Imagining digital twins in healthcare: Designing for values as designing for technical milieus

Medicine is increasingly focusing on the prevention of diseases. The digital twin (DT) is considered to be an important technological development for realizing this transition. Broadly speaking, a DT is an in silico representation of an individual that dynamically reflects molecular and physiologi...

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Main Authors: Bas de Boer, Carla Strasser, Sander Mulder
Format: Article
Language:English
Published: Pluto Journals 2022-02-01
Series:Prometheus
Online Access:https://www.scienceopen.com/hosted-document?doi=10.13169/prometheus.38.1.0067
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author Bas de Boer
Carla Strasser
Sander Mulder
author_facet Bas de Boer
Carla Strasser
Sander Mulder
author_sort Bas de Boer
collection DOAJ
description Medicine is increasingly focusing on the prevention of diseases. The digital twin (DT) is considered to be an important technological development for realizing this transition. Broadly speaking, a DT is an in silico representation of an individual that dynamically reflects molecular and physiological status, which makes it possible to monitor precisely health status over time. Currently, DTs are more of an abstract ideal than a concrete technological reality, which makes it possible to actively imagine the different ways in which DTs might materialize. This article develops an approach to imagining the different ways in which DTs can be integrated into the lives of people. It focuses on how potential users want to be cared for by means of DTs and how care practices might be changed through the introduction of DTs. The article shows that a shift towards preventive medicine is taking place and situates DT in this context. Then, drawing on the insights of Gilbert Simondon, it suggests that the notion of technical milieu can be a helpful tool for designers to imagine the practices of valuing to which DTs give rise. Subsequently, it explains how our philosophical approach helps inform what kinds of DTs can be imagined. Then, based on interviews with people likely to relate to DTs in the (near) future, it develops six conceptions of DTs and fleshes out some of the implications of our approach for the design of DTs.
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spelling doaj-art-82c60389b8f04eacbf367b51fe91a06c2025-08-20T02:06:44ZengPluto JournalsPrometheus0810-90281470-10302022-02-013813810.13169/prometheus.38.1.0067Imagining digital twins in healthcare: Designing for values as designing for technical milieusBas de BoerCarla StrasserSander MulderMedicine is increasingly focusing on the prevention of diseases. The digital twin (DT) is considered to be an important technological development for realizing this transition. Broadly speaking, a DT is an in silico representation of an individual that dynamically reflects molecular and physiological status, which makes it possible to monitor precisely health status over time. Currently, DTs are more of an abstract ideal than a concrete technological reality, which makes it possible to actively imagine the different ways in which DTs might materialize. This article develops an approach to imagining the different ways in which DTs can be integrated into the lives of people. It focuses on how potential users want to be cared for by means of DTs and how care practices might be changed through the introduction of DTs. The article shows that a shift towards preventive medicine is taking place and situates DT in this context. Then, drawing on the insights of Gilbert Simondon, it suggests that the notion of technical milieu can be a helpful tool for designers to imagine the practices of valuing to which DTs give rise. Subsequently, it explains how our philosophical approach helps inform what kinds of DTs can be imagined. Then, based on interviews with people likely to relate to DTs in the (near) future, it develops six conceptions of DTs and fleshes out some of the implications of our approach for the design of DTs.https://www.scienceopen.com/hosted-document?doi=10.13169/prometheus.38.1.0067
spellingShingle Bas de Boer
Carla Strasser
Sander Mulder
Imagining digital twins in healthcare: Designing for values as designing for technical milieus
Prometheus
title Imagining digital twins in healthcare: Designing for values as designing for technical milieus
title_full Imagining digital twins in healthcare: Designing for values as designing for technical milieus
title_fullStr Imagining digital twins in healthcare: Designing for values as designing for technical milieus
title_full_unstemmed Imagining digital twins in healthcare: Designing for values as designing for technical milieus
title_short Imagining digital twins in healthcare: Designing for values as designing for technical milieus
title_sort imagining digital twins in healthcare designing for values as designing for technical milieus
url https://www.scienceopen.com/hosted-document?doi=10.13169/prometheus.38.1.0067
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