Patient data as medical facts: social media practices as a foundation for medical knowledge creation
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This paper investigates a web-based, medical research network that relies on patient self-reporting to collect and analyze data on the health status of patients, mostly suffering from severe conditions. The network organizes patient participation in ways that break with the strong expert culture of medical research. Patient data entry is largely unsupervised. It relies on a data architecture that encodes medical knowledge and medical categories, yet remains open to capturing details of patient life that have as a rule remained outside the purview of medical research. The network thus casts the pursuit of medical knowledge in a web-based context, marked by the pivotal importance of patient experience captured in the form of patient data. The originality of the network owes much to the innovative amalgamation of networking and computational functionalities built into a potent social media platform. The arrangements the network epitomizes could be seen as a harbinger of new models of organizing medical knowledge creation and medical work in the digital age, and a complement or alternative to established models of medical research.
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Patients' autonomy is restricted by the design of technology and the way it structures how and what type of data patients can produce and share with others.
“Furthermore, patients' autonomy is restricted by the design of technology and the way it structures how and what type of data patients can produce and share with others (Kallinikos and Tempini, 2014;Tempini, 2015).”
From The Cultivation of Digital Health Citizenship (2021) · cites this paper as Kallinikos and Tempini, 2014
The Technological Underpinnings and Organizational Arrangements section says the platform’s data architecture shapes patient interactions, and the Conclusion describes patients recording experiences in standard forms. These passages support the point that technology structures data production and sharing, but the paper also emphasizes patients’ autonomy and the architecture’s openness to new symptom categories; it does not establish the broad claim that patients’ autonomy is restricted. (LLM, conf=0.82)
Experimental — accuracy not yet measuredBig health data could be used for a number of purposes, including clinical research.
“These big health data could then be used for a number of purposes, including clinical research (Kallinikos and Tempini, 2014;Saukko, 2018;Tempini, 2015).”
From The Cultivation of Digital Health Citizenship (2021) · cites this paper as Kallinikos and Tempini, 2014
Profit oriented platforms, such as Patients Like Me, generate feelings of belonging despite the platform's profit orientation.
“Indeed, studies have reported how profit oriented platforms, such as Patients Like Me, generate feelings of belonging despite the platform's profit orientation (Kallinikos and Tempini, 2014;Tempini, 2015).”
From The Cultivation of Digital Health Citizenship (2021) · cites this paper as Kallinikos and Tempini, 2014
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- Jannis Kallinikos is Professor and head of Information Systems and Innovation Group, Department of Management at the London School of Economics. His research focuses on IS and the governance of organizations. Kallinikos has published widely in IS, Organization Studies and Sociology journals. Recent books include Governing Through Technology: Information Artefacts and Social Practice, Palgrave, 2011 and Materiality and Organizing: Social Interaction in a Technological World, Oxford University Press, 2012 (co--edited with Paul Leonardi and Bonnie Nardi). Address: London School of Economics, Department of Management, Information Systems and Innovation Group, Houghton Street, London WC2A 2AE, UK Email: J.Kallinikos@lse.ac.uk
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“…of apps or platforms they use (for instance if they are profit oriented etc.) Indeed, studies have reported how profit oriented platforms, such as Patients Like Me, generate feelings of belonging despite the platform ’ s profit orientation (Kallinikos and Tempini, 2014; Tempini, 2015).”
BackgroundTill data do us part: Understanding data-based value creation in data-intensive infrastructures
Tempini, N. (2017) · Information and Organization · doi:10.1016/j.infoandorg.2017.08.001 · Cited by 53 · see citing works
Self-citationRai, A. (2017) · MIS Quarterly · doi:10.25300/misq/2017/41.1.e0 · Cited by 40 · see citing works
Platform drifting: When work digitalization hijacks its spirit
Rahrovani, Y. (2020) · The Journal of Strategic Information Systems · doi:10.1016/j.jsis.2020.101615 · Cited by 38 · see citing works
Evaluation of health information systems research in information systems research: A meta-analysis
Haried, P., Claybaugh, C. C., & Dai, H. (2017) · Health Informatics Journal · doi:10.1177/1460458217704259 · Cited by 35 · see citing works
Konopik, J., & Blunck, D. (2023) · Journal of Medical Internet Research · doi:10.2196/41512 · Cited by 35 · see citing works
The Performative Production of Trace Data in Knowledge Work
Aaltonen, A., & Stelmaszak, M. (2023) · Information Systems Research · doi:10.1287/isre.2019.0357 · Cited by 37 · see citing works
Xie, J., Zhang, Z., Liu, X., & Zeng, D. D. (2021) · Journal of Management Information Systems · doi:10.1080/07421222.2021.1870388 · Cited by 34 · see citing works
Conceptual and Ethical Considerations for Citizen Science in Biomedicine
Fiske, A., Savio, L. D., Prainsack, B., & Buyx, A. (2018) · Öffentliche Wissenschaft und gesellschaftlicher Wandel · doi:10.1007/978-3-658-16428-7_10 · Cited by 33 · see citing works
Son, J., Brennan, P. F., & Zhou, S. (2020) · MIS Quarterly · doi:10.25300/misq/2020/15092 · Cited by 32 · see citing works
Yang, H., & Li, D. (2021) · Technological Forecasting and Social Change · doi:10.1016/j.techfore.2021.120839 · Cited by 29 · see citing works
Representing instances: the case for reengineering conceptual modelling grammars
Lukyanenko, R., Parsons, J., & Samuel, B. M. (2018) · European Journal of Information Systems · doi:10.1080/0960085x.2018.1488567 · Cited by 29 · see citing works
Emotional Contagion in the Online Depression Community
Tang, J., Yu, G., & Yao, X. (2021) · Healthcare · doi:10.3390/healthcare9121609 · Cited by 28 · see citing works
Editor's comments: synergies between big data and theory
Rai, A. (2016) · MIS Quarterly · Cited by 28 · see citing works
Information Infrastructures for eHealth
Aanestad, M., Grisot, M., Hanseth, O., & Vassilakopoulou, P. (2017) · Health informatics · doi:10.1007/978-3-319-51020-0_2 · Cited by 27 · see citing works
Andanda, P. (2019) · GRURRR. Gewerblicher Rechtsschutz und Urheberrecht, Rechtsprechungs-Report/GRUR-DVD/GRUR-CD/IIC/Gewerblicher Rechtsschutz und Urheberrecht/Gewerblicher Rechtsschutz und Urheberrecht. Internationaler Teil · doi:10.1007/s40319-019-00873-2 · Cited by 28 · see citing works
What could possibly go wrong? A multi-panel Delphi study of organizational social media risk
Gangi, P. D., Johnston, A., Worrell, J. L., & Thompson, S. (2016) · Information Systems Frontiers · doi:10.1007/s10796-016-9714-2 · Cited by 25 · see citing works
Hager, A., Lindblad, S., Brommels, M., Salomonsson, S., & Wannheden, C. (2020) · Journal of Medical Internet Research · doi:10.2196/16842 · Cited by 24 · see citing works
Algorithmic Interactions in Open Source Work
Shaikh, M., & Vaast, E. (2022) · Information Systems Research · doi:10.1287/isre.2022.1153 · Cited by 23 · see citing works
Katić, B., Heywood, J., Turek, F. W., Chiauzzi, E. J., Vaughan, T. E., Simacek, K. F., Wicks, P. J., JAIN, S. H., Winrow, C. J., & Renger, J. J. (2015) · Sleep Medicine · doi:10.1016/j.sleep.2015.07.024 · Cited by 24 · see citing works
Big Data in Environment and Human Health
Fleming, L. E., Tempini, N., Gordon-Brown, H., Nichols, G. L., Sarran, C. E., Vineis, P., Leonardi, G. S., Golding, B. W., Haines, A., Kessel, A. S., et al. (2016) · Oxford Research Encyclopedia of Environmental Science · doi:10.1093/acrefore/9780199389414.013.541 · Cited by 24 · see citing works
Self-citationSystem: A core conceptual modeling construct for capturing complexity
Lukyanenko, R., Storey, V. C., & Pastor, Ó. (2022) · Data & Knowledge Engineering · doi:10.1016/j.datak.2022.102062 · Cited by 23 · see citing works
Tim, Y., Pan, S. L., Bahri, S., & Fauzi, A. (2016) · Information & Management · doi:10.1016/j.im.2016.05.006 · Cited by 23 · see citing works
Fulfilling information needs of patients in online health communities
Chen, D., Zhang, R., Feng, J., & Liu, K. (2019) · Health Information & Libraries Journal · doi:10.1111/hir.12253 · Cited by 23 · see citing works
Tempini, N. (2020) · Springer eBooks · doi:10.1007/978-3-030-37177-7_13 · Cited by 19 · see citing works
Self-citationRoth, P. H., & Bruni, T. (2021) · Science Technology & Human Values · doi:10.1177/01622439211023568 · Cited by 19 · see citing works
Accumulating Design Knowledge: A Mechanisms-Based Approach
Freie Universität Berlin, G., Rothe, H., Wessel, L., & Barquet, A. P. B. (2020) · Journal of the Association for Information Systems · doi:10.17705/1jais.00619 · Cited by 19 · see citing works
Beyond self-tracking: Exploring and unpacking four emerging labels of patient data work
Piras, E. M. (2019) · Health Informatics Journal · doi:10.1177/1460458219833121 · Cited by 18 · see citing works
Knowledge Discovery from Posts in Online Health Communities Using Unified Medical Language System
Chen, D., Zhang, R., Liu, K., & Hou, L. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15061291 · Cited by 16 · see citing works
Is the genie out of the bottle? Digital platforms and the future of clinical trials
Tempini, N., & Teira, D. (2019) · Economy and Society · doi:10.1080/03085147.2018.1547496 · Cited by 16 · see citing works
Self-citationAvital, M., Jensen, T. B., & Dyrby, S. (2021) · European Journal of Information Systems · doi:10.1080/0960085x.2021.1907236 · Cited by 15 · see citing works
Ibrahim, A. A., Bakar, A. R. A., & Ahmad, S. Z. (2023) · Journal of Internet Commerce · doi:10.1080/15332861.2023.2234122 · Cited by 15 · see citing works
Choo, H., Kim, M., Choi, J., Shin, J., & Shin, S.-Y. (2020) · Journal of Medical Internet Research · doi:10.2196/21369 · Cited by 14 · see citing works
Rai, A. (2016) · MIS Quarterly · doi:10.25300/misq/2016/40.2.e0 · Cited by 14 · see citing works
Ameen, N., Hoelscher, V., & Panteli, N. (2024) · Information Systems Journal · doi:10.1111/isj.12518 · Cited by 15 · see citing works
Firm-Sponsored Online Communities: Building Alignment Capabilities for Participatory Governance
Safadi, H., Skousen, T., & Karahanna, E. (2024) · Information Systems Research · doi:10.1287/isre.2021.0578 · Cited by 13 · see citing works
Digital orphans: Data closure and openness in patient-powered networks
Tempini, N., & Savio, L. D. (2018) · BioSocieties · doi:10.1057/s41292-018-0125-0 · Cited by 13 · see citing works
Self-citationGo to YouTube and See Me Tomorrow: Social Media and Self-Care of Chronic ConditionsPreprint
Liu, X., Zhang, B., Susarla, A., & Padman, R. (2017) · SSRN Electronic Journal · doi:10.2139/ssrn.3061149 · Cited by 13 · see citing works
Analyzing Social Media Research: A Data Quality and Research Reproducibility Perspective
Srivastava, A., & Mishra, R. (2021) · IIM Kozhikode Society & Management Review · doi:10.1177/22779752211011810 · Cited by 13 · see citing works
Exploring the Specificities and Challenges of Testing Big Data Systems
Staegemann, D. G., Volk, M., Nahhas, A., Abdallah, M. M. A., & Turowski, K. (2019) · International Conference on Signal-Image Technology & Internet-Based Systems (SITIS) · doi:10.1109/sitis.2019.00055 · Cited by 12 · see citing works
Ghalavand, H., Panahi, S., & Nouri, M. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12845-z · Cited by 11 · see citing works
Exploring Alternative (Non‐Economic) Forms of Value Engendered by Digital Platforms
Chamakiotis, P., & Petrakaki, D. (2024) · Information Systems Journal · doi:10.1111/isj.12576 · Cited by 10 · see citing works
How Social Media Facilitates the Knowledge Management Process: A Systematic Review
Panahi, S., Ghalavand, H., & Sedghi, S. (2021) · Journal of Information & Knowledge Management · doi:10.1142/s0219649221500428 · Cited by 10 · see citing works
Digital health and citizen engagement: Changing the face of health service delivery
Oborn, E., & Barrett, S. (2016) · Health Services Management Research · doi:10.1177/0951484816637749 · Cited by 10 · see citing works
Burton, S. D. (2018) · Critical Public Health · doi:10.1080/09581596.2018.1446509 · Cited by 9 · see citing works
Coutinho, E. D., & de Freitas, A. S. (2021) · RAM. Revista de Administração Mackenzie · doi:10.1590/1678-6971/eramd210079 · Cited by 8 · see citing works
Tang, J., Yao, X., & Yu, G. (2021) · Psychology Research and Behavior Management · doi:10.2147/prbm.s323027 · Cited by 8 · see citing works
Datafication of Care: Security and Privacy Issues with Health Technology for People with Diabetes
Bertolazzi, A., Marzęda-Młynarska, K., Kięczkowska, J. M., & Zanier, M. L. (2024) · Societies · doi:10.3390/soc14090163 · Cited by 7 · see citing works
Digital Healthcare and Expertise
Egher, C. (2022) · Health, technology and society · doi:10.1007/978-981-16-9178-2 · Cited by 8 · see citing works
Intersections of Technological and Regulatory Zones in Regenerative Medicine
Hogle, L. F. (2017) · Springer eBooks · doi:10.1007/978-3-319-63787-7_3 · Cited by 7 · see citing works
Guest editorial: The bright side and the dark side of digital health
Yan, Z., Bernardi, R., Huang, N., & Chang, Y. (2021) · Internet Research · doi:10.1108/intr-12-2021-682 · Cited by 7 · see citing works
Avlona, N.-R., & Shklovski, I. (2024) · Information Communication & Society · doi:10.1080/1369118x.2024.2320922 · Cited by 6 · see citing works
Smailhodžić, E., Fernandes, A. R., Dube, N., & Tarafdar, M. (2024) · Information Systems Journal · doi:10.1111/isj.12574 · Cited by 6 · see citing works
Beyond Data: Recognizing the Democratic Potential of Citizen Science
Roszczyńska-Kurasińska, M., Domaradzka, A., O’Grady, M. J., Bedessem, B., Tempini, N., Trochymiak, M. R., & Wróblewska, N. (2023) · IEEE Technology and Society Magazine · doi:10.1109/mts.2023.3344904 · Cited by 6 · see citing works
Self-citationEgher, C. (2020) · Science & Technology Studies · doi:10.23987/sts.60782 · Cited by 6 · see citing works
Cheng, T. C. E., Lam, H. K. S., Lyons, A. C., & Yeung, A. C. L. (2020) · International Journal of Operations & Production Management · doi:10.1108/ijopm-05-2020-829 · Cited by 6 · see citing works
Lukyanenko, R., & Parsons, J. (2020) · Progress in IS · doi:10.1007/978-3-030-46781-4_3 · Cited by 5 · see citing works
Tempini, N. (2017) · Springer eBooks · doi:10.1007/978-3-319-32001-4_162-1 · Cited by 5 · see citing works
Self-citationVicdan, H., Pérezts, M., & Fırat, A. F. (2021) · M n gement · doi:10.37725/mgmt.v24.4586 · Cited by 4 · see citing works
Cristea, I. C., Leonardi, P., & Vaast, E. (2019) · The Cambridge Handbook of Technology and Employee Behavior · doi:10.1017/9781108649636.019 · Cited by 1 · see citing works
The nested materiality of environmental monitoring
Parmiggiani, E., & Monteiro, E. (2018) · BIBSYS Brage (BIBSYS (Norway)) · doi:10.48550/arxiv.1803.07157 · Cited by 4 · see citing works
Systematic Review of Social Networking Support Groups for Genetic-Disorders Pain Management
Ashtari, S., Taylor, J., & Lai, G. (2020) · Hawaii International Conference on System Sciences (HICSS) · doi:10.24251/hicss.2020.423 · Cited by 4 · see citing works
2. De- und Re-Kontextualisieren: Die ‚reale Evidenz‘ von Patient_innen und Citizen Scientists
Bondio, M. G., Lehmann, E., Wenninger, A., & Bruni, T. (2019) · Nomos Verlagsgesellschaft mbH & Co. KG eBooks · doi:10.5771/9783748903383-59 · Cited by 4 · see citing works
AI-enabled recursive reprogramming: a social systems theory perspective on algorithmic ambidexterity
Liu, S. (2026) · Journal of Organizational Change Management · doi:10.1108/jocm-01-2026-0063 · Cited by 3 · see citing works
- Authors
- Kallinikos, J., & Tempini, N.
- Affiliations
- London School of Economics and Political Science (GB)
- Venue
- Information Systems Research
- Published
- 2014-12
- Volume
- 25
- Issue
- 4
- Pages
- 817-833
- ISSN
- 1047-7047 (ISSN-L)
- 1526-5536
- OpenAlex
- W2058125993
- Cited by
- 141
- References
- 83
- Citations by year
- 2026: 10 · 2025: 5 · 2024: 16 · 2023: 7 · 2022: 6 · 2021: 17 · 2020: 19 · 2019: 14 · 2018: 10 · 2017: 18 · 2016: 13 · 2015: 5 · 2014: 1
- FWCI
- 22.28
- Type
- journal article
- Language
- en
- Open access
- green
- orcid.org
- Licence
- other-oa
- Locations
- Information Systems Research (publishedVersion)
- London School of Economics and Political Science Theses Online (London School of Economics and Political Science) (acceptedVersion, other-oa)
- London School of Economics and Political Science Research Online (London School of Economics and Political Science) (acceptedVersion)
- Figshare (submittedVersion)
- IRIS - Institutional Research Information System (Libera Università Internazionale degli Studi Sociali Guido Carli) (submittedVersion)
- Open Research Exeter (University of Exeter) (submittedVersion)
- Funders
- Engineering and Physical Sciences Research Council
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- patient self-report, social media, patient involvement in research, medical categories, patient experience
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