ArticleSocial science & medicine (1982)2018
Between empowerment and self-discipline: Governing patients' conduct through technological self-care.
Article in Social science & medicine (1982), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Barriers and facilitators to health technology adoption by older adults with chronic diseases: an integrative systematic review.BMC public health · 2024Pooled it
- Termination of pregnancy for fetal anomaly: a systematic review of the healthcare experiences and needs of parents.BMC pregnancy and childbirth · 2022Pooled it
- Efficacy and pitfalls of digital technologies in healthcare services: A systematic review of two decades.Frontiers in public health · 2022Pooled it
- Therapists' Professional Roles in Guided Internet-Delivered Cognitive Behavioral Therapy in Specialized Mental Health Care: Interview and Observational Study With Health Care Professionals.Journal of medical Internet research · 2026Observational
- From bedside to bytes: the digital transformation of the healthcare workforce.Frontiers in digital health · 2026Review
- The self-directed patient in guided internet-delivered CBT: a qualitative study of patient role expectations.Frontiers in psychology · 2026Article
- Pastoral Practices of Ethical Negotiation: Community Nurses and Implementation of Patient Self-Management.Sociology of health & illness · 2025Article
- A Novel Approach for Self-Care in Pregnant Women With Hypothyroidism: Mobile-Based Development and Insights.Health science reports · 2025Article
- Electronic Health Literacy Among Baby Boomers: A Typology.Health literacy research and practice · 2024Article
- Restricted health service utilization and subsequent positive self-care behavior during the early COVID-19 pandemic in China.Frontiers in public health · 2024Article
- A qualitative study of the dynamics of access to remote antenatal care through the lens of candidacy.Journal of health services research & policy · 2023Article
- Common hierarchies, varied rules - the problem of governing community first responders in prehospital care for quality standards: documentary discourse analysis.BMC health services research · 2023Article
- Equity in AgeTech for Ageing Well in Technology-Driven Places: The Role of Social Determinants in Designing AI-based Assistive Technologies.Science and engineering ethics · 2022Article
- Seasonal Patterns and Trends in Dermatoses in Poland.International journal of environmental research and public health · 2022Article
- Health Consumer Engagement, Enablement, and Empowerment in Smartphone-Enabled Home-Based Diagnostic Testing for Viral Infections: Mixed Methods Study.JMIR mHealth and uHealth · 2022Article
- Turning the gaze: Digital patient feedback and the silent pathology of the NHS.Sociology of health & illness · 2022Article
- General Practitioners' Perceptions of the Use of Wearable Electronic Health Monitoring Devices: Qualitative Analysis of Risks and Benefits.JMIR mHealth and uHealth · 2021Article
- "You Probably Won't Notice Any Symptoms": Blood Pressure in Pregnancy-Discourses of Contested Expertise in an Era of Self-Care and Responsibilization.Qualitative health research · 2021Article
- Mobile Health in Chronic Disease Management and Patient Empowerment: Exploratory Qualitative Investigation Into Patient-Physician Consultations.Journal of medical Internet research · 2021Article
- The work of having a chronic condition: development and psychometric evaluation of the distribution of co-care activities (DoCCA) scale.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Recent health policy renders patients increasingly responsible for managing their health via digital technology such as health apps and online patient platforms. This paper discusses underlying tensions between empowerment and self-discipline embodied in discourses of technological self-care. It presents findings from documentary analysis and interviews with key players in the English digital health context including policy makers, health designers and patient organisations. We show how discourses ascribe to patients an enterprising identity, which is inculcated with economic interests and engenders self-discipline. However, this reading does not capture all implications of technological self-care. A governmentality lens also shows that technological self-care opens up the potential for a de-centring of medical knowledge and its subsequent communalization. The paper contributes to Foucauldian healthcare scholarship by showing how technology could engender agential actions that operate at the margins of an enterprising discourse.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.