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Incompatible Images: Asthmatics' Non-Use of an E-Health System for Asthma Self-Management

Incompatible Images: Asthmatics' Non-Use of an E-Health System for Asthma Self-Management
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Author(s): Michel J. Sassene (Roskilde University, Denmark)
Copyright: 2009
Pages: 15
Source title: Patient-Centered E-Health
Source Author(s)/Editor(s): E. Vance Wilson (Arizona State University, USA)
DOI: 10.4018/978-1-60566-016-5.ch014

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Abstract

This chapter investigates asthmatics’ reasons for not adopting an e-health system for asthma selfmanagement. An understanding of these reasons is particularly relevant, because clinical evidence indicates that, if used, such systems lead to better asthma management. The investigated asthma system is, however, based on a taken-for-granted image of asthmatics as, per se, striving to be symptom-free. This image is incompatible with interviewed asthmatics’ day-to-day performances of their asthma, and renders invisible (a) that their asthma performances emphasize an economy of good passages and of feeling capable, (b) that they achieve the objective of feeling capable in quite different ways, and (c) that feeling capable does not per se equal being symptom-free all the time. To attain long-term use of self-management systems and other patient-centred e-health systems, such systems must acknowledge and link into the manifold performances that comprise users’ ways of living with their disease.

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