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Article ID: CBB486735939

Data as promise: Reconfiguring Danish public health through personalized medicine (August 2019)

Social Studies of Science
Volume: 49
Issue: 4
Pages: 531-555

DOI: 10.1177/0306312719858697

URI: https://doi.org/10.1177/0306312719858697

Publication Date: August 2019
Edition Details: Special Issue: From Person to Population and Back: Exploring Accountability in Public Health
Language: English

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Public health Medicine Big data Technoscience; science and technology studies Therapeutic practice; therapy; treatment 21st century Denmark

‘Personalized medicine’ might sound like the very antithesis of population science and public health, with the individual taking the place of the population. However, in practice, personalized medicine generates heavy investments in the population sciences – particularly in data-sourcing initiatives. Intensified data sourcing implies new roles and responsibilities for patients and health professionals, who become responsible not only for data contributions, but also for responding to new uses of data in personalized prevention, drawing upon detailed mapping of risk distribution in the population. Although this population-based ‘personalization’ of prevention and treatment is said to be about making the health services ‘data-driven’, the policies and plans themselves use existing data and evidence in a very selective manner. It is as if data-driven decision-making is a promise for an unspecified future, not a demand on its planning in the present. I therefore suggest interrogating how ‘promissory data’ interact with ideas about accountability in public health policies, and also with the data initiatives that the promises bring about. Intensified data collection might not just be interesting for what it allows authorities to do and know, but also for how its promises of future evidence can be used to postpone action and sidestep uncomfortable knowledge in the present.

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Article Klaus Hoeyer; Susanne Bauer; Martyn Pickersgill (August 2019) Datafication and accountability in public health: Introduction to a special issue. Social Studies of Science (pp. 459-475). unapi

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http://data.isiscb.org/isis/citation/CBB486735939/

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