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Platform encounters: A study of digitised patient follow-up in HIV care

Research output: Contribution to journalArticlepeer-review

eMERGE Consortium, Benjamin Marent, Flis Henwood

Original languageEnglish
Pages (from-to)1117-1135
Number of pages19
JournalSociology of Health and Illness
Volume43
Issue number5
Early online date5 Apr 2021
DOIs
E-pub ahead of print5 Apr 2021
PublishedJun 2021

Bibliographical note

Funding Information: EmERGE was a project (2015–2020) funded by the European Union's Horizon 2020 Research and Innovation Programme under Grant agreement no: 643736. The dissemination activities within the EmERGE project do not represent the opinion of the European Community and only reflect the opinion of the authors. Funding Information: EmERGE was a project (2015?2020) funded by the European Union's Horizon 2020 Research and Innovation Programme under Grant agreement no: 643736. The dissemination activities within the EmERGE project do not represent the opinion of the European Community and only reflect the opinion of the authors. The authors would like to thank the EmERGE project consortium for effective collaboration and discussions. Particularly, our thanks go to Brian West from the European Aids Treatment Group and local partner organisations (Terrence Higgins Trust, UK; Sensoa, BE; Lux Vitae, HR; Projecte dels NOMS, ES; GAT, PT) for providing us with valuable insights to design this study and for their help in facilitating co-design workshops. Furthermore, we are grateful to lead clinicians at each study site Dr Jennifer Whetham, Dr Ludwig Apers, Dr Josip Begovac, Dr Agathe Leon, Dr Felipe Garcia, Dr Eug?nio Te?filo, and Dr Margarida Borges for supporting the recruitment of study participants. We extend our sincere thanks to the people living with HIV and health professionals at each of the study sites for their contributions, care and time while doing this research. Publisher Copyright: © 2021 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL (SHIL) Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

King's Authors

Abstract

Digital technologies are increasingly embedded in clinical encounters, reconfiguring the basis on which health care is delivered. Thereby, the delivery of care shifts from territorial locations in clinics and temporal modes of co-presence towards digital platforms. Drawing on a sociotechnical evaluation of digitised patient follow-up in HIV care, this paper argues that the forms of interactivity practised in platform encounters cannot be adequately understood through traditional interaction frameworks such as Erving Goffman's interaction order. To conceptualise the new informational space and temporal mode of 'response presence' within which platform encounters are conducted, the paper draws on theoretical advances made by Karin Knorr Cetina who further developed Goffman's interaction order to describe interactions augmented by 'scopic media'. A comprehensive framework is presented to elaborate the distinct qualities of interactions occurring in face-to-face, tele-interaction and platform encounters and to analyse their affordances based on doctor and patient experiences. This framework is intended to stimulate further research on how new interactional forms between doctors and patients will reconfigure roles and responsibilities as well as wider structures of digital society. Furthermore, it can also support practical guidance of when and how different forms of clinical encounters may be integrated in care pathways.

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