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Ryczer Malgorzata

PhD student in health economics and sociology, EHESS, Linkoping University

Postgraduate program: Health, Population and Social Policies

Research grant from the European Commission PHOENIX Erasmus Mundus Joint Doctoral Program on Dynamics of Health and Welfare (October 2014 - October 2017)

Contact: m.ryczer(at)ehess.fr

 

Dissertation title : Development and use of health technologies: the example of the SMSLifeSaving mobile application to alert volunteers to assist cardiac arrest patients in Sweden.

Under the supervision of Catherine Le Galès (Cermes3) and Alf Westelius (Linkoping University, IEI)

Digital technologies and, in particular, mobile applications for health flood the field of health. There exist multiple areas of these applications both in terms of the health conditions they consider as well as their functions (surveillance, prevention, coaching, informing, care provision...) and their directs users (health professionals, general public, ill people etc.). Recent years, coupled with the geolocation techniques, these applications have started to be developed and adopted also in the emergency situations and concern a possibility to alert rescue services when a person has suspected cardiac arrest outside the hospital.

On the basis of the case study on the SMSLifeSaving application in Sweden, the thesis aims at first  to better understand how and why this technology is today perceived as a health intervention that can save lives, by focusing on the discourses of the actors framing cardiac arrest outside the hospital as a public health problem and on the discourses, processes and decisions that led to the development and implementation of this technology in the particular context, namely historical, institutional and organisational in Sweden. Second research objective concerns the technology itself: how and by whom is it constructed and modified. Here, the thesis aims to deconstruct the work behind development of this new technology and implementation of the new organisation of a pre-hospital emergency health service. Finally, the thesis seeks to understand how the application finds its meaning in the actual uses, including the lifesaving practices, the daily uses of the application by SMSLifeSavers volunteers and the consequences of these practices on the volunteers themselves, their close environment and on the practices of the other actors involved.

This research is based on a qualitative methodology including an ethnography conducted in Sweden (interviews, observations, body of medical articles).

Keywords: cardiac arrest, emergency, technology, mobile application, service organisation, volunteer work, development, use, consequences

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