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040 _aNLM
_beng
_erda
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016 7 _a101706979
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019 _a978378156
_a978802686
_a978993241
_a979371407
020 _a9780198744139
_qhardback
020 _a0198744137
_qhardback
035 _a(OCoLC)957546882
_z(OCoLC)978378156
_z(OCoLC)978802686
_z(OCoLC)978993241
_z(OCoLC)979371407
042 _apcc
043 _au-at---
_ae-uk---
050 4 _aR864
_b.M39 2017
060 0 0 _a2017 E-028
060 1 0 _aWX 175
082 0 4 _a610.285
_223
100 1 _aMcLoughlin, Ian,
_d1956-
_eauthor.
245 1 4 _aThe digitalization of health care :
_belectronic records and the disruption of moral orders /
_cIan P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley.
250 _aFirst edition.
264 1 _aOxford ;
_aNew York, NY :
_bOxford University Press,
_c2017.
300 _axiv, 196 pages ;
_c24 cm
336 _atext
_btxt
_2rdacontent
337 _aunmediated
_bn
_2rdamedia
338 _avolume
_bnc
_2rdacarrier
504 _aIncludes bibliographical references and indexes.
505 0 _aDigitalizing 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 _aElectronic 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.
650 0 _aMedical records
_zAustralia
_xData processing.
650 0 _aMedical records
_zGreat Britain
_xData processing.
650 0 _aMedical records
_xAccess control
_xMoral and ethical aspects.
650 7 _aMedical records
_xAccess control
_xMoral and ethical aspects.
_2fast
_0(OCoLC)fst01766522
650 7 _aMedical records
_xData processing.
_2fast
_0(OCoLC)fst01014552
651 7 _aAustralia.
_2fast
_0(OCoLC)fst01204543
651 7 _aGreat Britain.
_2fast
_0(OCoLC)fst01204623
650 1 2 _aElectronic Health Records
_xethics.
_0https://id.nlm.nih.gov/mesh/D057286Q000941
650 2 2 _aPatient Access to Records
_xethics.
_0https://id.nlm.nih.gov/mesh/D033283Q000941
650 2 2 _aComputer Security.
_0https://id.nlm.nih.gov/mesh/D016494
650 2 2 _aInformation Dissemination
_xethics.
_0https://id.nlm.nih.gov/mesh/D033181Q000941
651 2 _aAustralia.
_0https://id.nlm.nih.gov/mesh/D001315
651 2 _aEngland.
_0https://id.nlm.nih.gov/mesh/D004739
700 1 _aGarrety, Karin,
_eauthor.
700 1 _aWilson, Rob
_c(Lecturer in information management),
_eauthor.
700 1 _aYu, Ping
_c(Health informatics researcher),
_eauthor.
700 1 _aDalley, Andrew,
_eauthor.
938 _aYBP Library Services
_bYANK
_n13085415
938 _aBaker and Taylor
_bBTCP
_nBK0019582301
938 _aBrodart
_bBROD
_n117708674
938 _aErasmus Boekhandel
_bERAA
_nNTS0000229942
029 0 _aNLM
_b101706979
942 _cBOOK
994 _aZ0
_bSUPMU
948 _hNO HOLDINGS IN SUPMU - 41 OTHER HOLDINGS
596 _a1 2
999 _c2810
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