Window work: Screen-based eldercare and professional precarity at the welfare frontier
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Abstract
Digital technologies have become essential components in the organisation and delivery of elder care. With this article, we want to contribute to the study and discussion of the role and effects of monitors and telecare solutions in situated care practices. Drawing on ethnographic fieldwork among elderly citizens and healthcare workers in Denmark during the early phases of the corona crisis, we explore the introduction of screen-based technologies in eldercare and their implications. Our focus is particularly on what health professionals must do, to accomplish meaningful encounters through screens. In this context, we introduce the concept of “window work” to highlight how screens are active participants in care and how they frame and delimit what health practitioners can see, do and achieve in everyday care practices in significant and often unpredictable ways.
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References
Aanestad, M. (2003). The camera as an actor; design-in-use of telemed¬icine infrastructure in surgery. Computer Supported Cooperative Work (CSCW) 12: 1–20. Kluwer Academic Publisher.
Ærø Municipality. (2014). Kommissorium: Ærø kommune et samarbejde med det daværende Ministerium for By, Bolig og Landdistrikter om projektet “Ærø – den digitale ø”. Available on https://www.aeroekommune.dk/poli¬tik/politikker-aftaler-og-kontrakter/kommisorium-for-sammarbejde-paa-sundhedsomraadet-i-region-syd (Accessed: July 28, 2021).
Ærø Municipality. (2020). Municipality home page. Available on https:// www.aeroekommune.dk/kommunen/fakta-om-kommunen/folke¬tal-areal-og-beskatning (Accessed: December, 2020).
Akrich, M. (1995). User representations: Practices, methods and sociology. In A. Rip, T. J. Misa & J. Schot (eds.), Managing Technology in Society; The Approach of Constructive Technology Assessment (pp. 167–184). London and New York: Pinter Publishers.
American Anthropological Association. (2012). Principles of Professional Responsibilites. Available on https://ethics.americananthro.org/cate¬gory/ statement/
Butler, J. (2016). Frames of War: When is Life Grievable?. London, New York: Verso.
Buse, C., Martin, D. & Nettleton, S. (2018). Materialities of Care: Encounter¬ing Health and Illness through Artefacts and Architecture. Newark, United Kingdom: John Wiley & Sons.
Clotworthy, A. & Westendorp, R. G. J. (2020). Risky business: How older “at risk” people in Denmark evaluated their situated risk during the COVID-19 pandemic. Anthropology & Aging 41(2): 167–176. doi: 10.5195/ aa.2020.318
Danish Government. (2013). Digital Welfare Empowerment, Flexibility and Efficiency. Common Public-Sector Strategy for Digital Welfare Septem¬ber 2013.
Danish Patients. (2010). Sundhedspolitik 2010–2011 – Patienternes Perspektiv. Danske Patienter.
Danish Regions. (2010). Pejlemærker for Sundheds-IT 2010. Available on https://www.regionsjaelland.dk/dagsordener/Dagsordener2013/ Documents/1631/2128634.PDF (Accessed: March 18, 2021).
Danish Regions. (2020). Sundhed for Dig. Regionernes Samarbejde om Dig¬italisering. LAYOUT: UHI, DANSKE REGIONER / ISBN ELEK¬TRONISK: 987-87-7723-466-8. Available on https://www.regioner. dk/media/13626/sundhed-for-dig-regionernes-samarbejde-om-digi¬talisering.pdf (Accessed: August 26, 2021).
de Laet, M. & Mol, A. (2000). The Zimbabwe bush pump: Mechan¬ics of a fluid technology. Social Studies of Science 30(2): 225–263. doi: 10.1177/030631200030002002
Fyns Amts Avis [local newspaper]. (2017). Den digitale ø: – Virtuelle konsultationer sparer rejsetid. Available on https://faa.dk/ar¬tikel/den-digitale-%C3%B8-virtuelle-konsultationer-sparer-rejsetid (Accessed: July 9, 2021).
Haraway, D. J. (1991). A cyborg manifesto: Science, technology, and so¬cialist-feminism in the late twentieth century. In Simians, Cyborgs, and Women: The Reinvention of Nature (pp. 149–181). New York: Routledge.
Hastrup, F. & Lien, M. (2020). Welfare frontiers? Resource practices in the Nordic Arctic Anthropocene. Anthropological Journal of European Cul¬tures 29(1): v–xxi. doi: 10.3167/ajec.2020.290101
Kamp, A. & Ballegaard, S. A. (2019). Virtuel omsorg – Etik, ny profession¬alisme og forhandling af grænser. Tidsskrift for Arbejdsliv 21(3): 26–41. doi: 10.7146/tfa.v21i3.118058
Lamb, S., Chen, J., Ogden, C., Schramm, T. & Xinbei, L. (2020). On Vulner¬ability, Resilience, and Age: Older Americans Reflect on the Pandemic. “The Age of Covid-19” Series, co-published by Somatosphere and the Asso¬ciation for Anthropology, Gerontology, and the Life Course. Available on http://somatosphere.net/?s=Lamb (Accessed: July 15, 2021).
Langstrup, H. (2014). Telemedicine. In L. Huniche & F. Olesen (eds.), Teknologi i sundhedspraksis. Chapter 9 (pp. 35–59). København, Danmark: Munksgaard.
Langstrup, H., Iversen, L. B., Vind, S. & Erstad, T. L. (2013). The vir¬tual clinical encounter: Emplacing patient 2.0 in emerging care infra¬structures. Science & Technology Studies 26(2): 44–60. doi: 10.23987/ sts. 55298
Latour, B. (2004). How to talk about the body? The normative di¬mension of science studies. Body & Society 10(2–3): 205–229. doi: 10.1177/1357034X04042943
Local Government Denmark. (2021). Ekspert: Kommunerne kan Komme Digitalt Styrket ud af Corona-krisen. Available on https://www. kl.dk/nyheder/digitalisering-og-teknologi/2021/april/ekspert-kommunerne-kan-komme-digitalt-styrket-ud-af-corona-krisen/ (Accessed: 15 April, 2021).
Michael, M. (2006). Technoscience and Everyday Life: The Complex Simplic¬ities of the Mundane. Maidenhead, Berkshire, United Kingdom: Open University Press.
Mol, A. (2008). The Logic of Care: Health and the Problem of Patient Choice. Routledge.
Mol, A., Moser, I. & Pols, J. (eds.). (2010). Care in Practice: On Tinkering in Clinics, Homes and Farms. London, UK: transcript Verlag.
Mort, M., May, C. R. & Williams, T. (2003). Remote doctors and absent patients: Acting at a distance in telemedicine? Science, Technology, & Human Values 28(2): 274–295. doi: 10.1177/0162243902250907
OECD/European Union. (2020). Health at a Glance: Europe 2020: State of Health in the EU Cycle. Paris: OECD Publishing. doi: 10.1787/82129230-en
Oudshoorn, N. (2008). Diagnosis at a distance: The invisible work of patients and health-care professionals in cardiac telemonitoring technology. Sociology of Health & Illness 30(2): 272–295. doi: 10.1111/ j.1467-9566.2007.01032.x
Oudshoorn, N. (2009). Physical and digital proximity: Emerging ways of health care in face-to-face and telemonitoring of heart-failure patients. Sociology of Health & Illness 31(3): 390–405. doi: 10.1111/ j.1467-9566.2008.01141.x
Oudshoorn, N. (2012). How places matter: Telecare technologies and the changing spatial dimensions of healthcare. Social Studies of Science 42(1): 121–142. doi: 10.1177/0306312711431817
Pols, J. (2012). Care at a Distance: On the Closeness of Technology. Amster¬dam, Holland: Amsterdam University Press.
Pols, J. & Willems, D. (2011). Innovation and evaluation: Taming and un¬leashing telecare technology. Sociology of Health & Illness 33(3): 484–498. doi: 10.1111/j.1467-9566.2010.01293.x
Prentice, R. (2005). The anatomy of a surgical simulation: The mutual ar¬ticulation of bodies in and through the machine. Social Studies of Science 35(6): 837–866. doi: 10.1177/0306312705053351 Region of Southern Denmark. (2013). Alderen Trykker i de Syddanske Kommuner. Region Syddanmark. Available on https://www.region-syddanmark.dk/wm410048
(Accessed: July 8, 2021).
Schwennesen, N. (2019). Algorithmic assemblages of care: Imaginaries, epistemologies and repair work. Sociology of Health and Illness 41(S1): 176–192. doi: 10.1111/1467-9566.12900
Statistics Denmark. (2018). Befolkningsfremskrivninger 2018–2060. Nyt fra Danmarks Statistik, No. 180. www.dst.dk/nyt/26827 © Danmarks Statistik 2018, ISSN 1601 101.
Suchman, L. A. (2007). Human-Machine Reconfigurations: Plans and Situated Actions (2nd ed.). Cambridge, UK: Cambridge University Press.
Sundhedsdroner.dk [homepage: healthdrones.dk]. Available on https:// sundhedsdroner.dk/ (Accessed: July 15, 2021).
Thygesen, H. (2009). “Technology and Good Dementia Care”; A Study of Tech¬nology and Ethics in Everyday Care Practice. PhD dissertation, Centre for Technology, Innovation and Culture (TIK), University of Oslo, Norway.
Van Hout, A., Pols, J. & Willems, D. (2015). Shining trinkets and unkempt gardens: On the materiality of care. Sociology of Health & Illness 37(8): 1206–1217. doi: 10.1111/1467-9566.12302