Peter Taber | Platypus

Clinical Data in the U.S. Department of Veterans Affairs: Ethnographic Engagements

 Peter Taber  June 11, 2019

By: Peter Taber, Nicholas Rattray, Lauren Penney, Megan McCullough and Samantha Gottlieb This post emerged from a 2018 Society for Applied Anthropology panel on anthropological engagements with health data in the U.S. Department of Veterans Affairs (VA). Serving over 9 million enrollees with a current federal budget of USD68 billion, the VA is an important testing site for digital healthcare infrastructure, as it has been for several decades. The panel brought our VA research and quality improvement (QI) efforts targeting the electronic health record (EHR) and other digital infrastructure into dialog with existing work on the social lives of data and algorithms, as well as the broader concerns of medical anthropology and STS in an era of the “datafication of health” (Ruckenstein and Schüll 2017). Extracts from our conversation, presented below, are taken from a follow-up video call exploring these issues. (read more...)

Computable Norms: Clinical Practice Guidelines and Digital Infrastructure

 Peter Taber  October 23, 2018

I’m a sociocultural anthropologist by training. Until recently, my research focused on environmental issues in Ecuador. Yet, my attempt to address the gaps left by traditional anthropological approaches to environmental issues quickly brought me into topical areas that the anthropology I was trained in infrequently touched on: institutional change over historical time, knowledge infrastructure work, and particularly the functioning and interaction of modern forms of expertise. I’m now a postdoctoral fellow in medical informatics at the U.S. Veterans Affairs Administration. It is an odd organizational context to find myself in, as someone who conceived of himself as an environmental anthropologist for years. Yet many of the big themes are strikingly familiar. In particular, I am surrounded by (and participating in) the expert design of sociotechnical contexts intended to be inhabited by other experts – an aspect of environmental expertise that fascinated me in my environmentally-focused research. In my postdoc, I’m fortunate to have exposure to many of the technical nuts and bolts of infrastructure design for clinicians. In my remarks below, I share some reflections about “clinical practice guidelines,” a specific form of formal medical guidance that increasingly constitutes part of the digital infrastructure used by medical providers, designed and implemented in part by informaticists. (read more...)

System, Space and Ecobiopolitics: A Conversation with Valerie Olson About “Into the Extreme”

 Peter Taber  August 14, 2018

Lisa: Into the Extreme is an ethnography of human space flight based on fieldwork at NASA Johnson Space Center most prominently, but then also other space sites throughout the United States. What I think is most significant about this book is that it activates “system” as an ethnographic object. Valerie Olson, the author of Into the Extreme, defines system as a relational technology. To me this is the big picture of the book, so I would like to start by diving right into that terminology. Can you just unpack what you mean when you say that system is a relational technology? Valerie: Sure. So I got introduced to systems thinking and systems engineering through my project because it is the practice, the basic modality, that NASA uses to coordinate vastly different practices and disciplines. People doing medicine, building spacecraft, working on propulsion, doing planetary science, and doing work on (read more...)

Lists, Indices and the Ownership of Biodiversity Conservation

 Peter Taber  June 20, 2017

Prior to the emergence of “biodiversity loss” as a ubiquitous way of talking about species extinctions in the 1990s, taxonomic biology was considered a dying field. The physical inspection of specimens to assign them to biological categories had long had a reputation as a hobby for “crusty old men and their dusty shelves”, as one botanist joked during my research in Ecuador. Biology’s cutting edge was genomics. But with an explosion of concern for a global extinction crisis, taxonomically-trained biologists and their cheap, low-tech methods occupied a central role in 1990s Latin American conservation efforts (e.g. Raven and Wilson 1991). In this post, I briefly consider how taxonomically-oriented field biology relates to other, typically quantitative ways of evaluating biodiversity. Taxonomy played an important role in establishing where conservation should focus its efforts. An increased emphasis on quantitatively linking biodiversity to other environmental problems has meant an increased role for other kinds of expertise (Gabrys 2016). It has also meant a return to the margins for taxonomic expertise. Examining the tools used to evaluate the biotic environment sheds light, both on the different kinds of questions that can be asked about it, and on the shifting place of different kinds of expertise in environmental governance. (read more...)