{"resolved":true,"match_type":"uuid","source_type":"original_book","book_id":"231a69de-8526-4d34-8fa7-231b09af93a8","title":"技术体系：理性的社会生活","author":null,"edition":null,"publisher":null,"year":null,"isbn":"9787552024104","requested_by":"printed_page","book":{"source_type":"original_book","book_id":"231a69de-8526-4d34-8fa7-231b09af93a8","id":"231a69de-8526-4d34-8fa7-231b09af93a8","uuid":"231a69de-8526-4d34-8fa7-231b09af93a8","title":"技术体系：理性的社会生活","normalized_title":"技术体系理性的社会生活","author":null,"edition":null,"publisher":null,"year":null,"isbn":"9787552024104","isbns":["9787552024104"],"parsed":true,"ai_readable":true,"document_type":"book","page_count":328,"navigation_url":"https://workshop.closeclaw.top/ai/book/231a69de-8526-4d34-8fa7-231b09af93a8","title_url":"https://workshop.closeclaw.top/ai/title/%E6%8A%80%E6%9C%AF%E4%BD%93%E7%B3%BB%EF%BC%9A%E7%90%86%E6%80%A7%E7%9A%84%E7%A4%BE%E4%BC%9A%E7%94%9F%E6%B4%BB","fixed_page_url_template":"https://workshop.closeclaw.top/ai/book/231a69de-8526-4d34-8fa7-231b09af93a8/page/{printed_page}","path_api_url_template":"https://workshop.closeclaw.top/api/ai/book/231a69de-8526-4d34-8fa7-231b09af93a8/page/{printed_page}","read_url":"https://workshop.closeclaw.top/api/ai/read/231a69de-8526-4d34-8fa7-231b09af93a8","page_url":"https://workshop.closeclaw.top/api/ai/books/231a69de-8526-4d34-8fa7-231b09af93a8/page","search_url":"https://workshop.closeclaw.top/api/ai/books/231a69de-8526-4d34-8fa7-231b09af93a8/search"},"page":{"printed_page":92,"pdf_page":108,"physical_index":108,"physical_index_base":0,"printed_page_status":"recognized","page_sha256":"c7e74c3595873a36b41c91f46af654a3342da8ffec6f33e0e7826e662677042d"},"chapter":"第二章批判的建构主义","content":"医学对STS的运用来说是非常丰富的领域，因为它居于科学、技术和人类生命的交汇点。蒂亚戈·莫雷拉(TiagoMoreira)通过英国国家卫生局(British National Health Service，NHS)对阿尔茨海默病药物的评估，提出了所谓普遍“合理”标准与个人体验之间的关系问题。①\n\n英国国家卫生局评估了药物并根据准科学措施确定其成本效益比。在我们谈论的案例中，评估是基于认知和住院治疗的措施而不包括生命质量。当发现一种现有的药物不具有成本效益时，它就被撤回了。这代表了决策的物化基础，它与科学和经济体制相一致但忽视了治疗所处的网络的其他方面。对那些方面的堵塞就是物化了的英国国家卫生局进路的形式偏向。\n\n英国国家卫生局评估治疗的纲领以治疗作为目标。它没有测量或关注药物在围绕患者的姑息治疗网络中的作用，而是将其作为一种或多或少有效的技术手段孤立起来。病人和护理人员对该机构的决定感到不安，尽管这种药物对减缓认知能力下降或阻止许多住院治疗没有多大作用，但它对生活质量具有重要影响。在这里我们有一个聚焦关怀的替代纲领，这是被英国国家卫生局的科学偏向所忽略的这个网络的一个方面。随后出现了典型的解释冲突，对人造物的定义提出了质疑。①\n\n92\n\n技术体系：理性的社会生活\n\n① Tiago Moreira, \"Health Care Standards and the Politics of Singularities: Shifting In and Out of Context,\" Science, Technology & Human Values 37, no. 4 (2012): 307 – 331.","previous_page":91,"next_page":93}