Digital technologies are increasingly embedded in clinical encounters, reconfiguring the basis on which health care is delivered. Thereby, the delivery of care shifts from territorial locations in clinics and temporal modes of co-presence towards digital platforms. Drawing on a sociotechnical evaluation of digitised patient follow-up in HIV care, this paper argues that the forms of interactivity practised in platform encounters cannot be adequately understood through traditional interaction frameworks such as Erving Goffman's interaction order. To conceptualise the new informational space and temporal mode of ‘response presence’ within which platform encounters are conducted, the paper draws on theoretical advances made by Karin Knorr Cetina who further developed Goffman's interaction order to describe interactions augmented by ‘scopic media’. A comprehensive framework is presented to elaborate the distinct qualities of interactions occurring in face-to-face, tele-interaction and platform encounters and to analyse their affordances based on doctor and patient experiences. This framework is intended to stimulate further research on how new interactional forms between doctors and patients will reconfigure roles and responsibilities as well as wider structures of digital society. Furthermore, it can also support practical guidance of when and how different forms of clinical encounters may be integrated in care pathways.

中文翻译：

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平台遭遇：艾滋病毒护理中数字化患者随访的研究

数字技术越来越多地嵌入到临床诊疗中，重新配置了提供医疗保健的基础。因此，护理的提供从诊所的地域位置和共存的时间模式转向数字平台。本文利用对 HIV 护理中数字化患者随访的社会技术评估，认为无法通过传统的交互框架（例如 Erving Goffman 的交互顺序）充分理解平台接触中实践的交互形式。为了概念化进行平台遭遇的“响应存在”的新信息空间和时间模式，本文借鉴了进一步发展 Goffman 的 Karin Knorr Cetina 的理论进展。s 交互顺序来描述由“视觉媒体”增强的交互。提出了一个综合框架，以阐述在面对面、远程交互和平台接触中发生的交互的独特品质，并根据医生和患者的经验分析它们的可供性。该框架旨在促进对医生和患者之间新的互动形式如何重新配置​​角色和责任以及更广泛的数字社会结构的进一步研究。此外，它还可以支持何时以及如何将不同形式的临床遭遇整合到护理路径中的实际指导。远程交互和平台接触，并根据医生和患者的经验分析它们的可供性。该框架旨在促进对医生和患者之间新的互动形式如何重新配置​​角色和责任以及更广泛的数字社会结构的进一步研究。此外，它还可以支持何时以及如何将不同形式的临床遭遇整合到护理路径中的实际指导。远程交互和平台接触，并根据医生和患者的经验分析它们的可供性。该框架旨在促进对医生和患者之间新的互动形式如何重新配置​​角色和责任以及更广泛的数字社会结构的进一步研究。此外，它还可以支持何时以及如何将不同形式的临床遭遇整合到护理路径中的实际指导。