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Medicine, Health Care and Philosophy

, Volume 21, Issue 1, pp 31–41 | Cite as

E-health beyond technology: analyzing the paradigm shift that lies beneath

  • Tania MoerenhoutEmail author
  • Ignaas Devisch
  • Gustaaf C. Cornelis
Scientific Contribution

Abstract

Information and computer technology has come to play an increasingly important role in medicine, to the extent that e-health has been described as a disruptive innovation or revolution in healthcare. The attention is very much focused on the technology itself, and advances that have been made in genetics and biology. This leads to the question: What is changing in medicine today concerning e-health? To what degree could these changes be characterized as a ‘revolution’? We will apply the work of Thomas Kuhn, Larry Laudan, Michel Foucault and other philosophers—which offers an alternative understanding of progress and revolution in medicine to the classic discovery-oriented approach—to our analysis. Nowadays, the long-standing curative or reactive paradigm in medicine is facing a crisis due to an aging population, a significant increase in chronic diseases and the development of more expensive diagnostic tools and therapies. This promotes the evolution towards a new paradigm with an emphasis on preventive medicine. E-health constitutes an essential part of this new paradigm that seeks to solve the challenges presented by an aging population, skyrocketing costs and so forth. Our approach changes the focus from the technology itself toward the underlying paradigm shift in medicine. We will discuss the relevance of this approach by applying it to the surge in digital self-tracking through health apps and wearables: the recognition of the underlying paradigm shift leads to a more comprehensive understanding of self-tracking than a solely discovery-oriented or technology-focused view can provide.

Keywords

e-Health Paradigm shift Preventive medicine P4 medicine Self-tracking 

Notes

Acknowledgements

We would like to thank Lisa Parker, Brenda Diergaarde, Jonathon Erlen, Katleen Gabriels and three anonymous reviewers for the useful insights they have provided.

Funding

Funding was provided by University of Gent, Department of Philosophy and Moral Sciences (Mobility Grant of the Faculty Research Fund).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media Dordrecht 2017

Authors and Affiliations

  1. 1.Department of Family Medicine and Primary Health Care, Research Unit Ethics, Autonomy and Responsibility in Health CareUniversity of GentGhentBelgium
  2. 2.Department of Philosophy and Moral SciencesUniversity of GentGhentBelgium
  3. 3.Visiting Researcher at the Center for Bioethics and Health LawUniversity of PittsburghPittsburghUSA
  4. 4.Department of Philosophy and Moral SciencesVrije Universiteit BrusselIxellesBelgium

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