Description
Connected Digital Devices in Health is a collective work that reports on the deployment of digital technologies in the healthcare sector, with a view to understanding the underlying logic that has structured and organized the healthcare field and healthcare practices since the end of the 20th century.
This new volume in the "Computing and Connected Society" series examines contemporary transformations in the healthcare sector, analyzing how the dynamics that structure it are evolving in line with the accelerated deployment of digital innovations. This original analysis explores the challenges posed by these changes in terms of legal risks, social practices, the socioeconomics of ehealth, and healthcare governance through patient data. Finally, the book identifies several major evolving trends, opening up the debate on the contours of tomorrow’s healthcare world.
Table of Contents
Presentation of the Authors ix
Introduction xi
Dominique CARRÉ and Geneviève VIDAL
Chapter 1. A Sociohistorical Approach: Moving Closer Together Through Detachment from Care Practices 1
Dominique CARRÉ
1.1. The shift to ambulatory care: digitalized as a structuring framework 3
1.2. Innovation and technology: the position given to digital ICT 5
1.3. Distance and proximity: medical biology and medical imaging 7
1.4. Distance and proximity: development of remote health services between the pandemic and a shortage in care provision 9
1.5. Connected objects? 12
1.6. Connected objects at the frontiers of "well-being" and "healthcare" 14
1.7. Illustration of a "gray" zone 17
1.8. Arrival of new disruptive inputs in the healthcare field 19
1.9. Increase in data and data sovereignty in healthcare 23
1.10. Increase in sociotechnical mediations, strengthening a process of moving closer together through detachment and connected uses 25
1.11. References 28
Chapter 2. Connected Sleep: From Individualizing to Modeling the Doctor–Patient Relationship 31
Christian PAPILLOUD, Geneviève VIDAL and Yanita ANDONOVA
2.1. Methodology 33
2.2. Category A: practices and uses of digital devices and connected objects 34
2.3. Category B: doctor–patient relationships mediated by technology 44
2.4. Category C: challenges of automation in the doctor–patient relationship 51
2.5. Determining the legitimacy of monitoring technology 58
2.6. Discussion 68
2.7. Conclusion 72
2.8. References 73
Chapter 3. Digital Devices in Psychiatry and Mental Health 77
Étienne HIEN
3.1. Mental health and psychiatry 81
3.2. Projects and technical devices in psychiatry and mental health 82
3.3. Innovations in health: the question of technical determinism 88
3.4. Innovations in health: between technical solutionism and social control? 91
3.5. Economic challenges and health data security 95
3.6. Conclusion 96
3.7. References 98
Chapter 4. Connected Devices in Health: Between Mobilization, Experimentation, Assessment and Data Protection 105
Sarah SANDRÉ
4.1. The appeal of connected objects in the field of health 107
4.2. Complexity of rolling out connected objects 118
4.3. Prospects: the humanities and social sciences remain too absent from the assessment of connected devices in healthcare 127
4.4. References 128
Chapter 5. Medical Care and Data: The Example of Nanomedicine in Europe 131
Christian PAPILLOUD
5.1. Satellization or influence by alliance 133
5.2. Nanomedicine, the challenge of renewed influence 135
5.3. Doubts and decisions 138
5.4. From nanomedicine to precision medicine 141
5.5. KETs, a new challenge for satellization 144
5.6. Conclusion 151
5.7. References 152
Chapter 6. Sociopolitical Challenges of Digital Uses 159
Geneviève VIDAL
6.1. The digitalization of society 161
6.2. Acceptability, ambivalence of uses 175
6.3. Sociopolitical challenges of the relationship between healthcare and digital technology: conditional uses and the capacity to act 183
6.4. References 188
Conclusion 195
Dominique CARRÉ, Geneviève VIDAL, Christian PAPILLOUD, Yanita ANDONOVA, Étienne HIEN and Sarah SANDRÉ
List of Authors 201
Index 203
