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‘It's like having a physician in your pocket!’ A critical analysis of self-diagnosis smartphone apps

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  • Lupton, Deborah
  • Jutel, Annemarie

Abstract

More than 100,000 mobile phone software applications (‘apps’) have been designed for the dissemination of health and medical information and healthcare and public health initiatives. This article presents a critical analysis of self-diagnosis smartphone apps directed at lay people that were available on the Apple App Store and Google Play in mid-April 2014. The objective of the analysis is to contribute to the sociology of diagnosis and to critical digital health studies by investigating the phenomenon of digitised diagnosis via apps. We adopted a perspective that views apps as sociocultural artefacts. Our analysis of self-diagnosis apps suggests that they inhabit a contested and ambiguous site of meaning and practice. We found that app developers combined claims to medical expertise in conjunction with appeals to algorithmic authority to promote their apps to potential users. While the developers also used appeals to patient engagement as part of their promotional efforts, these were undermined by routine disclaimers that users should seek medical advice to effect a diagnosis. More research is required to investigate how lay people are negotiating the use of these apps, the implications for privacy of their personal data and the possible effects on the doctor–patient relationship and medical authority in relation to diagnosis.

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  • Lupton, Deborah & Jutel, Annemarie, 2015. "‘It's like having a physician in your pocket!’ A critical analysis of self-diagnosis smartphone apps," Social Science & Medicine, Elsevier, vol. 133(C), pages 128-135.
    • Handle: RePEc:eee:socmed:v:133:y:2015:i:c:p:128-135
    DOI: 10.1016/j.socscimed.2015.04.004
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    References listed on IDEAS

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    1. Deborah Lupton, 2014. "Apps as Artefacts: Towards a Critical Perspective on Mobile Health and Medical Apps," Societies, MDPI, vol. 4(4), pages 1-17, October.
    2. Jutel, Annemarie & Banister, Elizabeth, 2013. "“I was pretty sure I had the 'flu”: Qualitative description of confirmed-influenza symptoms," Social Science & Medicine, Elsevier, vol. 99(C), pages 49-55.
    3. Fox, N.J. & Ward, K.J. & O'Rourke, A.J., 2005. "The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet," Social Science & Medicine, Elsevier, vol. 60(6), pages 1299-1309, March.
    4. Lupton, Deborah, 1997. "Consumerism, reflexivity and the medical encounter," Social Science & Medicine, Elsevier, vol. 45(3), pages 373-381, August.
    5. Ebeling, Mary, 2011. "'Get with the Program!': Pharmaceutical marketing, symptom checklists and self-diagnosis," Social Science & Medicine, Elsevier, vol. 73(6), pages 825-832, September.
    6. Nadine Rozenkranz & Andreas Eckhardt & Mirko Kühne & Christoph Rosenkranz, 2013. "Health Information on the Internet," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 5(4), pages 259-274, August.
    7. Jutel, Annemarie & Nettleton, Sarah, 2011. "Towards a sociology of diagnosis: Reflections and opportunities," Social Science & Medicine, Elsevier, vol. 73(6), pages 793-800, September.
    8. Read, John, 2008. "Schizophrenia, drug companies and the internet," Social Science & Medicine, Elsevier, vol. 66(1), pages 99-109, January.
    9. Childerhose, Janet E. & MacDonald, Margaret E., 2013. "Health consumption as work: The home pregnancy test as a domesticated health tool," Social Science & Medicine, Elsevier, vol. 86(C), pages 1-8.
    10. Deborah Lupton, 2014. "Beyond Techno-Utopia: Critical Approaches to Digital Health Technologies," Societies, MDPI, vol. 4(4), pages 1-6, December.
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    3. Galetsi, Panagiota & Katsaliaki, Korina & Kumar, Sameer, 2023. "Exploring benefits and ethical challenges in the rise of mHealth (mobile healthcare) technology for the common good: An analysis of mobile applications for health specialists," Technovation, Elsevier, vol. 121(C).
    4. Galetsi, P. & Katsaliaki, K. & Kumar, S., 2019. "Values, challenges and future directions of big data analytics in healthcare: A systematic review," Social Science & Medicine, Elsevier, vol. 241(C).

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