critical studies of digital health

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CRITICAL STUDIES OF DIGITAL HEALTH: A RESEARCH AGENDA Deborah Lupton, Department of Sociology and Social Policy, University of Sydney

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Presentation providing an overview of digital health and outlining a research agenda for a critical approach.

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Page 1: Critical studies of digital health

CRITICAL STUDIES OF DIGITAL HEALTH: A RESEARCH AGENDA

Deborah Lupton, Department of Sociology and Social Policy, University of Sydney

Page 2: Critical studies of digital health

Web

1.0

• one-way website use, little user content creation, landline internet connections, desktop and laptop computers

Web

2.0

• user-created content or commentary, social networking sites, ubiquitous computing, mobile devices, media convergence

Web

3.0

• interconnected 'smart objects' that can communicate with each other, producing a single interlinked database

From Web 1.0 to Web 3.0

Page 3: Critical studies of digital health

What is digital health?

• using Web 2.0 platforms -- Facebook, YouTube, Twitter, PatientsLikeMe, online news, blogs and wikis

• now moving towards Web 3.0 – the body as ‘node in the Internet of Things’

• mobile wireless and wearable computer technologies• embedded sensors in technologies• digital data collection on individuals and populations (‘big

data’)• digitised medical records

Page 4: Critical studies of digital health

What is digital health?

eHealth mHealth

Health 2.0 Medicine 2.0

digital health

Page 5: Critical studies of digital health

Digital health includes

telemedicine/telecare

public health surveillance

personalised medicine/patient engagement

health and medical platforms + websites

health promotion strategies

self-tracking (the quantified self)

Page 6: Critical studies of digital health

iHealth digital blood pressure monitor

Page 7: Critical studies of digital health

Health vital monitoring patch (heart rate, respiration rate, fall detection, stress, skin temperature, activity, calories burnt, body posture)

Page 8: Critical studies of digital health

Sleep Shirt containing sensors to measure movement for sleep apnoea detection

Page 9: Critical studies of digital health

Bodymetric trackers to ‘quantify the self”

Page 10: Critical studies of digital health

Google Glass used in medicine and public health

Page 11: Critical studies of digital health

critical digital health

science and technology

studies

social science of

medicine/public health

surveillance studies

media, cultural and communication studies

the arts and design

Page 12: Critical studies of digital health

Research questions

• How do the news media cover digital health topics?

• What websites, platforms and apps are valued for health-related information or patient support?

• What kinds of content are created and shared by lay people via social media platforms?

• What do corporate social platforms do with this content?

Page 13: Critical studies of digital health

Research questions

• In the face of techno-utopia, what are the lived experiences of people using digital health technologies?

• Who to trust in the digital media world?

Page 14: Critical studies of digital health

Research questions

• How are concepts of ‘health’ and ‘the body’ shaped through digital technology use?

• How are healthcare providers using digital technologies?

• How are professionals in health promotion and public health using digital technologies?

Page 15: Critical studies of digital health

Research questions

• What are the political dimensions and power relations inherent in the use of these technologies?

• How will privacy be defined and experienced in the context of these media?

• What are the implications for how people conduct their everyday lives and social relationships?

Page 16: Critical studies of digital health

Theoretical perspectives

• The cyborg body/post-human body

• From the haptic to the optic

• Forms of surveillance: panoptic, synoptic, participatory, uberveillance

• Data doubles

Page 17: Critical studies of digital health

Theoretical perspectives

• Domesticating technologies

• Prosumption

• Technology as performative

• The sociocultural dimensions of hardware and software

Page 18: Critical studies of digital health

More information

• ‘Towards a critical sociology of digital health technologies’ (blog post)

• ‘Social aspects of digital media and health care’ (Scoop.it collection)