The Digitalization of Healthcare: Electronic Records and the Disruption of Moral Orders

Ian P. McLoughlin, Karin Garrety, Rob Wilson

Research output: Book/ReportBookResearchpeer-review

Abstract

Electronic health records are widely regarded as the 'connective tissue' of any modern healthcare system. For some they represent a 'dangerous enthusiasm' and for others a key enabler of 'disruptive innovation'. Many governments have made major policy and financial investments in digitalizing health records but their implementation has frequently run into opposition from doctors, had lukewarm responses from patients, and raised considerable concerns for privacy advocates and others worried by the security of sensitive health data and the risks of national data-bases.
This book draws upon the concept of 'orders of worth' to reveal the moral dimensions of the medical division of labour and to delve deeper into understanding why electronic records have been so difficult to implement and the sources of opposition to them. The authors argue that digitalization disrupts the moral orders which define rights and responsibilities for the sharing and exchanging of patient medical data. This is illustrated through longitudinal studies of two of the most controversial attempts to introduce national systems - a patient controlled electronic record in Australia and a national summary care record that was part of the ill-fated NHS national program for IT in England. The authors conclude by using the lessons from these national experiences and insights from two regional projects in each country to suggest how the idea of electronic records might be re-thought. It is a must read for anyone concerned about health information and the implications of how it is shared and exchanged in a digital world.
Original languageEnglish
Place of PublicationOxford UK
PublisherOxford University Press
Number of pages196
ISBN (Print)9780198744139
DOIs
Publication statusPublished - Mar 2017

Keywords

  • Healthcare
  • medical records
  • innovation
  • moral orders
  • disruption

Cite this

McLoughlin, Ian P. ; Garrety, Karin ; Wilson, Rob. / The Digitalization of Healthcare : Electronic Records and the Disruption of Moral Orders. Oxford UK : Oxford University Press, 2017. 196 p.
@book{d2174dec7cec490b8947814fdb320513,
title = "The Digitalization of Healthcare: Electronic Records and the Disruption of Moral Orders",
abstract = "Electronic health records are widely regarded as the 'connective tissue' of any modern healthcare system. For some they represent a 'dangerous enthusiasm' and for others a key enabler of 'disruptive innovation'. Many governments have made major policy and financial investments in digitalizing health records but their implementation has frequently run into opposition from doctors, had lukewarm responses from patients, and raised considerable concerns for privacy advocates and others worried by the security of sensitive health data and the risks of national data-bases.This book draws upon the concept of 'orders of worth' to reveal the moral dimensions of the medical division of labour and to delve deeper into understanding why electronic records have been so difficult to implement and the sources of opposition to them. The authors argue that digitalization disrupts the moral orders which define rights and responsibilities for the sharing and exchanging of patient medical data. This is illustrated through longitudinal studies of two of the most controversial attempts to introduce national systems - a patient controlled electronic record in Australia and a national summary care record that was part of the ill-fated NHS national program for IT in England. The authors conclude by using the lessons from these national experiences and insights from two regional projects in each country to suggest how the idea of electronic records might be re-thought. It is a must read for anyone concerned about health information and the implications of how it is shared and exchanged in a digital world.",
keywords = "Healthcare, medical records, innovation, moral orders, disruption",
author = "McLoughlin, {Ian P.} and Karin Garrety and Rob Wilson",
year = "2017",
month = "3",
doi = "10.1093/acprof:oso/9780198744139.001.0001",
language = "English",
isbn = "9780198744139",
publisher = "Oxford University Press",
address = "United Kingdom",

}

The Digitalization of Healthcare : Electronic Records and the Disruption of Moral Orders. / McLoughlin, Ian P.; Garrety, Karin; Wilson, Rob.

Oxford UK : Oxford University Press, 2017. 196 p.

Research output: Book/ReportBookResearchpeer-review

TY - BOOK

T1 - The Digitalization of Healthcare

T2 - Electronic Records and the Disruption of Moral Orders

AU - McLoughlin, Ian P.

AU - Garrety, Karin

AU - Wilson, Rob

PY - 2017/3

Y1 - 2017/3

N2 - Electronic health records are widely regarded as the 'connective tissue' of any modern healthcare system. For some they represent a 'dangerous enthusiasm' and for others a key enabler of 'disruptive innovation'. Many governments have made major policy and financial investments in digitalizing health records but their implementation has frequently run into opposition from doctors, had lukewarm responses from patients, and raised considerable concerns for privacy advocates and others worried by the security of sensitive health data and the risks of national data-bases.This book draws upon the concept of 'orders of worth' to reveal the moral dimensions of the medical division of labour and to delve deeper into understanding why electronic records have been so difficult to implement and the sources of opposition to them. The authors argue that digitalization disrupts the moral orders which define rights and responsibilities for the sharing and exchanging of patient medical data. This is illustrated through longitudinal studies of two of the most controversial attempts to introduce national systems - a patient controlled electronic record in Australia and a national summary care record that was part of the ill-fated NHS national program for IT in England. The authors conclude by using the lessons from these national experiences and insights from two regional projects in each country to suggest how the idea of electronic records might be re-thought. It is a must read for anyone concerned about health information and the implications of how it is shared and exchanged in a digital world.

AB - Electronic health records are widely regarded as the 'connective tissue' of any modern healthcare system. For some they represent a 'dangerous enthusiasm' and for others a key enabler of 'disruptive innovation'. Many governments have made major policy and financial investments in digitalizing health records but their implementation has frequently run into opposition from doctors, had lukewarm responses from patients, and raised considerable concerns for privacy advocates and others worried by the security of sensitive health data and the risks of national data-bases.This book draws upon the concept of 'orders of worth' to reveal the moral dimensions of the medical division of labour and to delve deeper into understanding why electronic records have been so difficult to implement and the sources of opposition to them. The authors argue that digitalization disrupts the moral orders which define rights and responsibilities for the sharing and exchanging of patient medical data. This is illustrated through longitudinal studies of two of the most controversial attempts to introduce national systems - a patient controlled electronic record in Australia and a national summary care record that was part of the ill-fated NHS national program for IT in England. The authors conclude by using the lessons from these national experiences and insights from two regional projects in each country to suggest how the idea of electronic records might be re-thought. It is a must read for anyone concerned about health information and the implications of how it is shared and exchanged in a digital world.

KW - Healthcare

KW - medical records

KW - innovation

KW - moral orders

KW - disruption

U2 - 10.1093/acprof:oso/9780198744139.001.0001

DO - 10.1093/acprof:oso/9780198744139.001.0001

M3 - Book

SN - 9780198744139

BT - The Digitalization of Healthcare

PB - Oxford University Press

CY - Oxford UK

ER -