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

20 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

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