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Power, paradox and pessimism: On the unintended consequences of digital health technologies in primary care

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  • Ziebland, Sue
  • Hyde, Emma
  • Powell, John

Abstract

We consider what might be learned from the unintended, apparently unanticipated, consequences of the use of digital health (including alternatives to face to face consultations, electronic medical records, use of apps and online monitoring) in primary care. We chose a conceptual literature review method, to seek a higher order understanding of the nuanced patterning of unintended consequences of digital health technologies (for people, relationships, organisations and ways of working) which are rarely simply positive or negative. The approach is informed by realist review, which recognises that experiences and outcomes of interventions work (or fail) in different ways in particular contexts.

Suggested Citation

  • Ziebland, Sue & Hyde, Emma & Powell, John, 2021. "Power, paradox and pessimism: On the unintended consequences of digital health technologies in primary care," Social Science & Medicine, Elsevier, vol. 289(C).
    • Handle: RePEc:eee:socmed:v:289:y:2021:i:c:s0277953621007516
    DOI: 10.1016/j.socscimed.2021.114419
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    References listed on IDEAS

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    1. Blix, Mårten & Jeansson, Johanna, 2018. "Telemedicine and the Welfare State: The Swedish Experience," Working Paper Series 1238, Research Institute of Industrial Economics.
    2. Deborah Lupton, 2014. "Beyond Techno-Utopia: Critical Approaches to Digital Health Technologies," Societies, MDPI, vol. 4(4), pages 1-6, December.
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    Cited by:

    1. Kusta, Olsi & Bearman, Margaret & Gorur, Radhika & Risør, Torsten & Brodersen, John Brandt & Hoeyer, Klaus, 2024. "Speed, accuracy, and efficiency: The promises and practices of digitization in pathology," Social Science & Medicine, Elsevier, vol. 345(C).
    2. Daniel Erku & Resham Khatri & Aklilu Endalamaw & Eskinder Wolka & Frehiwot Nigatu & Anteneh Zewdie & Yibeltal Assefa, 2023. "Digital Health Interventions to Improve Access to and Quality of Primary Health Care Services: A Scoping Review," IJERPH, MDPI, vol. 20(19), pages 1-15, September.
    3. Parsons, Jordan A. & Romanis, Elizabeth Chloe, 2024. "“All hands on deck”: a qualitative study of safeguarding and the transition to telemedical abortion care in England and Wales," Social Science & Medicine, Elsevier, vol. 348(C).
    4. Issa, Helmi & Jaber, Jad & Lakkis, Hussein, 2024. "Navigating AI unpredictability: Exploring technostress in AI-powered healthcare systems," Technological Forecasting and Social Change, Elsevier, vol. 202(C).
    5. Ali Sunyaev & Daniel Fürstenau & Elizabeth Davidson, 2024. "Reimagining Digital Health," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 66(3), pages 249-260, June.

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