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Impact of restricted contact between grandparents and grandchildren during the COVID-19 pandemic
(2021)
In dem vorliegenden Beitrag wird der aktuelle Trend, Payas-you-live-Systeme (PAYL) in Verbindung mit Krankenversicherungen anzubieten, analysiert. PAYL-Systeme bedeutet konkret die kontinuierliche Erfassung von Gesundheitsdaten mithilfe technischer Geräte und Übermittlung dieser Daten an Versicherungen sowie die Auszahlung von Boni für erreichte Fitnessziele. Zunächst wird eine Definition von PAYL-Systemen dargelegt, dann werden die technischen Rahmenbedingungen erläutert, schließlich werden die Auswirkungen dieser soziotechnischen Systeme näher beleuchtet. Dies geschieht auf Grundlage unserer empirischen Untersuchung. Die drei identifizierten Hauptkonflikte betreffen die Genese von PAYL, seine Auswirkungen auf den Wert der Datensouveränität besonders für Versicherte und die Schwierigkeit, für den Anspruch auf Prävention und Kostenersparnis durch PAYL Evidenz zu erzeugen. Diese Konflikte werden diskutiert, um sowohl die direkten wie auch indirekten Auswirkungen der Digitalisierung und der Ökonomisierung des Sozialen durch PAYL zu beleuchten.