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Science, Technology & Human Values
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Making and Unmaking Telepatients

Identity and Governance in New Health Technologies

Maggie Mort

University of Lancaster, m.mort{at}lancaster.ac.uk

Tracy Finch

University of Newcastle upon Tyne

Carl May

University of Newcastle upon Tyne

The emergence of the field of health care at a distance, or "telehealth," has been embedded within discourses of high ambition about health improvement, seamless services, empowerment, and independence for patients. In this article, the authors examine how telehealthcare technologies assume certain forms of patients—or "telepatients"—who can be mobilized and combined with images and artifacts that speak for them in the clinical encounter. Second, a tentative intervention is made in these emerging identities in the form of facilitating some alternative discourses about telehealthcare. The aim is to stimulate debate by presenting and contrasting these different approaches to technology development. Such differences take material and discursive shape in the making and unmaking of telepatients, showing important interferences in the shaping of identity and possibilities for governance and participation.

Key Words: identity • interference • innovation • governance • patients

This version was published on January 1, 2009

Science, Technology & Human Values, Vol. 34, No. 1, 9-33 (2009)
DOI: 10.1177/0162243907311274
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M. Mort and A. Smith
Beyond Information: Intimate Relations in Sociotechnical Practice
Sociology, April 1, 2009; 43(2): 215 - 231.
[Abstract] [PDF]