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Measuring "Well": Clinical Measuring Practices and Philosophy of Measurement- [electronic resource]
Measuring "Well": Clinical Measuring Practices and Philosophy of Measurement- [electronic resource]
상세정보
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214101257
- ISBN
- 9798380091589
- DDC
- 501
- 서명/저자
- Measuring Well: Clinical Measuring Practices and Philosophy of Measurement - [electronic resource]
- 발행사항
- [S.l.]: : Indiana University., 2023
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2023
- 형태사항
- 1 online resource(320 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-02, Section: A.
- 주기사항
- Advisor: Schickore, Jutta.
- 학위논문주기
- Thesis (Ph.D.)--Indiana University, 2023.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약This dissertation examines three successful, patient-centric measuring practices in the Anglo-American clinical context, spanning from the early 19th century to today: (1) the use of "drops" as a fluid unit in medicine and pharmacy, (2) the measurement of cervical dilation by hand (digital cervimetry) for labor assessment, and (3) the Apgar Score for newborn health assessment. I also briefly introduce a discussion of (4) the Patient Generated Index (PGI) and the Schedule for Evaluation of Individualized Quality of Life (SEIQoL) for measuring patient status and outcomes. All four practices were developed to ensure preferable patient outcomes, at the expense of precisely representing empirical states. A better understanding of the "non-standard" clinical measuring practices of the 19th and 20th centuries shows that the ethical-epistemic challenge of having both "patient-centric" and "evidence-based" measurement has a much longer history than the recent emergence of these terms would suggest. I discuss the ethical and epistemic challenges which had to be overcome when validating these measures, and consider how the successful (and failed) endeavors of past practitioners can inform methodological issues faced in the formation of clinical indexes today. I introduce the notion of "epistemic audiences," and argue that units (and accompanying scales) of measurement serve as "epistemic conduits" for these audiences, transforming observations into difference-making data toward relevant judgments and/or actions. By examining the ways that these non-standard measuring practices challenge dominant theoretical frameworks in philosophy of measurement, I form recommendations for how we can improve philosophy of measurement to better account for the historical success of these practices: (1) the scope of philosophy of measurement should expand to encompass entire measuring practices; (2) measurement success should be understood "ecologically," as being fit within a "niche" of pragmatic, physical, and temporal constraints and demands; and (3) the "problem of coordination" should be extended to include the relevant set of judgments (the landscape of decision-making at hand), in order to move towards a clinically relevant philosophy of measurement.
- 일반주제명
- Philosophy of science.
- 일반주제명
- Science history.
- 일반주제명
- Epistemology.
- 키워드
- Standardization
- 기타저자
- Indiana University History and Philosophy of Science
- 기본자료저록
- Dissertations Abstracts International. 85-02A.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798380091589
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■1001 ▼aJackson, Rebecca L.▼0(orcid)0000-0003-2199-1045
■24510▼aMeasuring "Well": Clinical Measuring Practices and Philosophy of Measurement▼h[electronic resource]
■260 ▼a[S.l.]:▼bIndiana University. ▼c2023
■260 1▼aAnn Arbor :▼bProQuest Dissertations & Theses, ▼c2023
■300 ▼a1 online resource(320 p.)
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-02, Section: A.
■500 ▼aAdvisor: Schickore, Jutta.
■5021 ▼aThesis (Ph.D.)--Indiana University, 2023.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aThis dissertation examines three successful, patient-centric measuring practices in the Anglo-American clinical context, spanning from the early 19th century to today: (1) the use of "drops" as a fluid unit in medicine and pharmacy, (2) the measurement of cervical dilation by hand (digital cervimetry) for labor assessment, and (3) the Apgar Score for newborn health assessment. I also briefly introduce a discussion of (4) the Patient Generated Index (PGI) and the Schedule for Evaluation of Individualized Quality of Life (SEIQoL) for measuring patient status and outcomes. All four practices were developed to ensure preferable patient outcomes, at the expense of precisely representing empirical states. A better understanding of the "non-standard" clinical measuring practices of the 19th and 20th centuries shows that the ethical-epistemic challenge of having both "patient-centric" and "evidence-based" measurement has a much longer history than the recent emergence of these terms would suggest. I discuss the ethical and epistemic challenges which had to be overcome when validating these measures, and consider how the successful (and failed) endeavors of past practitioners can inform methodological issues faced in the formation of clinical indexes today. I introduce the notion of "epistemic audiences," and argue that units (and accompanying scales) of measurement serve as "epistemic conduits" for these audiences, transforming observations into difference-making data toward relevant judgments and/or actions. By examining the ways that these non-standard measuring practices challenge dominant theoretical frameworks in philosophy of measurement, I form recommendations for how we can improve philosophy of measurement to better account for the historical success of these practices: (1) the scope of philosophy of measurement should expand to encompass entire measuring practices; (2) measurement success should be understood "ecologically," as being fit within a "niche" of pragmatic, physical, and temporal constraints and demands; and (3) the "problem of coordination" should be extended to include the relevant set of judgments (the landscape of decision-making at hand), in order to move towards a clinically relevant philosophy of measurement.
■590 ▼aSchool code: 0093.
■650 4▼aPhilosophy of science.
■650 4▼aScience history.
■650 4▼aEpistemology.
■653 ▼aHistory of clinical medicine
■653 ▼aHistory of measurement
■653 ▼aMeasuring instruments
■653 ▼aMeasuring practices
■653 ▼aPhilosophy of measurement
■653 ▼aStandardization
■690 ▼a0402
■690 ▼a0585
■690 ▼a0393
■71020▼aIndiana University▼bHistory and Philosophy of Science.
■7730 ▼tDissertations Abstracts International▼g85-02A.
■773 ▼tDissertation Abstract International
■790 ▼a0093
■791 ▼aPh.D.
■792 ▼a2023
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16933527▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024
