Selling Passive Monitoring to Manage Risk in Independent Living: Frontline Workers in a Bind

Selling Passive Monitoring to Manage Risk in Independent Living: Frontline Workers in a Bind
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DOI:
10.1007/978-3-319-48342-9_5
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发表时间:
2017-01-01
期刊:
UNDER OBSERVATION: THE INTERPLAY BETWEEN EHEALTH AND SURVEILLANCE
影响因子:
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通讯作者:
Berridge, Clara
Berridge, Clara
中科院分区:
其他
文献类型:
--
作者:
Berridge, Clara

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被动监测系统已被提议作为彻底改变家庭医疗保健的一种方式。这项研究探讨了社会工作者用来敦促老年人采用基于 QuietCare 传感器的被动监测系统来监测居民公寓内活动的具体技术。数据收集自对六栋低收入独立居住公寓楼进行的 49 次深度半结构化访谈,这些公寓楼已提供 QuietCare 六年,但 98% 的接受该系统的居民拒绝了该服务。这项研究揭示了一线工作人员如何完成任务,鼓励不情愿的独立居住居民接受基于传感器的持续监控。社会工作者采用了各种技巧来迫使居民收养,而居民则做出了有限的选择。必须适应这种做法使这些工人陷入困境,夹在独立价值观和风险管理之间。这项研究表明,了解被动监控采用谈判中的利害关系以及独立价值观和风险管理之间潜在冲突的重要性非常重要。
Passive monitoring systems have been proposed as a way to revolutionize home healthcare. This study examines specific techniques social workers employ to urge older adults to adopt the QuietCare sensor-based passive monitoring system that monitors movements in residents' apartments. Data were gathered from 49 in-depth semi-structured interviews in six low-income independent living residence apartment buildings where QuietCare had been offered for six years and where 98% of residents who were offered the system declined it. This study reveals how frontline staff members navigate the task of encouraging reluctant independent living residents to subject themselves to continuous sensor-based monitoring. Social workers employed a variety of techniques to pressure adoption and residents made constrained choices. Having to navigate this practice put these workers in a bind, caught between values of independence and risk management. This research suggests that it is important to understand what is at stake in negotiations over passive monitoring adoption and the potential for conflict between values of independence and risk management.