Subject of innovation or: how to redevelop 'the patient' with technology

Leiden Repository

Subject of innovation or: how to redevelop 'the patient' with technology

Title: Subject of innovation or: how to redevelop 'the patient' with technology
Author: Mensink, Wouter
Publisher: Leiden Institute of Advanced Computer Science (LIACS), Faculty of Science, Leiden University
Issue Date: 2011-12-20
Keywords: Actor-network theory
Direct payments
Electronic health record
Governmentality
Healthcare innovation
Living labs
Postpanopticism
Abstract: Michel Foucault’s work concerned ‘subjectivation’. Contemporary critics argue that his work on ‘surveillance societies’ is based on the industrial organisation paradigm. In the information era, his surveillance model is said to be defunct. One way of assessing the value of Foucault’s work for present-day concerns is to examine how ‘subjectivation’ relates to technology. His own research on neoliberalism provides a starting-point. We do need to look further though, for example at Bruno Latour’s work, which claims that technologies are to people what ‘plug-ins’ are to the internet. The question is how technology-mediated subjectivation turns out in practice. This study examines the case of healthcare innovation from the point of view of ‘shaping’ the patient. The Dutch Electronic Health Record and the Personal Healthcare Budget are political designs to foster innovation. Both designs were introduced in the mid-1990s and were nearly abolished in 2011. What happened over the course of one and a half decades? The study concludes by examining the democratisation of healthcare innovation in ‘Living Labs’: local or regional platforms in which people are in some way involved in innovation processes. Again, the crucial question is: what roles are attributed to the patient?
Description: Promotor: B.R. Katzy, P.P.C.C. Verbeek
With summary in Dutch
Faculty: Faculteit der Wiskunde en Natuurwetenschappen
Citation: Mensink, W., 2011, Doctoral thesis, Leiden University
ISBN: 9789090265193
Handle: http://hdl.handle.net/1887/18258
 

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application/pdf Title page_Contents_Background of chapters 256.8Kb View/Open
application/pdf Introduction 560.7Kb View/Open
application/pdf Part I 199.9Kb View/Open
application/pdf Chapter 1 401.7Kb View/Open
application/pdf Part II 213.7Kb View/Open
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application/pdf Chapter 3 405.9Kb View/Open
application/pdf Part III 200.0Kb View/Open
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application/pdf Chapter 5 327.8Kb View/Open
application/pdf Part IV 176.2Kb View/Open
application/pdf Chapter 6 412.1Kb View/Open
application/pdf Chapter 7 421.3Kb View/Open
application/pdf Conclusions 275.9Kb View/Open
application/pdf References 366.1Kb View/Open
application/pdf Summary in Dutch 243.2Kb View/Open
application/pdf About the author_Index 246.6Kb View/Open
application/pdf Propositions 88.03Kb View/Open

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