affordances

"Within the hour" and "wherever you are": Exploring the promises of digital healthcare apps

ABSTRACT

The use of healthcare apps for medical advice is becoming increasingly common. This paper explores apps that offer interaction with medical experts. Working from the supposition that digital technologies are intimately entangled in their cultural context, we argue that the apps do more than just neutrally mediate contacts and offer medical and psychological advice. The article addresses the cultural dimensions of healthcare apps and answers questions about the ways in which such apps contribute to forming changing notions of what “healthcare” and being a “patient” entail. Three popular Swedish apps and their marketing material is studied using a discursive interface analysis of the apps’ affordances. The results show that the apps significantly contribute to producing a marketable narrative about app health care that includes accessibility, security/safety and personalisation, and which is partly produced as an alternative to what is offered by Swedish public health care. The results further show that this narrative primarily represents and addresses users who are young, busy, urban consumers of care – partly contrasting policy expectations and hopes.

Feature Analysis: A Method for Analyzing the Role of Ideology in App Design

ABSTRACT

Many apps are designed to solve a problem or accomplish a task, such as managing a health condition, creating a to-do-list, or finding work. The solutions that app developers offer reflects how they believe that users and other stakeholders understand the problem. Each individual developer may have different ideas but analyzing many apps together can reveal the average or typical ways that developers in the set think about the problems that their apps are designed to solve. Building on content analysis, interface analysis, the concept of affordances, and speculative design, this article offers a new method that we call “feature analysis” to analyze what a set of apps designed to solve the same problem can tell us about the relationship between app design and ideology. By counting and classifying the features in a set of apps, feature analysis enables researchers to systematically answer questions about how app developers’ design choices reflect existing cultural norms, assumptions, and ideologies.