National electronic health records and the digital disruption of moral orders
National electronic health records and the digital disruption of moral orders
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DOI：
10.1016/j.socscimed.2013.11.029
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发表时间：
2014-01-01
影响因子：
5.4
通讯作者：
Martin, Mike
中科院分区：
文献类型：
--
作者：
Garrety, Karin;McLoughlin, Ian;Martin, Mike
将患者健康数据数字化以提供国家电子健康记录系统（NEHRS）是许多政府的主要目标。支持者声称，NEHRS将简化护理，减少错误和削减成本。然而，事实证明，建立这些系统是非常困难的。以澳大利亚最近的事态发展为例，我们认为，迄今未经审查的困难来源关注NEHRS扰乱道德秩序的方式，生产，所有权，使用和健康记录的责任。追求数字化作为医疗保健问题不言而喻的“解决方案”而不适当考虑这些中断的政策可能会疏远关键利益相关者。我们提出了一个更紧急的方法来开发和实施NEHRS，支持道德重新排序周围的权利和责任，适当的意图，那些参与医疗保健关系。皇冠版权所有（C）2013由爱思唯尔有限公司出版。保留所有权利。
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. Crown Copyright (C) 2013 Published by Elsevier Ltd. All rights reserved.