IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v13y2021i9p5221-d550044.html
   My bibliography  Save this article

What’s the Name of the Game? The Impact of eHealth on Productive Interactions in Chronic Care Management

Author

Listed:
  • Carolina Wannheden

    (Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77 Stockholm, Sweden)

  • Ulrica von Thiele Schwarz

    (Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77 Stockholm, Sweden
    School of Health, Care and Social Welfare, Division of Psychology, Mälardalen University, 721 23 Västerås, Sweden)

  • Claes-Göran Östenson

    (Department of Molecular Medicine and Surgery, Endocrine and Diabetes Unit, Karolinska Institutet, 171 76 Stockholm, Sweden)

  • Karin Pukk Härenstam

    (Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77 Stockholm, Sweden
    Astrid Lindgren Children’s Hospital, Pediatric Emergency Department, Karolinska University Hospital, 171 76 Stockholm, Sweden)

  • Terese Stenfors

    (Department of Learning, Informatics, Management and Ethics, Division for Learning, Karolinska Institutet, 171 77 Stockholm, Sweden)

Abstract

Chronic care management is dependent on productive interactions between patients and healthcare professionals. Digital health technologies (eHealth) open up new possibilities for improving the quality of care, but there is a limited understanding of what productive interactions entail. This study explores characteristics of productive interactions to support self-care and healthcare in the context of eHealth use in diabetes care. We collected qualitative data based on interviews with nurses and responses to open-ended survey questions from patients, prior to and post using an eHealth service for self-monitoring and digital communication. We found that eHealth’s influence on productive interactions was characterized by unconstrained access, health parameter surveillance, and data-driven feedback, with implications for self-care and healthcare. Our findings indicate that eHealth perforates the boundaries that define interactions under traditional, non-digital care. This was manifested in expressions of uncertainty and in blurred boundaries between self-care and healthcare. We conclude that the attainment of a sustainable eHealth ecosystem will require healthcare to acknowledge eHealth as a disruptive change that may require re-organization to optimally support the productive use of eHealth services for both patients and staff, which includes agreement on new routines, as well as social interaction rules.

Suggested Citation

  • Carolina Wannheden & Ulrica von Thiele Schwarz & Claes-Göran Östenson & Karin Pukk Härenstam & Terese Stenfors, 2021. "What’s the Name of the Game? The Impact of eHealth on Productive Interactions in Chronic Care Management," Sustainability, MDPI, vol. 13(9), pages 1-17, May.
    • Handle: RePEc:gam:jsusta:v:13:y:2021:i:9:p:5221-:d:550044
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/13/9/5221/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2071-1050/13/9/5221/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Antonio Botti & Antonella Monda, 2020. "Sustainable Value Co-Creation and Digital Health: The Case of Trentino eHealth Ecosystem," Sustainability, MDPI, vol. 12(13), pages 1-17, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Justyna Berniak-Woźny & Małgorzata Rataj, 2023. "Towards Green and Sustainable Healthcare: A Literature Review and Research Agenda for Green Leadership in the Healthcare Sector," IJERPH, MDPI, vol. 20(2), pages 1-18, January.
    2. Passarelli, Mariacarmela & Bongiorno, Giuseppe & Cucino, Valentina & Cariola, Alfio, 2023. "Adopting new technologies during the crisis: An empirical analysis of agricultural sector," Technological Forecasting and Social Change, Elsevier, vol. 186(PA).
    3. Edith Maier & Ulrich Reimer & Nilmini Wickramasinghe, 2021. "Digital healthcare services," Electronic Markets, Springer;IIM University of St. Gallen, vol. 31(4), pages 743-746, December.
    4. Alzahrani, Ahmed Ibrahim & Al-Samarraie, Hosam & Eldenfria, Atef & Dodoo, Joana Eva & Alalwan, Nasser, 2022. "Users’ intention to continue using mHealth services: A DEMATEL approach during the COVID-19 pandemic," Technology in Society, Elsevier, vol. 68(C).
    5. Xin Cao & Taohua Ouyang & Puzant Balozian & Sixuan Zhang, 2020. "The Role of Managerial Cognitive Capability in Developing a Sustainable Innovation Ecosystem: A Case Study of Xiaomi," Sustainability, MDPI, vol. 12(17), pages 1-27, September.
    6. Stefania Mele & Sabrina Bonomi & Gaia Cinotti, 2023. "Is ICT innovating doctor-young patients? relationships in chronic diseases? Two Italian case studies before e during the pandemic," MECOSAN, FrancoAngeli Editore, vol. 2023(125), pages 61-82.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:13:y:2021:i:9:p:5221-:d:550044. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.