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Author McLoughlin, Ian, 1956-
Title The digitalization of healthcare : electronic records and the disruption of moral orders / Ian P. McLoughlin, Karin Garrety, and Rob Wilson.
Imprint Oxford : Oxford University Press, 2017.
Edition First edition.

View online
View online
Author McLoughlin, Ian, 1956-
Subject Medical records -- Australia -- Data processing.
Medical records -- Great Britain -- Data processing.
Medical records -- Access control -- Moral and ethical aspects.
Electronic Health Records -- ethics.
Patient Access to Records -- ethics.
Computer Security.
Information Dissemination -- ethics.
Alt Name Garrety, Karin,
Wilson, Rob (Lecturer in information management),
Alternate Title Oxford University Press Scholarship Online (UPSO). Business and Management.
Description 1 online resource : illustrations (black and white)
Edition First edition.
Note This edition previously issued in print: 2017.
Bibliography Note Includes bibliographical references and index.
Summary This work explores two controversial examples of attempts to implement national shareable electronic health record systems. It explains why implementing electronic health records has been so fraught with difficulties and argues that the moral basis of recording and sharing health data needs to be re-thought.
Audience Specialized.
Contents Cover; The Digitalization of Healthcare; Copyright; Acknowledgements; Contents; List of Figures; List of Tables; List of Abbreviations; Introduction; Digitalizing Mr Jones's Health; Digital Health and Electronic Records; EHRs in Australia and England; Health Records and the Disruption of Moral Orders; Research Sources and Book Outline; 1: Digitalizing Healthcare: ̀Dangerous Enthusiasm or ̀Disruptive Innovation?; Wicked Problems and the Reform of Healthcare Systems; The Policy Case for E-Health and EHRs; EHRs: a Dangerous Policy Enthusiasm?; EHRs: A Disruptive Innovation?; Conclusion
2: The Troubled History of Implementing EHRsDimensions of EHRs and Models of Consent; Defining EHRs: Dimensions of Scope, Scale, and Control; Consent Models-Òpt in or Òpt out?; National EHR Implementation in Comparative Perspective; United States: Problems of Incentivizing ̀Meaningful Use by Clinicians; Germany: Smart Cards and the Easy Exchange of Health Information; The Netherlands: Problems Scaling Regional Networks into a National EHR; Denmark: Provider-Centric Messaging from the Bottom Up; New Zealand: A Successful ̀Middle-Out Strategy?; Conclusion
3: Moral Orders and Justification in the Division of Medical LabourThe Moral Ordering of Healthcare; Discursive Positioning, Orders of Worth, and Justification; Discursive Positioning; Orders of Worth and Justification; Medical Records and the Moral Orders of Healthcare; Justification, Positioning, and the Disruption of Moral Orders; Conclusion; 4: The Development of a National EHR in Australia I: Trials, Tribulations, and Uncertainty; Introduction; The Origins of a National EHR: the 1990s; HealthConnect: Trials and Tribulations, 2000-5; The National Health Privacy Code; Consent Models
Pilot TrialsReality Frustrates Ambition: The Scaling Back of HealthConnect; NEHTA: Back to Basics amid Policy Uncertainty, 2005-9; Unique Healthcare Identifiers; Models of Consent Again; Developing the Business Case for a National EHR; Conclusion; 5: The Development of a National EHR in Australia II: The Struggle over ̀Personal Control; Introduction; The Origins of the Personally Controlled Electronic Health Record; The Rush towards Implementation: 2010-12; The PCEHR Launch and Aftermath: July 2012-13; ̀Rebooting the PCEHR: 2013-15
Tensions between Orders of Worth in the Development of National EHRs in AustraliaTests of Worth from the Market and Civic Orders; Tests of Worth from the Domestic Order; The Challenges of Forging Compromise among Diverse Orders of Worth; Conclusion; 6: The Development of a National EHR in England: The Summary Care Record; Introduction; The NHS and the Development of an Information Strategy; The National Programme for Information Technology: 2002-10; The National Care Record Service and Summary Care Record: 2009-15; Accounting for Failure: NPfIT and the Troubled SCR
Note Description based on online resource; title from home page (viewed on February 16, 2017).
ISBN 9780191804069 (electronic bk.)
0191804061 (electronic bk.)
9780191061691 (electronic bk.)
0191061697 (electronic bk.)
OCLC # 980600691
Additional Format Print version: 9780198744139

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