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

  • Bethany Hipple Walters
  • Samantha A. Adams Tilburg Institute for Law, Technology, and Society, Tilburg University, Tilburg, the Netherlands
  • Roland Bal Institute of Health Policy and Management, Erasmus University, Rotterdam, the Netherlands
Keywords: e-health, surveillance, chronic disease


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.

Author Biography

Bethany Hipple Walters

My current work as a PhD student focuses on researching the treatment of chronic disease and integration of programs into established medical systems, which has been present throughout my career. My previous positions include working as a Project Director on pediatric tobacco control at Massachusetts General Hospital Center for Child and Adolescent Health Policy and as the medical archivist at Yale New Haven Hospital. I was educated at the University of Massachusetts at Amherst and at Columbia University Mailman School of Public Health.

How to Cite
Hipple Walters, B., Adams, S. A., & Bal, R. (2016). Dynamic of online and off-line watching in self-management programs. First Monday, 21(1). https://doi.org/10.5210/fm.v21i1.5625