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dc.contributor.authorKusta, Olsi
dc.contributor.authorBearman, Margaret
dc.contributor.authorGorur, Radhika
dc.contributor.authorRisør, Torsten
dc.contributor.authorBrodersen, John Brandt
dc.contributor.authorHoeyer, Klaus
dc.date.accessioned2024-10-07T12:36:19Z
dc.date.available2024-10-07T12:36:19Z
dc.date.issued2024-02-09
dc.description.abstractDigitization is often presented in policy discourse as a panacea to a multitude of contemporary problems, not least in healthcare. How can policy promises relating to digitization be assessed and potentially countered in particular local contexts? Based on a study in Denmark, we suggest scrutinizing the politics of digitization by comparing policy promises about the future with practitioners’ experience in the present. While Denmark is one of the most digitalized countries in the world, digitization of pathology has only recently been given full policy attention. As pathology departments are faced with an increased demand for pathology analysis and a shortage of pathologists, Danish policymakers have put forward digitization as a way to address these challenges. Who is it that wants to digitize pathology, why, and how does digitization unfold in routine work practices? Using online search and document analysis, we identify actors and analyze the policy promises describing expectations associated with digitization. We then use interviews and observations to juxtapose these expectations with observations of everyday pathology practices as experienced by pathologists. We show that policymakers expect digitization to improve speed, patient safety, and diagnostic accuracy, as well as efficiency. In everyday practice, however, digitization does not deliver on these expectations. Fulfillment of policy expectations instead hinges on the types of artificial intelligence (AI) applications that are still to be developed and implemented. Some pathologists remark that AI might work in the easy cases, but this would leave them with only the difficult cases, which they consider too burdensome. Our particular mode of juxtaposing policy and practice throws new light on the political work done by policy promises and helps to explain why the discipline of pathology does not seem to easily lend itself to the digital embrace.en_US
dc.identifier.citationKusta, Bearman, Gorur, Risør, Brodersen, Hoeyer. Speed, accuracy, and efficiency: The promises and practices of digitization in pathology. Social Science and Medicine. 2024;345en_US
dc.identifier.cristinIDFRIDAID 2252308
dc.identifier.doi10.1016/j.socscimed.2024.116650
dc.identifier.issn0277-9536
dc.identifier.issn1873-5347
dc.identifier.urihttps://hdl.handle.net/10037/35089
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalSocial Science and Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleSpeed, accuracy, and efficiency: The promises and practices of digitization in pathologyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)