National electronic health records and the digital disruption of moral orders

Karin Garrety, Ian Patrick McLoughlin, Robert Wilson, Gregor Zelle, Mike Martin

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)

Abstract

The digitalisation of patient health data to provide national electronic health record systems (NEHRS) is a major objective of many governments. Proponents claim that NEHRS will streamline care, reduce mistakes and cut costs. However, building these systems has proved highly problematic. Using recent developments in Australia as an example, we argue that a hitherto unexamined source of difficulty concerns the way NEHRS disrupt the moral orders governing the production, ownership, use of and responsibility for health records. Policies that pursue digitalisation as a self-evident solution to problems in healthcare without due regard to these disruptions risk alienating key stakeholders. We propose a more emergent approach to the development and implementation of NEHRS that supports moral reordering around rights and responsibilities appropriate to the intentions of those involved in healthcare relationships.
Original languageEnglish
Pages (from-to)70 - 77
Number of pages8
JournalSocial Science and Medicine
Volume101
DOIs
Publication statusPublished - 2014

Cite this

Garrety, Karin ; McLoughlin, Ian Patrick ; Wilson, Robert ; Zelle, Gregor ; Martin, Mike. / National electronic health records and the digital disruption of moral orders. In: Social Science and Medicine. 2014 ; Vol. 101. pp. 70 - 77.
@article{e6077d4a482e464ca344ab1affb03188,
title = "National electronic health records and the digital disruption of moral orders",
abstract = "The digitalisation of patient health data to provide national electronic health record systems (NEHRS) is a major objective of many governments. Proponents claim that NEHRS will streamline care, reduce mistakes and cut costs. However, building these systems has proved highly problematic. Using recent developments in Australia as an example, we argue that a hitherto unexamined source of difficulty concerns the way NEHRS disrupt the moral orders governing the production, ownership, use of and responsibility for health records. Policies that pursue digitalisation as a self-evident solution to problems in healthcare without due regard to these disruptions risk alienating key stakeholders. We propose a more emergent approach to the development and implementation of NEHRS that supports moral reordering around rights and responsibilities appropriate to the intentions of those involved in healthcare relationships.",
author = "Karin Garrety and McLoughlin, {Ian Patrick} and Robert Wilson and Gregor Zelle and Mike Martin",
year = "2014",
doi = "10.1016/j.socscimed.2013.11.029",
language = "English",
volume = "101",
pages = "70 -- 77",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Pergamon",

}

National electronic health records and the digital disruption of moral orders. / Garrety, Karin; McLoughlin, Ian Patrick; Wilson, Robert; Zelle, Gregor; Martin, Mike.

In: Social Science and Medicine, Vol. 101, 2014, p. 70 - 77.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - National electronic health records and the digital disruption of moral orders

AU - Garrety, Karin

AU - McLoughlin, Ian Patrick

AU - Wilson, Robert

AU - Zelle, Gregor

AU - Martin, Mike

PY - 2014

Y1 - 2014

N2 - The digitalisation of patient health data to provide national electronic health record systems (NEHRS) is a major objective of many governments. Proponents claim that NEHRS will streamline care, reduce mistakes and cut costs. However, building these systems has proved highly problematic. Using recent developments in Australia as an example, we argue that a hitherto unexamined source of difficulty concerns the way NEHRS disrupt the moral orders governing the production, ownership, use of and responsibility for health records. Policies that pursue digitalisation as a self-evident solution to problems in healthcare without due regard to these disruptions risk alienating key stakeholders. We propose a more emergent approach to the development and implementation of NEHRS that supports moral reordering around rights and responsibilities appropriate to the intentions of those involved in healthcare relationships.

AB - The digitalisation of patient health data to provide national electronic health record systems (NEHRS) is a major objective of many governments. Proponents claim that NEHRS will streamline care, reduce mistakes and cut costs. However, building these systems has proved highly problematic. Using recent developments in Australia as an example, we argue that a hitherto unexamined source of difficulty concerns the way NEHRS disrupt the moral orders governing the production, ownership, use of and responsibility for health records. Policies that pursue digitalisation as a self-evident solution to problems in healthcare without due regard to these disruptions risk alienating key stakeholders. We propose a more emergent approach to the development and implementation of NEHRS that supports moral reordering around rights and responsibilities appropriate to the intentions of those involved in healthcare relationships.

U2 - 10.1016/j.socscimed.2013.11.029

DO - 10.1016/j.socscimed.2013.11.029

M3 - Article

VL - 101

SP - 70

EP - 77

JO - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

ER -