The Patient as a Mobile Health Care Consumer

2021 ◽  
pp. 201-206
Author(s):  
Eric D. Perakslis ◽  
Martin Stanley

Many believe that digital health will be a catalyst to enable health care to become more market-centric and consumer-driven. Indeed, the Covid-19 pandemic has essentially redefined the concept of “elective” procedures based almost entirely on patient preference and behaviors, much of which was unexpected. Although the concept of educated and empowered patient consumers paints a compelling vision, many fear the unintended consequences of removing or minimizing trusted caregiver guidance from the equation. What are the risks and unintended consequences of self-managed care? Will patients properly prioritize? Will the benefits, risks, and potential trade-offs be understood? How will fact be separated from hype, misinformation and confirmation bias? In this chapter the opportunities and hazards of patients as mobile health consumers are detailed with a specific focus on potential harms and corresponding mitigations.

2020 ◽  
Author(s):  
Ijeoma Azodo ◽  
Robin Williams ◽  
Aziz Sheikh ◽  
Kathrin Cresswell

BACKGROUND Wearable sensors connected via networked devices have the potential to generate data that may help to automate processes of care, engage patients, and increase health care efficiency. The evidence of effectiveness of such technologies is, however, nascent and little is known about unintended consequences. OBJECTIVE Our objective was to explore the opportunities and challenges surrounding the use of data from wearable sensor devices in health care. METHODS We conducted a qualitative, theoretically informed, interview-based study to purposefully sample international experts in health care, technology, business, innovation, and social sciences, drawing on sociotechnical systems theory. We used in-depth interviews to capture perspectives on development, design, and use of data from wearable sensor devices in health care, and employed thematic analysis of interview transcripts with NVivo to facilitate coding. RESULTS We interviewed 16 experts. Although the use of data from wearable sensor devices in health and care has significant potential in improving patient engagement, there are a number of issues that stakeholders need to negotiate to realize these benefits. These issues include the current gap between data created and meaningful interpretation in health and care contexts, integration of data into health care professional decision making, negotiation of blurring lines between consumer and medical care, and pervasive monitoring of health across previously disconnected contexts. CONCLUSIONS Stakeholders need to actively negotiate existing challenges to realize the integration of data from wearable sensor devices into electronic health records. Viewing wearables as active parts of a connected digital health and care infrastructure, in which various business, personal, professional, and health system interests align, may help to achieve this.


1998 ◽  
Vol 38 (4) ◽  
pp. 621-638 ◽  
Author(s):  
M. John Hodgson ◽  
Gilbert Laporte ◽  
Frederic Semet

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