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The digitalization of healthcare : =...

McLoughlin, Ian, (1956-)

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The digitalization of healthcare : = electronic records and the disruption of moral orders /

Record Type:	Language materials, printed : Monograph/item
Title/Author:	The digitalization of healthcare :/ Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley.
Reminder of title:	electronic records and the disruption of moral orders /
Author:	McLoughlin, Ian,
other author:	Garrety, Karin.
Published:	Oxford ;Oxford University Press, : c2017.,
Description:	xiv, 196 p. ;25 cm.
[NT 15003449]:	Digitalizing healthcare: 'dangerous enthusiasm' or 'disruptive innovation'? -- The troubled history of implementing EHRs -- Moral orders and justification in the division of medical labour -- The development of a national EHR in Australia I: trials, tribulations, and uncertainty -- The development of a national EHR in England: the summary care record -- Boundary objects: building EHRs at national and local level -- Conclusion: moral (re)ordering and rethinking the electronic record.
Subject:	Medical records - Data processing. - Australia -
ISBN:	9780198744139

The digitalization of healthcare : = electronic records and the disruption of moral orders /
McLoughlin, Ian,1956-

The digitalization of healthcare :electronic records and the disruption of moral orders /Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley. - 1st ed. - Oxford ;Oxford University Press,c2017. - xiv, 196 p. ;25 cm.

Includes bibliographical references (p. [165]-185) and indexes.

Digitalizing healthcare: 'dangerous enthusiasm' or 'disruptive innovation'? -- The troubled history of implementing EHRs -- Moral orders and justification in the division of medical labour -- The development of a national EHR in Australia I: trials, tribulations, and uncertainty -- The development of a national EHR in England: the summary care record -- Boundary objects: building EHRs at national and local level -- Conclusion: moral (re)ordering and rethinking the electronic record.

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.--

ISBN: 9780198744139GBP61.00

LCCN: 2016945279Subjects--Topical Terms:

3421183
Medical records
--Data processing.--Australia

LC Class. No.: R864 / .M39 2017

Dewey Class. No.: 610.285

National Library of Medicine Call No.: 2017 E-028

The digitalization of healthcare : = electronic records and the disruption of moral orders /
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100 1 $a McLoughlin, Ian, $d 1956- $3 2085689
245 1 4 $a The digitalization of healthcare : $b electronic records and the disruption of moral orders / $c Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley.
250 $a 1st ed.
260 # $a Oxford ; $a New York, NY : $b Oxford University Press, $c c2017.
300 $a xiv, 196 p. ; $c 25 cm.
504 $a Includes bibliographical references (p. [165]-185) and indexes.
505 0 # $a Digitalizing healthcare: 'dangerous enthusiasm' or 'disruptive innovation'? -- The troubled history of implementing EHRs -- Moral orders and justification in the division of medical labour -- The development of a national EHR in Australia I: trials, tribulations, and uncertainty -- The development of a national EHR in England: the summary care record -- Boundary objects: building EHRs at national and local level -- Conclusion: moral (re)ordering and rethinking the electronic record.
520 8 $a 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.-- $c Source other than Library of Congress.
650 # 0 $a Medical records $z Australia $x Data processing. $3 3421183
650 # 0 $a Medical records $z Great Britain $x Data processing. $3 3421184
650 # 0 $a Medical records $x Access control $x Moral and ethical aspects. $3 3383634
650 1 2 $a Electronic Health Records $x ethics. $3 3421185
650 2 2 $a Patient Access to Records $x ethics. $3 3421186
650 2 2 $a Computer Security. $3 761904
650 2 2 $a Information Dissemination $x ethics. $3 3421187
700 1 # $a Garrety, Karin. $3 3421179
700 1 # $a Wilson, Rob $c (Lecturer in information management) $3 3421180
700 1 # $a Yu, Ping $c (Health informatics researcher) $3 3421181
700 1 # $a Dalley, Andrew. $3 3421182