The Curious Case of Transparency: How Patient Portals Empower Physicians

Research output: Contribution to ConferenceAbstractAcademic

Abstract

While increasing public and academic attention is given to transparency of medical records, relatively few studies have approached the use of patient data from the perspective of situated practice. Our observations of 115 patient consultations in oncology surgery department illustrate the different ways in which professionals and patients approach and use personal health data. The physicians are professionally trained to treat data neutrally and flexibly, recognizing the indeterminate nature of test results. The patients, on the other hand, perceive the numbers of their test-results as an objective mirror of their own disease, which makes the constant confrontation with it an emotional event. Our study concludes, that in contrast to the assumed “patient empowerment”, opening up medical records might increase patients’ dependency on their medical professionals, potentially leading to “physician empowerment” instead. Taking a situated perspective on data use helps to illustrate that increased empowerment of patients through transparency might actually be an elusive ideal, and thus highlight the affective and power aspects of transparency technology.
Original languageEnglish
Publication statusPublished - 28 Aug 2017
EventEuropean Conference on Computer-Supported Cooperative Work: Data-work in Healthcare: New roles, tasks and challenges - Sheffield Hallam University, Sheffield, United Kingdom
Duration: 28 Aug 20161 Sep 2016
https://ecscw2017.org.uk/

Conference

ConferenceEuropean Conference on Computer-Supported Cooperative Work
Abbreviated titleECSCW 2017
CountryUnited Kingdom
CitySheffield
Period28/08/161/09/16
Internet address

Fingerprint

Physicians
Patient Participation
Medical Records
Referral and Consultation
Patient Portals
Technology
Health
Power (Psychology)

Cite this

van den Broek, E., Sergeeva, A., & Huysman, M. (2017). The Curious Case of Transparency: How Patient Portals Empower Physicians. Abstract from European Conference on Computer-Supported Cooperative Work, Sheffield, United Kingdom.
van den Broek, Elmira ; Sergeeva, A. ; Huysman, Marleen. / The Curious Case of Transparency: How Patient Portals Empower Physicians. Abstract from European Conference on Computer-Supported Cooperative Work, Sheffield, United Kingdom.
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van den Broek, E, Sergeeva, A & Huysman, M 2017, 'The Curious Case of Transparency: How Patient Portals Empower Physicians' European Conference on Computer-Supported Cooperative Work, Sheffield, United Kingdom, 28/08/16 - 1/09/16, .

The Curious Case of Transparency: How Patient Portals Empower Physicians. / van den Broek, Elmira; Sergeeva, A.; Huysman, Marleen.

2017. Abstract from European Conference on Computer-Supported Cooperative Work, Sheffield, United Kingdom.

Research output: Contribution to ConferenceAbstractAcademic

TY - CONF

T1 - The Curious Case of Transparency: How Patient Portals Empower Physicians

AU - van den Broek, Elmira

AU - Sergeeva, A.

AU - Huysman, Marleen

PY - 2017/8/28

Y1 - 2017/8/28

N2 - While increasing public and academic attention is given to transparency of medical records, relatively few studies have approached the use of patient data from the perspective of situated practice. Our observations of 115 patient consultations in oncology surgery department illustrate the different ways in which professionals and patients approach and use personal health data. The physicians are professionally trained to treat data neutrally and flexibly, recognizing the indeterminate nature of test results. The patients, on the other hand, perceive the numbers of their test-results as an objective mirror of their own disease, which makes the constant confrontation with it an emotional event. Our study concludes, that in contrast to the assumed “patient empowerment”, opening up medical records might increase patients’ dependency on their medical professionals, potentially leading to “physician empowerment” instead. Taking a situated perspective on data use helps to illustrate that increased empowerment of patients through transparency might actually be an elusive ideal, and thus highlight the affective and power aspects of transparency technology.

AB - While increasing public and academic attention is given to transparency of medical records, relatively few studies have approached the use of patient data from the perspective of situated practice. Our observations of 115 patient consultations in oncology surgery department illustrate the different ways in which professionals and patients approach and use personal health data. The physicians are professionally trained to treat data neutrally and flexibly, recognizing the indeterminate nature of test results. The patients, on the other hand, perceive the numbers of their test-results as an objective mirror of their own disease, which makes the constant confrontation with it an emotional event. Our study concludes, that in contrast to the assumed “patient empowerment”, opening up medical records might increase patients’ dependency on their medical professionals, potentially leading to “physician empowerment” instead. Taking a situated perspective on data use helps to illustrate that increased empowerment of patients through transparency might actually be an elusive ideal, and thus highlight the affective and power aspects of transparency technology.

M3 - Abstract

ER -

van den Broek E, Sergeeva A, Huysman M. The Curious Case of Transparency: How Patient Portals Empower Physicians. 2017. Abstract from European Conference on Computer-Supported Cooperative Work, Sheffield, United Kingdom.