Abstract

The digitalization of health care is currently subject to extensive hype (both negative and positive), which obscures its potential to benefit humanity. Science and Technology Studies have described the computational translation of health information as “datafication,” often from a critical stance in which such technologies limit agency of patients and clinicians. Conversely, health care has long since been structured along highly unequal lines with high levels of inequity, in which parts of the population experience reduced healthcare access. In addition, there are high levels of health illiteracy, where some groups are not only unaware of their own health needs or how to access health care, but the healthcare system is itself lacking key information on the needs of those individuals. In that context, digital systems able to handle and communicate large datasets are often heralded as a solution for better connecting patients and the healthcare system within a holistic model. To help bring much-needed nuance to our understanding of digital health care, the article looks to the example of digital dental health—both implemented and potential—within Skåne in Southern Sweden, with a mix of an advanced welfare model healthcare system combined with a diverse population consisting of many foreign-born nationals. By interviewing dental professionals working in Skåne, we investigate the intersection between the theoretical arguments and the practical constraints and opportunities for digital health.