An Algorithm at the Table at Multidisciplinary Diagnostic Meetings: A Dramaturgical Analysis.

This paper focuses on how a radiological classification algorithm temporarily became part of existing diagnostic deliberations between different medical specialists. It describes a participatory ethnographic case study in which the output of the algorithm was presented by the first author during wee...

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Publicado en:Sociology of Health & Illness Vol. 48; no. 6; pp. 1 - 14
Autores principales: Dingelstad, Justien, Grommé, Francisca, Hoeven, Claartje ter, Wallenburg, Iris
Formato: Artículo
Publicado: Wiley-Blackwell Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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        195548011
        10.1111/1467-9566.70213
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        atl: An Algorithm at the Table at Multidisciplinary Diagnostic Meetings: A Dramaturgical Analysis.
      aug:
        au:
          Dingelstad, Justien
          Grommé, Francisca
          Hoeven, Claartje ter
          Wallenburg, Iris
        affil:
          Erasmus University Rotterdam, Rotterdam, the Netherlands
          Utrecht University, Utrecht, the Netherlands
      su:
        Netherlands
        Artificial intelligence
        Ethnology research
        Interviewing
        Medical care
        Decision making
        Communication
        Diagnostic imaging
        Academic medical centers
        Professional practice
        Descriptive statistics
        Hospital radiological services
        Diagnostic errors
        Clinical competence
        Attitudes of medical personnel
        Machine learning
        Algorithms
        Health care teams
      sug:
        subj:
          Artificial intelligence
          Ethnology research
          Interviewing
          Medical care
          Decision making
          Communication
          Netherlands
          Diagnostic Imaging Centers
          Other Electronic and Precision Equipment Repair and Maintenance
          Diagnostic imaging
          Academic medical centers
          Professional practice
          Descriptive statistics
          Hospital radiological services
          Diagnostic errors
          Clinical competence
          Attitudes of medical personnel
          Machine learning
          Algorithms
          Health care teams
      keyword:
        algorithms
        diagnosis
        dramaturgy
        ethnography
        healthcare
        algorithms
        diagnosis
        dramaturgy
        ethnography
        healthcare
      ab: This paper focuses on how a radiological classification algorithm temporarily became part of existing diagnostic deliberations between different medical specialists. It describes a participatory ethnographic case study in which the output of the algorithm was presented by the first author during weekly multidisciplinary neuro‐oncology meetings. Following the dramaturgical framework of deliberations by Hajer and adhering to the sociology of diagnosis, we focus on how the algorithm interacted with the established deliberative dynamics of the meetings. We show that by the algorithm's presence, physicians were prompted to speculate about what the algorithm could mean for their collective diagnosis. They did not foresee an independent or leading role for the algorithm yet speculated about how, when and by whom the algorithmic output should be presented. Some physicians followed dominant AI tropes of self‐evidence and objectivity, whereas others sought ways to contextualise and question the algorithmic output. We argue that following a dramaturgical framework unveils important questions that must be addressed to make algorithms fit into existing diagnostic practices, such as who represents the algorithm, when and how.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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