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All Journal Oikonomia : Journal of Management Economics and Accounting Journal of Public Health Indonesian
Hendra Cipta
Universitas Islam Negeri Ar-Raniry Banda Aceh
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology

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Surveillance Health Society: Ethics, Privicy, and Social Control in Digital Health Systems Hendra Cipta; Isah Fitriani; Ryryn Suryaman Prana Putra
Journal of Public Health Indonesian Vol. 2 No. 5 (2026): JANUARY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/4tt4qc09

Abstract

The rapid expansion of digital health systems has transformed healthcare delivery while simultaneously embedding pervasive practices of surveillance within everyday life. Technologies such as electronic health records, wearable devices, and health analytics enable continuous monitoring and data-driven governance of bodies and behaviors. This study critically examines digital health systems through the lens of surveillance society, focusing on the ethical implications of privacy, autonomy, and social control. Employing a qualitative normative–critical approach, the study analyzes policy documents and academic literature from health ethics, surveillance studies, and critical social theory. The findings show that digital health systems function as infrastructures of continuous surveillance that classify risk, normalize behavior, and reshape relations between individuals, states, and technology providers. Ethical challenges arise from weakened informed consent, data commodification, and profound power asymmetries that limit individual control over personal health data. The study further argues that health-based narratives of prevention and security legitimize intrusive forms of governance, positioning digital health as a mechanism of social control rather than purely a tool of care. This research concludes that ethical governance of digital health requires moving beyond technocratic and procedural approaches toward a critical framework that addresses power, justice, and accountability in data-driven health systems
Digital Financial Behavior in a Cashless Society: A Study of Changes in Consumption Patterns Ummy Kalsum; Hendra Cipta
Oikonomia : Journal of Management Economics and Accounting Vol. 3 No. 3 (2026): Oikonomia - May
Publisher : PT. Hafasy Dwi Nawasena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61942/oikonomia.v3i3.605

Abstract

The global transition toward cashless payment systems has significantly transformed consumer financial behavior by changing how individuals perceive, process, and respond to financial transactions. The decreasing physical interaction with money in digital payment systems is believed to reduce the psychological “pain of paying,” thereby encouraging more frequent and impulsive spending behavior. Although the use of digital payment platforms continues to increase rapidly, particularly in emerging digital economies, the relationship between cashless payment adoption, digital financial behavior, and changes in consumption patterns remains insufficiently explored. This study therefore aims to examine the influence of cashless payment adoption, digital financial behavior, and financial self-control on consumption pattern changes among active digital payment users in Indonesia. Using a quantitative survey design, data were collected from 125 respondents who actively use digital payment platforms and analyzed through multiple linear regression analysis supported by classical assumption testing to ensure model validity. The findings reveal that cashless payment adoption (β = 0.389, p < 0.001) and digital financial behavior (β = 0.304, p = 0.005) significantly increase consumptive behavior, while financial self-control shows a significant negative effect (β = −0.241, p = 0.024), indicating its role in limiting excessive consumption tendencies. Furthermore, the model explains 59.3% of the variance in consumption pattern changes (R² = 0.593), suggesting that these variables substantially contribute to evolving spending behavior in the digital era. Overall, the study concludes that cashless payment systems accelerate shifts toward more frequent and less deliberate spending patterns, while financial self-control functions as an important counterbalancing mechanism, highlighting the need for behaviorally informed digital financial literacy programs and spending-awareness features within digital payment applications.
Co-Authors Isah Fitriani Kalsum, Ummy Ryryn Suryaman Prana Putra