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National electronic health records and the digital disruption of moral orders

Lookup NU author(s): Dr Karin Garrety, Professor Ian McLoughlin, Professor Rob WilsonORCiD, Professor Mike Martin


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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. Normal 0 false false false EN-GB X-NONE X-NONE

Publication metadata

Author(s): Garrety K, McLoughlin I, Wilson R, Zelle G, Martin M

Publication type: Article

Publication status: Published

Journal: Social Science & Medicine

Year: 2014

Volume: 101

Pages: 70-77

Print publication date: 23/11/2013

ISSN (print): 0277-9536

ISSN (electronic): 1873-5347

Publisher: Pergamon


DOI: 10.1016/j.socscimed.2013.11.029


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Funder referenceFunder name
DP110100084Australian Research Council Discovery Grant