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电子护理监测的两个方面:对使用监测设备的老年人观点的探索

The two facets of electronic care surveillance: an exploration of the views of older people who live with monitoring devices.

作者信息

Essén Anna

机构信息

School of Business, Stockholm University, Stockholm 106 91, Sweden.

出版信息

Soc Sci Med. 2008 Jul;67(1):128-36. doi: 10.1016/j.socscimed.2008.03.005. Epub 2008 Apr 8.

Abstract

Scholars are increasingly questioning the notion that electronic surveillance merely constrains individuals' liberty and privacy. However, illustrations of alternative perspectives are few and there is a need for empirical research exploring the actual experience of surveilled subjects. This study, carried out in Sweden, seeks to offer a nuanced account of how senior citizens experience electronic care surveillance in relation to their privacy. It is based on in-depth interviews with 17 seniors who have participated in a telemonitoring project and who have experience of being continuously activity monitored in their own homes. The findings suggest that senior citizens can perceive electronic care surveillance as freeing and as protecting their privacy, as it enables them to continue living in their own home rather than moving to a nursing home. One individual, however, experienced a privacy violation and the surveillance service was interrupted at her request. This illustrates the importance of built-in possibilities for subjects to exit such services. In general, the study highlights that e-surveillance can be not only constraining but also enabling. Hence, it supports the view of the dual nature of surveillance. The study also illustrates the agency of the surveilled subject, extending the argument that various agents actually participate in the construction of surveillance practices. It analyzes the indirect role and responsibility of the surveilled subject, and thereby questions the traditional roles ascribed to the agents and targets of surveillance.

摘要

学者们越来越质疑电子监控仅仅限制个人自由和隐私这一观念。然而,关于其他观点的例证却很少,因此需要进行实证研究来探究被监控对象的实际体验。这项在瑞典开展的研究旨在细致入微地描述老年人在隐私方面如何体验电子护理监控。它基于对17位参与远程监测项目且有在家中被持续活动监测经历的老年人进行的深入访谈。研究结果表明,老年人可能将电子护理监控视为解放并保护他们的隐私,因为这使他们能够继续住在自己家中,而不是搬到养老院。然而,有一位老人经历了隐私侵犯,监控服务应她的要求被中断。这说明了为被监控对象提供退出此类服务的内在可能性的重要性。总体而言,该研究强调电子监控不仅可能具有限制性,还可能具有赋能性。因此,它支持监控具有双重性质的观点。该研究还说明了被监控对象的能动性,扩展了各种行为体实际上参与监控实践构建这一观点。它分析了被监控对象的间接角色和责任,从而对赋予监控行为体和监控对象的传统角色提出了质疑。

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