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Book Cover
Author McLoughlin, Ian, 1956- author.

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


Description 1 online resource : illustrations (black and white)
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-̀Opt in ́or ̀Opt out?́; National EHR Implementation in Comparative Perspective; United States: Problems of Incentivizing ̀Meaningful Use ́by Clinicians; Germany: Smart Cards and the Éasy 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
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
Notes This edition previously issued in print: 2017
Bibliography Includes bibliographical references and index
Audience Specialized
Notes Online resource; title from home page (viewed on February 16, 2017)
Subject Medical records -- Australia -- Data processing
Medical records -- Great Britain -- Data processing
Medical records -- Access control -- Moral and ethical aspects
Computer security.
Electronic Health Records -- ethics
Patient Access to Records -- ethics
Computer Security
Information Dissemination -- ethics
HEALTH & FITNESS -- Reference.
MEDICAL -- Alternative Medicine.
MEDICAL -- Atlases.
MEDICAL -- Essays.
MEDICAL -- Family & General Practice.
MEDICAL -- Holistic Medicine.
MEDICAL -- Osteopathy.
Computer security.
Medical records -- Access control -- Moral and ethical aspects.
Medical records -- Data processing.
Great Britain.
Genre/Form Electronic books
Form Electronic book
Author Garrety, Karin, author
Wilson, Rob (Lecturer in information management), author.
ISBN 9780191804069
OTHER TI Oxford University Press Scholarship Online (UPSO). Business and Management. CaBVaS