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Documentary practices revised: How patient-generated data transform consultations in hypertension care.

Conference contribution
Authors Åsa Mäkitalo
Published in Keynote at the conference "Knowledge translation and self-management in chronic diseases: contexts, tools and practices" May 18-19th 2017, University of Lausanne, Switzerland..
Publication year 2017
Published at The Linnaeus Centre for Research on Learning, Interaction, and Mediated Communication in Contemporary Society (LinCS)
Department of Education, Communication and Learning
Language en
Keywords patient generated data; mobile technologies; consultations; hypertension care; tool mediated agency
Subject categories Nursing education, Learning, Technology and social change, Social Sciences Interdisciplinary, Human Aspects of ICT


Chronic disease constitutes a primary challenge for the health sector. A common way of responding to this challenge is to call for technologies that can support a new relation with patients based on patient-generated data and self-treatment. In my talk I will elaborate on some of the implications of such practices for professional epistemic work in hypertension care consultations. The data consists of 10 video-recorded consultations with professionals and patients at three primary health care centers, after 8 weeks of patient self-treatment and reports through a mobile phone based system. Based on sociocultural and dialogical traditions, the analysis focus on the ways the system becomes a ’third party’ in their interaction. I will present three epistemic orientations that emerged in the consultations as the data were visually displayed through graphs on a screen. The system as a knowledge object, the system as a coordination device and the system as support in mediating professional and patient perspectives. The talk will be concluded with some reflections on the constraints and affordances of implementing such systems for the quality of professional-patient communication.

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