Dynamic of online and off-line watching in self-management programs

Bethany Hipple Walters, Samantha A. Adams, Roland Bal

Abstract


In this paper, we explore the multiple types of online and off-line watching involved in self-management programs for people with a chronic disease through data collection in two disease management programs. This paper builds upon Mann’s new work on veillance, which is defined as watching from above (surveillance), watching from below (sousveillance), watching data (dataveillance), and watching everything (uberveillance) (Mann, 2013; Mann and Ferenbok, 2013). This paper expounds upon veillance to include watching each other (coveillance), watching one’s self (self-surveillance), and the umbrella concept of webveillance (watching of and on the Internet). We argue that these forms of veillance, as conducted through self-management programs, techniques, and technologies, affect the relationship between patients and clinicians, transform the allocation of medical responsibilities, alter the architecture of healthcare, and expand the places in which healthcare is performed. This has significant implications on online activities of patients and clinicians, as well as how and by whom healthcare is conducted in the doctor’s office, the home, and public spaces.


Keywords


e-health; surveillance; chronic disease

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DOI: http://dx.doi.org/10.5210/fm.v21i1.5625



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