New Technologies in Health Care

JOHN ABRAHAM Professor of Sociology and Co-director of Centre for Research in Health and Medicine (CRHaM) at the University of Sussex, UK DAVID ARMSTRONG Reader in Sociology as Applied to Medicine in the Department of General Practice and Primary Care at King's College School of Medicine, London, UK PAUL ATKINSON Professor of Sociology at the Cardiff School of Social Sciences, Cardiff University, UK ADITYA BHARADWAJ Lecturer in Sociology in the School of Social and Political Studies, University of Edinburgh, UK NIK BROWN Lecturer in Sociology and Deputy Director of the Science and Technology Studies Unit (SATSU) in the Department of Sociology at the University of York, UK JOHN CHATWIN Research Fellow at the School of Healthcare, University of Leeds, UK ANGUS CLARKE Professor in Clinical Genetics, Cardiff University, UK and directs the Cardiff MSc course in Genetic Counselling DAVID CLARK Professor of Medical Sociology and Director of the Institute for Health Research, Lancaster University, UK SIMON COHN Lecturer in Anthropology, Goldsmiths College, University of London, UK JOSEPH CULLEN Principal Researcher and Consultant at The Tavistock Institute, London, UK COURTNEY DAVIS Research Fellow in Sociology and the Centre for Research in Health and Medicine at the University of Sussex, UK MARK DAVIS Senior Lecturer in the School of Social Science, Media and Cultural Studies, UEL, London, UK ELIZABETH ETTORRE Professor of Sociology and Associate Dean of Research and Enterprise, Faculty of Social Sciences and Business, University of Plymouth, UK ALEX FAULKNER Senior Research Associate at the Cardiff Institute of Society, Health and Ethics in the School of Social Sciences, Cardiff University, UK TRACY FINCH Senior Research Fellow in the Health Technologies and Human Relations research group at the Centre for Health Services Research (CHSR), University of Newcastle, UK PAUL FLOWERS Reader in the Department of Psychology, School of Life Sciences, Glasgow Caledonian University, UK NICK FOX Reader in the Sociology of Health and the Body, ScHARR, University of Sheffield, UK SARAH FRANKLIN Professor in Sociology at BIOS, London School of Economics, UK EILEEN GREEN Professor of Sociology and Director of the centre for Social and Policy Research in the School of Social Sciences and Law at the University of Teesside, UK JOSEPHINE GREEN Professor of Psychosocial Reproductive Health and Deputy Director of the Mother and Infant Research Unit at the University of York, UK FRANCES GRIFFITHS Deputy Director of the Centre for Primary Health Care and Clinical Senior Lecturer at the University of Warwick, UK GERARD HANLON Professor of Organization and Society at the Management Centre, University of Leicester, UK JANET HEATON Research Fellow at the Social Policy Research Unit, University of York, UK FLIS HENWOOD Reader in Social Informatics in the School of Computing, Mathematical and Information Sciences, University of Brighton, UK JENNY HEWISONProfessor of the Psychology of Health Care, Academic Unit of Psychiatry and Behavioural Sciences, University of Leeds, UK JULIE KENT Reader in Sociology in the School of Sociology, University of the West of England, Bristol, UK ANNE KERR Lecturer in the Department of Sociology, University of York, UK GLORIA LANKSHEAR Postdoctoral Research Fellow in the Department of Health and Social Work, University of Plymouth, UK GILLIAN LEWANDO-HUNDT Professor of Social Sciences in Health and Co-Director of the Institute of Health, School of Health and Social Studies, University of Warwick, UK FRANCES MAIR Professor of Primary Care Research in the Division of Community Health Sciences, University of Glasgow Medical School, UK DAVID MASON Professor of Sociology and Dean of the School of Social Sciences, Nottingham Trent University, UK PAUL MARTIN Deputy Director of IGBIS, Department of Sociology and Social Policy, University of Nottingham, UK CARL MAY Professor of Medical Sociology and leads the Health Technologies and Human Relations research group at the Centre for Health Services Research, University of Newcastle, UK STANLEY METCALFE Stanley Jevons Professor of Political Economy and Executive Director of the Centre for Research on Innovation and Competition, University of Manchester, UK MIKE MICHAEL Professor of Sociology of Science and Technology at the Department of Sociology, Goldsmiths College, University of London, UK MAGGIE MORT Senior Lecturer in the Institute for Health Research and Co-Director of the Centre for Science Studies, University of Lancaster, UK SARAH NETTLETON Senior Lecturer in Social Policy, in the Department of Social Policy and Social Work at the University of York, UK JANE NOYES Lecturer at the School of Nursing, Midwifery and Social Work, University of Manchester, UK SUSIE PARR Research and Development Co-ordinator for Connect, the UK communication disability network JOHN PICKSTONE Professor and Director of the CHSTM/Wellcome Unit for the History of Medicine, University of Manchester, UK LINDSAY PRIOR Professor of Sociology at the Queens University Belfast, Belfast, UK BRIAN SALTER Professor of Biopolitics in the Institute of Health at the University of East Anglia, UK JANE SANDALL Professor of Midwifery and Women's Health at King's College, London, UK, and co-leads the Women and Family Health Research Group JANE SEYMOUR Sue Ryder Professor of Palliative and End of Life Studies at the Sue Ryder Centre, School of Nursing, University of Nottingham, UK PHILIP TOVEY Reader in Health Sociology, School of Healthcare, University of Leeds, UK KATIE WARD Research Officer at ScHARR, University of Sheffield, UK NICK WATSON Professor of Disability Studies and Director of Strathclyde Centre for Disability Research, at the University of Glasgow, UK BRIAN WOODS Research Fellow at the Science and Technology Studies Unit, Department of Sociology at The University of York, UK MARK WORWOOD Professor in Haematology at the University of Wales College of Medicine, Cardiff, UK SALLY WYATT Amsterdam School of Communications Research (ASCoR) at the University of Amsterdam, The Netherlands

List of Tables LIst of Figures Acknowldgements Series Editors' Preface List of Contributions New Technologies in Health Care: Opening the Black Bag: A.Webster PART 1: GENETIC RISK, REPRODUCTION AND IDENTITY The Genetic Iceberg: Risk and Uncertainty: A.Bharadwaj, L.Prior, P.Atkinson, A.Clarke & M.Worwood Navigating the Troubled Waters of Prenatal Testing Decisions: G.Lewando-Hundt, J.Green, J.Sandall & J.Hewison Genetic Ambivalence: Expertise, Uncertainty, and Communication in the Context of New Genetic Technologies: A.Kerr & S.Franklin PART 2: INFORMATION AND EMPOWERMENT 'Pathways to the Doctor' in the Information Age: The Role of ICTS in Contemporary Lay Referral Systems; S.Nettleton & G.Hanlon Desperately Seeking Certainty: Bone Densitometry, The Internet and Healthcare Contexts; E.Green, F.Griffiths, F.Henwood & S.Wyatt Telemedicine, Telecare, and the Future Patient: Innovation, Risk And Governance; T.Finch, C.May, M.Mort & F.Mair Patient 'Expertise' and Innovative Health Technologies; K.Ward, M.Davis & P.Flowers Making Sense of Mediated Information: Empowerment and Dependency; J.Cullen & S.Cohn PART 3: INNOVATION, CONTEXT AND MEANING Time, Place and Settings: Negotiating Birth, Childhood and Death; J.Seymour, E.Ettorre, J.Heaton, G.Lankshear, D.Mason & J.Noyes Replacing Hips and Lenses: Surgery, Industry and Innovation in Post War Britain; J.S.Metcalfe & J.Pickstone Access, Agency and Normality: The Wheelchair and the Internet as Mediators of Disability; S.Parr, N.Watson & B.Woods PART 4: REGULATION AND EVALUATION OF IHTS Understanding the 'Productivity Crisis' in the Pharmaceutical Industry: Over-Regulation or Lack of Innovation?; P.Martin, J.Abraham, C.Davis & A.Kraft Regulating Hybridity: Policing Pollution in Tissue Engineering and Transpecies Transplantation; N.Brown, A.Faulkner, J.Kent & M.Michael Cultural Politics and Human Embryonic Stem Cell Science; B.Salter Regulation and the Positioning of Complementary and Alternative Medicine; J.Chatwin & P.Tovey Evaluation as an Innovative Health Technology; D.Armstrong Blibliography Index