The affective atmosphere of rural life and digital healthcare: Understanding older persons’ engagement in eHealth services

Abstract

The implementation of digital healthcare technologies—eHealth—is presented as a solution to increasing costs, demographic changes, and quality issues in rural healthcare. Employing the concept of affective atmospheres, this article uses interviews to explore the emotional aspects of digital healthcare among rural persons of advanced age. Our results suggest that participants were clearly influenced by an affective atmosphere that was deeply embedded in spatial imageries as well as in notions of old age. Strong feelings of resignation, necessity, low entitlement, and defiance tended to encourage participants’ wishes for local face-to-face healthcare to translate into viewing eHealth solutions as positive. This also meant that participants came to enact neoliberal identities of “active ageing”. In conclusion, the concept of affective atmospheres highlights how human subjects and digital materialities interact in the production of human emotional responses to digital healthcare technologies, and emphasises how the conditions and shared imageries of geographic space and age are active components in that process.