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Trace of the tracer

Techno-solutionism, surveillance and the ambivalent experiences of digital health in Türkiye’s Covid-19 response

Datos Bibliográficos

ID24145286
AutoresAyşe Polat (0000-0002-8739-6372, Istanbul Medeniyet University), Hüseyin Küçükali (0000-0003-1669-3107, Bogaziçi University), Zübeyde Demircioğlu (0000-0002-8749-006X, Institute for Risk Assessment Sciences, Utrecht University)
Año2026
Volumen21
Número1
Páginas2728442-2728442
Fecha de publicación2026-12-31
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaGlobal Public Health (JOURNAL)
Identificadores de la revistaISSN: 1744-1692 • E-ISSN: 1744-1706
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/17441692.2026.2728442
PMID42734319
OpenAlexW7213163370
IdiomaEN
Referencias citadas41

This study examines how digital health technologies were implemented in pandemic response, based on interviews and focus groups with frontline health workers in Türkiye. While the COVID-19 pandemic accelerated the adoption of digital tools as essential solutions for crisis management, the findings reveal a more ambivalent reality.Digital systems improved coordination, replaced paper-based chaotic workflows, and enabled real-time data sharing. However, their effectiveness was constrained by infrastructural shortcomings, uneven digital skills, and misalignment with field conditions. Digitalisation also introduced new surveillance and performance monitoring, blurring professional boundaries and increasing bureaucratic burdens. Privacy concerns emerged as health workers used personal devices, while metric-driven oversight reduced their work to quantifiable outputs and obscured qualitative aspects of care. Furthermore, social inequalities, including limited digital literacy among older adults and the exclusion of migrants from official records, revealed the limits of technology-centred approaches and underscored the importance of human-centred interactions.This study argues that digital technologies function as socio-technical systems shaped by institutional structures, material resources, and practice. Türkiye's experience shows that digital tools can enhance coordination in public health emergencies when frontline experience, quality of care, and equity are prioritised. Otherwise, digitalisation risks reproducing the inefficiencies and inequalities it aims to resolve.

Accountability · Ambivalence · Digital health · Focus group · Health care · Inequality · mHealth · Pandemic · Public health · Qualitative research · COVID-19 Digital Contact Tracing · Ethics and Social Impacts of AI · Telemedicine and Telehealth Implementation

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