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Unequal Consumers: Consumerist healthcare technologies and their creation of new inequalities

Laura M. Visser, Yvonne W.M. Benschop, Inge L. Bleijenbergh, Allard C.R. van Riel

Organization Studies · 2019 · Volume 40 · Issue 7

DOI: 10.1177/0170840618772599

Abstract

This article examines how consumerist technology creates new inequalities among patients in healthcare. More specifically, we analyse a communication technology that presents a case of consumerization of patients. Using critical diversity literature, we theorize how consumerism embedded in technology assumes a ‘universal individual’, creating a tension for healthcare professionals between acknowledging differences among patients while aiming for equal treatment of all patients. Based on our empirical analysis of so-called personal online health communities, we explore, at the micro level, how healthcare professionals deal with this tension. We identify four different practices: lacking awareness of differences, downplaying differences, discomfort around acknowledging differences and actively accommodating differences. We theorize how they ultimately all create new inequalities.

Keywords

consumerism, healthcare, inequality, technology

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