Den præstationsevaluerende patient: En analyse af hjemmemonitorering som styringsteknologi

Johan Rasmussen

Student thesis: Master thesis


The performance-evaluating patient – an analysis of home monitoring as a steering technology This master thesis takes a closer look at home monitoring as a steering technology. Home monitoring is pointed out as a central tool within the telemedical initiatives of the Danish health care system, and politicians as well as institutions favour it as a solution that provides freedom and comfort, especially for citizens suffering from chronic diseases. But how do the citizens perceive the intervention of home monitoring in their everyday practice? The research ambition of this thesis is to study how home monitoring conditions the selfgovernment of the chronic patient. It is based on eight qualitative interviews with type 2 diabetics who have been using home monitoring or are trying out home monitoring. The point of observation is influenced by the theoretical concepts of ethopolitics, governmentality and stigma (Rose 2009, Foucault 2008, Goffman 2009). Firstly, I analyse how insecurity, stigmatisation and a gaze upon the body as an object of quantification characterise the everyday practice of the patient. Secondly, I analyse how the intervention of home monitoring renders a risk-oriented individuality possible. It is an individuality that relies on constant quantification of the body. Risks are continuously being projected by the technology, but on the basis of a continuous evaluation of body and behaviour the patient rewrites the projected risks into symptoms that one can act upon. In this operation knowledge formation and power production are closely linked together in order to create norms for a healthy lifestyle and moral self-government. Finally, I show how a new sociality is formed through the intervention of the technology when a performance-evaluating patient is being shaped. In this patient it is not only the body affected by the chronic disease, but the general body and life itself that are objects of optimization.

EducationsMSocSc in Political Communication and Managment, (Graduate Programme) Final Thesis
Publication date2013
Number of pages103