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Sustainability
Volume 13
Issue 9
10.3390/su13095221
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Article

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

by
Carolina Wannheden
1,*,
Ulrica von Thiele Schwarz
1,2,
Claes-Göran Östenson
3,
Karin Pukk Härenstam
1,4 and
Terese Stenfors
5
1
Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77 Stockholm, Sweden
2
School of Health, Care and Social Welfare, Division of Psychology, Mälardalen University, 721 23 Västerås, Sweden
3
Department of Molecular Medicine and Surgery, Endocrine and Diabetes Unit, Karolinska Institutet, 171 76 Stockholm, Sweden
4
Astrid Lindgren Children’s Hospital, Pediatric Emergency Department, Karolinska University Hospital, 171 76 Stockholm, Sweden
5
Department of Learning, Informatics, Management and Ethics, Division for Learning, Karolinska Institutet, 171 77 Stockholm, Sweden
*
Author to whom correspondence should be addressed.
Academic Editors: Antonio Botti and Antonella Monda
Sustainability 2021, 13(9), 5221; https://doi.org/10.3390/su13095221
Received: 31 March 2021 / Revised: 2 May 2021 / Accepted: 4 May 2021 / Published: 7 May 2021
(This article belongs to the Special Issue Digital Technology in Healthcare: Opportunities Offered by a Sustainable Relational Ecosystem)
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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. View Full-Text
Keywords: eHealth/mHealth; home telehealth; self-tracking; self-monitoring; remote monitoring; coproduction; qualitative research; chronic care model eHealth/mHealth; home telehealth; self-tracking; self-monitoring; remote monitoring; coproduction; qualitative research; chronic care model
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MDPI and ACS Style

Wannheden, C.; von Thiele Schwarz, U.; Östenson, C.-G.; Pukk Härenstam, K.; Stenfors, T. What’s the Name of the Game? The Impact of eHealth on Productive Interactions in Chronic Care Management. Sustainability 2021, 13, 5221. https://doi.org/10.3390/su13095221

AMA Style

Wannheden C, von Thiele Schwarz U, Östenson C-G, Pukk Härenstam K, Stenfors T. What’s the Name of the Game? The Impact of eHealth on Productive Interactions in Chronic Care Management. Sustainability. 2021; 13(9):5221. https://doi.org/10.3390/su13095221

Chicago/Turabian Style

Wannheden, Carolina, Ulrica von Thiele Schwarz, Claes-Göran Östenson, Karin Pukk Härenstam, and Terese Stenfors. 2021. "What’s the Name of the Game? The Impact of eHealth on Productive Interactions in Chronic Care Management" Sustainability 13, no. 9: 5221. https://doi.org/10.3390/su13095221

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