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The Electronic Patient: Medicine and the Challenge of New Media

Award Number: G13LM012988
ORGANIZATION: NATIONAL LIBRARY OF MEDICINE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/06/2019
PERIOD OF PERFORMANCE END DATE: 08/31/2022

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The Electronic Patient: Medicine and the Challenge of New Media - 7. PROJECT SUMMARY / ABSTRACT What can the history of analog technologies like the telephone and the television teach us about the future of digital medicine? Electronic media now determine how tens of millions of Americans and many others around the world access healthcare. This new reach of “digital medicine”, “medicine at a distance”, or “connected care” promises to break down geographical disparities in access, to alter the fundamental modes of communication of the doctor-patient relationship, and reshape the production, circulation, and consumption of medical knowledge as we know it. Yet for every inspirational account of how digital medicine can increase access and value in healthcare, the expansion of electronically-mediated medicine has also opened a number of ethical and social concerns for clinical medicine and health policy. This grant will support production of a book-length analysis reframing our understanding of the role of new digital media in medicine by examining the continuity— and change—in successive challenges posed by a series of older “new media” in medicine from the late 19th century to the present: telephone medicine in the late 19th and early 20th century, radio medicine in the first half of the 20th century, and television medicine in the latter half of the 20th century. Using new archival materials, literature analysis, and oral histories, it will trace common features in the hopes and fears of both clinicians and patients as each of these new communications took hold of the popular imagination and allowed clinicians to create new forms of medicine at a distance. Beyond these initial congruencies, this analysis will also mark key shifts in the reception of different of technologies and the ways in which they were put into use: how did each technology take shape at the interface of inventors, manufacturers, and users? How was its reception shaped by the changing economic, political, and social contexts of health and health care in each of these periods? While contemporary telehealth devices are far more sophisticated than the telephones used in medical systems in the 1890s, the radiotelemetry devices used in the 1930s, or the two-way televisions used in the 1960s, the ethical, economic, and logistical concerns they raise are prefigured in these earlier episodes. Support from the NLM G13 program will provide part-time research funding to support the PI for three years of manuscript preparation and final archival research during this period.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2021	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Medical Library Assistance	000	3	12/7/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $47,574 )
2021	2021	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Medical Library Assistance	000	3	3/19/2021	NON-COMPETING CONTINUATION	$45,195
2021	2021	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Medical Library Assistance	001	3	5/14/2021	NON-COMPETING CONTINUATION	$2,379
														Subtotal = $47,574

Issue Date FY: 2020 ( Subtotal = $48,371 )
2020	2020	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Medical Library Assistance	000	2	2/20/2020	NON-COMPETING CONTINUATION	$48,371
														Subtotal = $48,371

Issue Date FY: 2019 ( Subtotal = $49,153 )
2019	2019	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Medical Library Assistance	000	1	3/6/2019	NEW	$49,153
														Subtotal = $49,153

Grand Total All Awards = $145,098

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The Electronic Patient: Medicine and the Challenge of New Media

Award Number: G13LM012988

ORGANIZATION: NATIONAL LIBRARY OF MEDICINE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 03/06/2019

PERIOD OF PERFORMANCE END DATE: 08/31/2022

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