Title
The agency of patients and carers in medical care and self-care technologies for interacting with doctors.
Abstract
People living with Parkinson's disease engage in self-care for most of the time but, two or three times a year, they meet with doctors to re-evaluate the condition and adjust treatment. Patients and (informal) carers participate actively in these encounters, but their engagement might change as new patient-centred technologies are integrated into healthcare infrastructures. Drawing on a qualitative study that used observations and interviews to investigate consultations, and digital ethnography to understand interactions in an online community, we describe how patients and carers living with Parkinson's participate in the diagnosis and treatment decisions, engage in discussions to learn about certain topics, and address inappropriate medication. We contrast their engagement with a review of self-care technologies that support interactions with doctors, to investigate how these artefacts may influence the agency of patients and carers. Finally, we discuss design ideas for improving the participation of patients and carers in technology-mediated scenarios.
Year
DOI
Venue
2019
10.1177/1460458217712054
HEALTH INFORMATICS JOURNAL
Keywords
Field
DocType
collaborations,patient-doctor interaction,self-care,self-care technologies
Disease,Self care,Nursing,Family medicine,Medicine
Journal
Volume
Issue
ISSN
25.0
2.0
1460-4582
Citations 
PageRank 
References 
1
0.39
8
Authors
3
Name
Order
Citations
PageRank
Francisco Nunes1477.95
Tariq Andersen2416.20
Geraldine Fitzpatrick32514297.25