The digitalization of healthcare: electronic records and the disruption of moral orders
Gespeichert in:
| Beteilige Person: | |
|---|---|
| Format: | Buch |
| Sprache: | Englisch |
| Veröffentlicht: |
Oxford ; New York, NY
Oxford University Press
2017
|
| Ausgabe: | First edition |
| Schlagwörter: | |
| Links: | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029616625&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| Abstract: | Electronic 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 |
| Umfang: | xiv, 196 Seiten Diagramme 24 cm |
| ISBN: | 9780198744139 0198744137 |
Internformat
MARC
| LEADER | 00000nam a2200000 c 4500 | ||
|---|---|---|---|
| 001 | BV044210325 | ||
| 003 | DE-604 | ||
| 005 | 20171019 | ||
| 007 | t| | ||
| 008 | 170306s2017 xx |||| |||| 00||| eng d | ||
| 020 | |a 9780198744139 |c hardback |9 978-0-19-874413-9 | ||
| 020 | |a 0198744137 |c hardback |9 0-19-874413-7 | ||
| 035 | |a (OCoLC)992508401 | ||
| 035 | |a (DE-599)BVBBV044210325 | ||
| 040 | |a DE-604 |b ger |e rda | ||
| 041 | 0 | |a eng | |
| 049 | |a DE-12 |a DE-384 | ||
| 084 | |a QX 700 |0 (DE-625)142186: |2 rvk | ||
| 100 | 1 | |a McLoughlin, Ian |e Verfasser |0 (DE-588)141204087 |4 aut | |
| 245 | 1 | 0 | |a The digitalization of healthcare |b electronic records and the disruption of moral orders |c Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley |
| 250 | |a First edition | ||
| 264 | 1 | |a Oxford ; New York, NY |b Oxford University Press |c 2017 | |
| 300 | |a xiv, 196 Seiten |b Diagramme |c 24 cm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 520 | 3 | |a Electronic 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 | 4 | |a Datenverarbeitung | |
| 650 | 4 | |a Ethik | |
| 650 | 0 | 7 | |a Gesundheitswesen |0 (DE-588)4020775-4 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Digitalisierung |0 (DE-588)4123065-6 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Archivierung |0 (DE-588)4420040-7 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Datenverarbeitung |0 (DE-588)4011152-0 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Elektronische Patientenakte |0 (DE-588)4843076-6 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Ethik |0 (DE-588)4015602-3 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Zugriffskontrolle |0 (DE-588)4293034-0 |2 gnd |9 rswk-swf |
| 651 | 4 | |a Australien | |
| 651 | 4 | |a Großbritannien | |
| 653 | 0 | |a Medical records / Australia / Data processing | |
| 653 | 0 | |a Medical records / Great Britain / Data processing | |
| 653 | 0 | |a Medical records / Access control / Moral and ethical aspects | |
| 653 | 0 | |a Medical Records Systems, Computerized | |
| 655 | 7 | |0 (DE-588)4143413-4 |a Aufsatzsammlung |2 gnd-content | |
| 689 | 0 | 0 | |a Gesundheitswesen |0 (DE-588)4020775-4 |D s |
| 689 | 0 | 1 | |a Digitalisierung |0 (DE-588)4123065-6 |D s |
| 689 | 0 | 2 | |a Datenverarbeitung |0 (DE-588)4011152-0 |D s |
| 689 | 0 | 3 | |a Archivierung |0 (DE-588)4420040-7 |D s |
| 689 | 0 | 4 | |a Ethik |0 (DE-588)4015602-3 |D s |
| 689 | 0 | |5 DE-604 | |
| 689 | 1 | 0 | |a Elektronische Patientenakte |0 (DE-588)4843076-6 |D s |
| 689 | 1 | 1 | |a Zugriffskontrolle |0 (DE-588)4293034-0 |D s |
| 689 | 1 | |8 1\p |5 DE-604 | |
| 856 | 4 | 2 | |m Digitalisierung BSB Muenchen - ADAM Catalogue Enrichment |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029616625&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
| 883 | 1 | |8 1\p |a cgwrk |d 20201028 |q DE-101 |u https://d-nb.info/provenance/plan#cgwrk | |
| 942 | 1 | 1 | |c 302.2 |e 22/bsb |
| 942 | 1 | 1 | |c 020 |e 22/bsb |
| 942 | 1 | 1 | |c 004 |e 22/bsb |
| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-029616625 | |
Datensatz im Suchindex
| _version_ | 1819290184047394816 |
|---|---|
| adam_text | Contents
List of Figures ix
List of Tables xi
List of Abbreviations xiii
Introduction 1
1. Digitalizing Healthcare: Dangerous Enthusiasm or Disruptive
Innovation ? 10
2. The Troubled History of Implementing EHRs 23
3. Moral Orders and Justification in the Division of Medical Labour 41
4. The Development of a National EHR in Australia I: Trials,
Tribulations, and Uncertainty 58
5. The Development of a National EHR in Australia II: The Struggle
over Personal Control 78
6. The Development of a National EHR in England: The Summary
Care Record 98
7. Boundary Objects: Building EHRs at National and Local Level 119
8. Conclusion: Moral (Re)Ordering and Rethinking
the Electronic Record 140
Appendix 1. Research Design and Methods 157
Appendix 2. Other Sources Not Cited in Text 161
References 165
Index of Names 187
Subject Index 191
|
| any_adam_object | 1 |
| author | McLoughlin, Ian |
| author_GND | (DE-588)141204087 |
| author_facet | McLoughlin, Ian |
| author_role | aut |
| author_sort | McLoughlin, Ian |
| author_variant | i m im |
| building | Verbundindex |
| bvnumber | BV044210325 |
| classification_rvk | QX 700 |
| ctrlnum | (OCoLC)992508401 (DE-599)BVBBV044210325 |
| discipline | Wirtschaftswissenschaften |
| edition | First edition |
| format | Book |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>04436nam a2200661 c 4500</leader><controlfield tag="001">BV044210325</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">20171019 </controlfield><controlfield tag="007">t|</controlfield><controlfield tag="008">170306s2017 xx |||| |||| 00||| eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">9780198744139</subfield><subfield code="c">hardback</subfield><subfield code="9">978-0-19-874413-9</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">0198744137</subfield><subfield code="c">hardback</subfield><subfield code="9">0-19-874413-7</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)992508401</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV044210325</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-12</subfield><subfield code="a">DE-384</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">QX 700</subfield><subfield code="0">(DE-625)142186:</subfield><subfield code="2">rvk</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">McLoughlin, Ian</subfield><subfield code="e">Verfasser</subfield><subfield code="0">(DE-588)141204087</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">The digitalization of healthcare</subfield><subfield code="b">electronic records and the disruption of moral orders</subfield><subfield code="c">Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley</subfield></datafield><datafield tag="250" ind1=" " ind2=" "><subfield code="a">First edition</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Oxford ; New York, NY</subfield><subfield code="b">Oxford University Press</subfield><subfield code="c">2017</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">xiv, 196 Seiten</subfield><subfield code="b">Diagramme</subfield><subfield code="c">24 cm</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1="3" ind2=" "><subfield code="a">Electronic 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</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Datenverarbeitung</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Ethik</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Gesundheitswesen</subfield><subfield code="0">(DE-588)4020775-4</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Digitalisierung</subfield><subfield code="0">(DE-588)4123065-6</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Archivierung</subfield><subfield code="0">(DE-588)4420040-7</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Datenverarbeitung</subfield><subfield code="0">(DE-588)4011152-0</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Elektronische Patientenakte</subfield><subfield code="0">(DE-588)4843076-6</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Ethik</subfield><subfield code="0">(DE-588)4015602-3</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Zugriffskontrolle</subfield><subfield code="0">(DE-588)4293034-0</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="651" ind1=" " ind2="4"><subfield code="a">Australien</subfield></datafield><datafield tag="651" ind1=" " ind2="4"><subfield code="a">Großbritannien</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medical records / Australia / Data processing</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medical records / Great Britain / Data processing</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medical records / Access control / Moral and ethical aspects</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medical Records Systems, Computerized</subfield></datafield><datafield tag="655" ind1=" " ind2="7"><subfield code="0">(DE-588)4143413-4</subfield><subfield code="a">Aufsatzsammlung</subfield><subfield code="2">gnd-content</subfield></datafield><datafield tag="689" ind1="0" ind2="0"><subfield code="a">Gesundheitswesen</subfield><subfield code="0">(DE-588)4020775-4</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="1"><subfield code="a">Digitalisierung</subfield><subfield code="0">(DE-588)4123065-6</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="2"><subfield code="a">Datenverarbeitung</subfield><subfield code="0">(DE-588)4011152-0</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="3"><subfield code="a">Archivierung</subfield><subfield code="0">(DE-588)4420040-7</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="4"><subfield code="a">Ethik</subfield><subfield code="0">(DE-588)4015602-3</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="689" ind1="1" ind2="0"><subfield code="a">Elektronische Patientenakte</subfield><subfield code="0">(DE-588)4843076-6</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2="1"><subfield code="a">Zugriffskontrolle</subfield><subfield code="0">(DE-588)4293034-0</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2=" "><subfield code="8">1\p</subfield><subfield code="5">DE-604</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">Digitalisierung BSB Muenchen - ADAM Catalogue Enrichment</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029616625&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="883" ind1="1" ind2=" "><subfield code="8">1\p</subfield><subfield code="a">cgwrk</subfield><subfield code="d">20201028</subfield><subfield code="q">DE-101</subfield><subfield code="u">https://d-nb.info/provenance/plan#cgwrk</subfield></datafield><datafield tag="942" ind1="1" ind2="1"><subfield code="c">302.2</subfield><subfield code="e">22/bsb</subfield></datafield><datafield tag="942" ind1="1" ind2="1"><subfield code="c">020</subfield><subfield code="e">22/bsb</subfield></datafield><datafield tag="942" ind1="1" ind2="1"><subfield code="c">004</subfield><subfield code="e">22/bsb</subfield></datafield><datafield tag="943" ind1="1" ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-029616625</subfield></datafield></record></collection> |
| genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content |
| genre_facet | Aufsatzsammlung |
| geographic | Australien Großbritannien |
| geographic_facet | Australien Großbritannien |
| id | DE-604.BV044210325 |
| illustrated | Not Illustrated |
| indexdate | 2024-12-20T17:56:53Z |
| institution | BVB |
| isbn | 9780198744139 0198744137 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-029616625 |
| oclc_num | 992508401 |
| open_access_boolean | |
| owner | DE-12 DE-384 |
| owner_facet | DE-12 DE-384 |
| physical | xiv, 196 Seiten Diagramme 24 cm |
| publishDate | 2017 |
| publishDateSearch | 2017 |
| publishDateSort | 2017 |
| publisher | Oxford University Press |
| record_format | marc |
| spellingShingle | McLoughlin, Ian The digitalization of healthcare electronic records and the disruption of moral orders Datenverarbeitung Ethik Gesundheitswesen (DE-588)4020775-4 gnd Digitalisierung (DE-588)4123065-6 gnd Archivierung (DE-588)4420040-7 gnd Datenverarbeitung (DE-588)4011152-0 gnd Elektronische Patientenakte (DE-588)4843076-6 gnd Ethik (DE-588)4015602-3 gnd Zugriffskontrolle (DE-588)4293034-0 gnd |
| subject_GND | (DE-588)4020775-4 (DE-588)4123065-6 (DE-588)4420040-7 (DE-588)4011152-0 (DE-588)4843076-6 (DE-588)4015602-3 (DE-588)4293034-0 (DE-588)4143413-4 |
| title | The digitalization of healthcare electronic records and the disruption of moral orders |
| title_auth | The digitalization of healthcare electronic records and the disruption of moral orders |
| title_exact_search | The digitalization of healthcare electronic records and the disruption of moral orders |
| title_full | The digitalization of healthcare electronic records and the disruption of moral orders Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley |
| title_fullStr | The digitalization of healthcare electronic records and the disruption of moral orders Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley |
| title_full_unstemmed | The digitalization of healthcare electronic records and the disruption of moral orders Ian P. McLoughlin, Karin Garrety, Rob Wilson ; with Ping Yu, Andrew Dalley |
| title_short | The digitalization of healthcare |
| title_sort | the digitalization of healthcare electronic records and the disruption of moral orders |
| title_sub | electronic records and the disruption of moral orders |
| topic | Datenverarbeitung Ethik Gesundheitswesen (DE-588)4020775-4 gnd Digitalisierung (DE-588)4123065-6 gnd Archivierung (DE-588)4420040-7 gnd Datenverarbeitung (DE-588)4011152-0 gnd Elektronische Patientenakte (DE-588)4843076-6 gnd Ethik (DE-588)4015602-3 gnd Zugriffskontrolle (DE-588)4293034-0 gnd |
| topic_facet | Datenverarbeitung Ethik Gesundheitswesen Digitalisierung Archivierung Elektronische Patientenakte Zugriffskontrolle Australien Großbritannien Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029616625&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT mcloughlinian thedigitalizationofhealthcareelectronicrecordsandthedisruptionofmoralorders |