Intergenerationelle omsorgsarrangementer i et aldrende samfund

Intergenerationelle omsorgsarrangementer i et aldrende samfun

"Den nordiske model": Rejsende velfærdsvisioner for ældreomsorg i Danmark og Sydkorea

Der er i de senere år i Danmark sket store forandringer i måderne, hvorpå omsorgog pleje til ældre organiseres i de danske kommuner. Forandringerne ersket for at afbøde, hvad der fra politisk hold vurderes som negative følgevirkningeraf den demografiske udvikling med flere ældre. På denne baggrund erinnovationsmodeller og knowhow, som adresserer disse udfordringer, blevet envare, som både private virksomheder og den nationale sundhedssektor investereri og brander sig på internationalt. I forbindelse med vores feltarbejde har vifulgt udvekslinger af visioner for ældreomsorg mellem Danmark og Sydkorea,mere specifikt mellem strategiske satsninger på digitalisering på Ærø til visionerfor en reorganisering af ældreomsorgen i Busan, Sydkorea. Herudover har vi interviewetmedarbejdere i living labs, politikere og praktikere i ældreomsorgen.Vi argumenterer for, at disse visioner for ældreomsorg udpeger digitale løsningersom svaret på det forventede stigende plejebehov. Visionerne er samtidigindlejret i forestillinger om en „nordisk model“, som kan skaleres på en måde,der både er rettet indad mod aktører i det danske sundhedsvæsen og udad modet internationalt marked. Vi konkluderer, at visionerne, som vi udfolder med begrebetsociotekniske forestillinger, er forbundet med økonomiske styringslogikkerog dagsordener. I den forbindelse peger vi på, at lokale omsorgspraksisserusynliggøres, når visioner for ældreomsorg skaleres, men at de samtidig kan udgøreen ressource for lokale aktører. Artiklen bidrager med viden om, hvordansundhedsinnovation og velfærdsstatslig ældreomsorg udvikles i udvekslingenmellem ekspertise, teknologi og visioner både lokalt og global

Aging biomarkers and the measurement of health and risk

Prevention of age-related disorders is increasingly in focus of health policies, and it is hoped that early intervention on processes of deterioration can promote healthier and longer lives. New opportunities to slow down the aging process are emerging with new fields such as personalized nutrition. Data-intensive research has the potential to improve the precision of existing risk factors, e.g., to replace coarse-grained markers such as blood cholesterol with more detailed multivariate biomarkers. In this paper, we follow an attempt to develop a new aging biomarker. The vision among the project consortium, comprising both research and industrial partners, is that the new biomarker will be predictive of a range of age-related conditions, which may be preventable through personalized nutrition. We combine philosophical analysis and ethnographic fieldwork to explore the possibilities and challenges of managing aging through bodily signs that are not straightforwardly linked to symptomatic disease. We document how the improvement of measurement brings about new conceptual challenges of demarcating healthy and unhealthy states. Moreover, we highlight that the reframing of aging as risk has social and ethical implications, as it is generative of normative notions of what constitutes successful aging and good citizenship

Affect and Effect in Interdisciplinary Research Collaboration

Research across disciplines is often described as beset with problems of epistemological hierarchies and incommensurable categories. We recognize these problems working in two large interdisciplinary research projects on obesity and cholesterol lowering medicine in Denmark. We explore the affective tensions that arise in concrete situations when we meet other researchers around a shared research object. We propose that sensitivity towards such differences, and exploration of the affects they foster, can generate new epistemological and political openings. Analysing four interdisciplinary situations we suggest that embodied experiences of amusement, awkwardness, boredom and doubts are signposts of both differences and connections between people and concerns. Inspired by Haraway’s notion of “response-ability” (1997) and Verran’s concept of “generative critique” (2001) we propose that attention to affective tensions in interdisciplinary research collaboration can be generative of effects not only on modes of collaboration, but also on the ways we engage the world as researchers

Skærmbesøg

Essa

The practical ethics of repurposing health data: how to acknowledge invisible data work and the need for prioritization

Throughout the Global North, policymakers invest in large-scale integration of health-data infrastructures to facilitate the reuse of clinical data for administration, research, and innovation. Debates about the ethical implications of data repurposing have focused extensively on issues of patient autonomy and privacy. We suggest that it is time to scrutinize also how the everyday work of healthcare staff is affected by political ambitions of data reuse for an increasing number of purposes, and how different purposes are prioritized. Our analysis builds on ethnographic studies within the Danish healthcare system, which is internationally known for its high degree of digitalization and well-connected data infrastructures. Although data repurposing ought to be relatively seamless in this context, we demonstrate how it involves costs and trade-offs for those who produce and use health data. Even when IT systems and automation strategies are introduced to enhance efficiency and reduce data work, they can end up generating new forms of data work and fragmentation of clinically relevant information. We identify five types of data work related to the production, completion, validation, sorting, and recontextualization of health data. Each of these requires medical expertise and clinical resources. We propose that the implications for these forms of data work should be considered early in the planning stages of initiatives for large-scale data sharing and reuse, such as the European Health Data Space. We believe that political awareness of clinical costs and trade-offs related to such data work can provide better and more informed decisions about data repurposing