National electronic health records and the digital disruption of moral orders

Garrety, Karin, McLoughlin, Ian, Wilson, Rob, Zelle, Gregor and Martin, Mike (2014) National electronic health records and the digital disruption of moral orders. Social Science & Medicine, 101. pp. 70-77. ISSN 0277-9536

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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 re-ordering around rights and responsibilities appropriate to the intentions of those involved in healthcare relationships.

Item Type:	Article
Uncontrolled Keywords:	Australia, National electronic health record systems, Moral order, Digital disruption, Personal control, Policy, Rights, Responsibilities
Subjects:	G500 Information Systems L900 Others in Social studies
Department:	Faculties > Business and Law > Newcastle Business School
Depositing User:	Becky Skoyles
Date Deposited:	12 Apr 2019 11:40
Last Modified:	19 Nov 2019 10:04
URI:	http://nrl.northumbria.ac.uk/id/eprint/38972

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