探索娱乐医学与自我护理专业化：关于数字自我追踪潜在影响的医生访谈研究
Exploring Entertainment Medicine and Professionalization of Self-Care: Interview Study Among Doctors on the Potential Effects of Digital Self-Tracking.
作者信息
Gabriels Katleen, Moerenhout Tania
机构信息
Philosophy & Ethics, Department of Industrial Engineering & Innovation Sciences, Eindhoven University of Technology, Eindhoven, Netherlands.
Ethics, Autonomy and Responsibility in Health Care, Department of Family Medicine and Primary Health Care, Ghent University, Ghent, Belgium.
出版信息
J Med Internet Res. 2018 Jan 12;20(1):e10. doi: 10.2196/jmir.8040.
BACKGROUND
Nowadays, digital self-tracking devices offer a plethora of possibilities to both healthy and chronically ill users who want to closely examine their body. This study suggests that self-tracking in a private setting will lead to shifting understandings in professional care. To provide more insight into these shifts, this paper seeks to lay bare the promises and challenges of self-tracking while staying close to the everyday professional experience of the physician.
OBJECTIVE
The aim of this study was to (1) offer an analysis of how medical doctors evaluate self-tracking methods in their practice and (2) explore the anticipated shifts that digital self-care will bring about in relation to our findings and those of other studies.
METHODS
A total of 12 in-depth semistructured interviews with general practitioners (GPs) and cardiologists were conducted in Flanders, Belgium, from November 2015 to November 2016. Thematic analysis was applied to examine the transcripts in an iterative process.
RESULTS
Four major themes arose in our body of data: (1) the patient as health manager, (2) health obsession and medicalization, (3) information management, and (4) shifting roles of the doctors and impact on the health care organization. Our research findings show a nuanced understanding of the potentials and pitfalls of different forms of self-tracking. The necessity of contextualization of self-tracking data and a professionalization of self-care through digital devices come to the fore as important overarching concepts.
CONCLUSIONS
This interview study with Belgian doctors examines the potentials and challenges of self-monitoring while focusing on the everyday professional experience of the physician. The dialogue between our dataset and the existing literature affords a fine-grained image of digital self-care and its current meaning in a medical-professional landscape.
背景
如今，数字自我追踪设备为希望密切监测自身身体状况的健康人群和慢性病患者提供了大量可能性。本研究表明，在私人环境中的自我追踪将导致对专业护理理解的转变。为了更深入地了解这些转变，本文旨在揭示自我追踪的前景与挑战，同时贴近医生的日常专业经验。
目的
本研究的目的是（1）分析医生在实践中如何评估自我追踪方法，以及（2）根据我们的研究结果和其他研究的结果，探讨数字自我护理将带来的预期转变。
方法
2015年11月至2016年11月期间，在比利时弗拉芒地区对比全科医生（GP）和心脏病专家进行了12次深入的半结构化访谈。采用主题分析法对访谈记录进行迭代分析。
结果
我们的数据中出现了四个主要主题：（1）患者作为健康管理者，（2）健康痴迷与医学化，（3）信息管理，以及（4）医生角色的转变及其对医疗保健组织的影响。我们的研究结果显示了对不同形式自我追踪的潜力和陷阱的细致理解。自我追踪数据情境化的必要性以及通过数字设备实现自我护理专业化作为重要的总体概念凸显出来。
结论
这项对比利时医生的访谈研究在关注医生日常专业经验的同时，考察了自我监测的潜力和挑战。我们的数据集与现有文献之间的对话提供了一幅数字自我护理及其在医疗专业领域当前意义的细致图景。
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