameworks (Thimbleby)
  • Discussions of recent prescriptive methodologies
    for hypermedia and web-page design reveal a
    rhetoric of moving from a craft to an engineered,
    efficient process (Whitley). This, of course, is
    exactly the rhetoric employed in the early years
    of Systems Development methodologies.
  • Again, in practice, web designers rarely stick
    rigidly if at all to such methodologies, and in
    addition to active resistance in the form of
    asserting their creativity (Whitley), they
    deploy various notions of audience and
    performance (Hine)

13
Knowledge Management
  • A more complex genealogy for the emergence of
    this discipline - concepts of knowledge as a
    unit of analysis emerged in 1960s and formed one
    aspect of benevolent framework Information
    Management emerged in early 1980s in opposition
    to traditional forms of IT management, but was
    superceded by Business Process Re-engineering
    the problematisations of BPR failures led to
    focus on knowledge assets.
  • In practice, designers and others engaged in KM
    express awareness of slippery, multi-faceted
    characteristics of KM relations between
    knowledge and power, especially for career
    development and in many senses are engaged in
    practical sociology of knowledge (Coombs
    Hull, 1998 Hull, 1999)

14
Conclusion
  • In all three cases, as with the other disciplines
    and activities I have studied (HCI, CSCW, BPR,
    Information Management), some features of the
    discipline provide a focus for either conformity,
    critique or active resistance.
  • Whilst studies of the everyday practices, and the
    effects of those practices, are clearly
    important, they need to be placed in the context
    of the specific features of the discipline or
    disciplines.
  • Such a perspective is even more important if we
    are ever to be able to discriminate between
    different ICTs, and different ways of designing
    and implementing them - choosing which specific
    ICTs and forms of design implementation are
    preferable.

15
References
  • Berg, Marc (1997) Rationalizing Medical Work
    Decision-Support Techniques and Medical Practice,
    Cambridge, MA MIT Press.
  • Coombs, R. Hull, R. (1995) BPR as IT-enabled
    organisational change An assessment, New
    Technology, Work and Employment, Vol 10 (2), pp
    121-131.
  • Coombs, Rod Hull, Richard (1998). Knowledge
    Management Practices and Path Dependency in
    Innovation, Research Policy 27(3) 239-255.
  • Coulouris, G. and Thimbleby, H. (1993)
    HyperProgramming Building Interactive Programs
    with HyperCard, Wokingham Addison-Wesley.
  • Hine, Christine (2000) Ideas of Audience in web
    page design, presentation to the Virtual
    Society? Get Real! conference, May 2000.
  • Hull, R. (1997), Governing the Conduct of
    Computing Computer Science, the Social Sciences,
    and Frameworks of Computing, Accounting,
    Management and Information Technologies, Vol. 7
    (4), pp 213-240.

16
References (2)
  • Hull, R. (1999), Actor Network and Conduct The
    Discipline and Practices of Knowledge
    Management, Organization, Vol. 6(3) pp 405-428
  • Kaplan, Bonnie (1997), Addressing organizational
    issues in the evaluation of medical systems,
    Journal of the American Medical Informatics
    Association, Vol. 4, April-March, pp 94-101.
  • Thimbleby, Harold (1990) User Interface Design,
    Wokingham Addison-Wesley/ACM Press.
  • Trigg, R. H., Irish, P. M. (1987). Hypertext
    Habitats Experiences of Writers in NoteCards. In
    ACM Hypertext'87 Proceedings. New York ACM
    Press, 89-108.
  • Whitley, Edgar A. (2000) Method-ism in practice
    Investigating the relationship between method and
    understanding in web page design, Mimeo, London
    School of Economics, Information Systems
    Department.

17
  • Berg, Marc (1997) Rationalizing Medical Work
    Decision-Support Techniques and Medical Practice,
    Cambridge, MA MIT Press.
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