超越技术至上主义：重新思考医疗领域的扩展现实（XR）
Beyond Technological Solutionism: Rethinking XR in Healthcare
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中文总结 AI 辅助
本文通过三个叙事结合SEIPS 3.0模型，揭示医疗XR技术加剧医疗差距的创新悖论，提出优先人际关系的医疗创新框架，呼吁HCI领域反思并推动系统性变革。
中文摘要 AI 辅助
医疗行业对扩展现实（XR）技术的热情采用掩盖了一个令人担忧的现实：我们正在构建越来越复杂的方式来延续从根本上已崩溃的医疗体系。通过三个极具个人色彩的叙事——一位被医疗基础设施隔绝的农村患者、一位在碎片化服务中摸索的城市专业人士，以及一位面临文化障碍的第一代移民——这篇批判性论文揭示了我们对技术创新的痴迷往往会加剧而非解决医疗差距。通过应用SEIPS 3.0模型检查糖尿病与心血管疾病（CVD）的护理协调，我们发现了一种“创新悖论”：先进技术会给有效护理制造新的障碍。我们的护理相互依赖框架表明，医疗结果主要由人际关系（50%-60%）、组织协调（25%-30%）和社会文化因素（15%-20%）塑造，而非技术的复杂性。这项研究挑战人机交互（HCI）领域正视其在延续医疗不平等中扮演的角色，要求进行根本性反思，并提出一种新的医疗创新框架，该框架优先考虑人际关系而非技术能力、系统性变革而非功能集、实际护理提供而非技术野心。对于医疗服务提供者、技术开发者和政策制定者，我们的研究结果表明，有效的护理协调需要我们从技术至上主义的心态中退一步，参与到与患者需求、组织能力和社会环境相关的真正变革中。
英文摘要
The healthcare industry's enthusiastic adoption of Extended Reality (XR) technologies obscures a concerning reality: we were building increasingly sophisticated ways to perpetuate fundamentally broken healthcare systems. Through three deeply personal narratives - a rural patient cut off from care infrastructure, an urban professional navigating fragmented services, and a first-generation immigrant confronting cultural barriers - this provocation paper exposes how our obsession with technological innovation often worsens rather than resolves healthcare disparities. By applying the SEIPS 3.0 model to examine diabetes-CVD care coordination, we identify an "innovation paradox" where advanced technology creates new barriers to effective care. Our care interdependencies framework reveals that healthcare outcomes are shaped primarily by human relationships (50-60%), organizational coordination (25-30%), and sociocultural factors (15-20%), not technological sophistication. This research challenges the HCI community to confront its role in perpetuating healthcare inequities, demands a fundamental rethinking and proposes a new framework for healthcare innovation that prioritizes human relationships over technical capability, systemic change over feature sets, and actual care delivery over technological ambition. For healthcare providers, technology developers, and policymakers, our findings suggest that effective care coordination requires us to step back from our techno-solutionist mindset and engage
发表机构
- Indian Institute of Technology（印度理工学院）
- Loughborough University（拉夫堡大学）
- York University（约克大学）
- University of California, Berkeley（加州大学伯克利分校）
- University of Melbourne（墨尔本大学）
机构由 AI 辅助整理，请以论文原文为准。
