The digitally engaged patient: self-monitoring and self-care in the digital health era

Deborah Lupton

Research output: Contribution to journalArticle

161 Citations (Scopus)
5 Downloads (Pure)

Abstract

The phenomenon of digital health has emerged as a key dimension of contemporary healthcare policy and delivery in many countries. This review article focuses on one aspect of digital health discourses: the concept of patient engagement that encourages patients to take up the new digital media technologies to engage in self-monitoring and self-care, or what I term 'the digitally engaged patient'. A critical approach is adopted to examine the sociocultural dimensions of eliciting patients to become 'digitally engaged' in their own medical care and preventive health efforts. It is argued that the techno-utopian discourses articulated in the mainstream healthcare policy Literature concerning the possibilities and potentialities afforded by digital health technologies do not acknowledge the complexities and ambivalences that are part of using self-monitoring and self-care technologies for monitoring health and illness states, both for patients and for healthcare providers. These include the surveillance and disciplinary dimensions of using these technologies, the emotions and resistances they provoke, their contribution to the burden of self-care and the invisible work on the part of healthcare workers that they require to operate
Original languageEnglish
Pages (from-to)256-270
Number of pages15
JournalSocial Theory and Health
Volume11
Issue number3
DOIs
Publication statusPublished - 2013

Fingerprint

Physiologic Monitoring
Self Care
monitoring
Biomedical Technology
Health
health
Delivery of Health Care
Preventive Health Services
Technology
Patient Participation
Health Personnel
discourse
digital media
Emotions
ambivalence
medical care
surveillance
emotion
illness
worker

Cite this

@article{c2b011b59888412a989dd7fb151c670e,
title = "The digitally engaged patient: self-monitoring and self-care in the digital health era",
abstract = "The phenomenon of digital health has emerged as a key dimension of contemporary healthcare policy and delivery in many countries. This review article focuses on one aspect of digital health discourses: the concept of patient engagement that encourages patients to take up the new digital media technologies to engage in self-monitoring and self-care, or what I term 'the digitally engaged patient'. A critical approach is adopted to examine the sociocultural dimensions of eliciting patients to become 'digitally engaged' in their own medical care and preventive health efforts. It is argued that the techno-utopian discourses articulated in the mainstream healthcare policy Literature concerning the possibilities and potentialities afforded by digital health technologies do not acknowledge the complexities and ambivalences that are part of using self-monitoring and self-care technologies for monitoring health and illness states, both for patients and for healthcare providers. These include the surveillance and disciplinary dimensions of using these technologies, the emotions and resistances they provoke, their contribution to the burden of self-care and the invisible work on the part of healthcare workers that they require to operate",
keywords = "digital health, digital media, healthcare, patient engagement, telemedicine, sociology",
author = "Deborah Lupton",
year = "2013",
doi = "10.1057/sth.2013.10",
language = "English",
volume = "11",
pages = "256--270",
journal = "Social Theory and Health",
issn = "1477-8211",
publisher = "Palgrave Macmillan",
number = "3",

}

The digitally engaged patient: self-monitoring and self-care in the digital health era. / Lupton, Deborah.

In: Social Theory and Health, Vol. 11, No. 3, 2013, p. 256-270.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The digitally engaged patient: self-monitoring and self-care in the digital health era

AU - Lupton, Deborah

PY - 2013

Y1 - 2013

N2 - The phenomenon of digital health has emerged as a key dimension of contemporary healthcare policy and delivery in many countries. This review article focuses on one aspect of digital health discourses: the concept of patient engagement that encourages patients to take up the new digital media technologies to engage in self-monitoring and self-care, or what I term 'the digitally engaged patient'. A critical approach is adopted to examine the sociocultural dimensions of eliciting patients to become 'digitally engaged' in their own medical care and preventive health efforts. It is argued that the techno-utopian discourses articulated in the mainstream healthcare policy Literature concerning the possibilities and potentialities afforded by digital health technologies do not acknowledge the complexities and ambivalences that are part of using self-monitoring and self-care technologies for monitoring health and illness states, both for patients and for healthcare providers. These include the surveillance and disciplinary dimensions of using these technologies, the emotions and resistances they provoke, their contribution to the burden of self-care and the invisible work on the part of healthcare workers that they require to operate

AB - The phenomenon of digital health has emerged as a key dimension of contemporary healthcare policy and delivery in many countries. This review article focuses on one aspect of digital health discourses: the concept of patient engagement that encourages patients to take up the new digital media technologies to engage in self-monitoring and self-care, or what I term 'the digitally engaged patient'. A critical approach is adopted to examine the sociocultural dimensions of eliciting patients to become 'digitally engaged' in their own medical care and preventive health efforts. It is argued that the techno-utopian discourses articulated in the mainstream healthcare policy Literature concerning the possibilities and potentialities afforded by digital health technologies do not acknowledge the complexities and ambivalences that are part of using self-monitoring and self-care technologies for monitoring health and illness states, both for patients and for healthcare providers. These include the surveillance and disciplinary dimensions of using these technologies, the emotions and resistances they provoke, their contribution to the burden of self-care and the invisible work on the part of healthcare workers that they require to operate

KW - digital health

KW - digital media

KW - healthcare

KW - patient engagement

KW - telemedicine

KW - sociology

U2 - 10.1057/sth.2013.10

DO - 10.1057/sth.2013.10

M3 - Article

VL - 11

SP - 256

EP - 270

JO - Social Theory and Health

JF - Social Theory and Health

SN - 1477-8211

IS - 3

ER -