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The Digitalization of HealthcareElectronic Records and the Disruption of Moral Orders$
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Ian P. McLoughlin, Karin Garrety, and Rob Wilson

Print publication date: 2017

Print ISBN-13: 9780198744139

Published to Oxford Scholarship Online: March 2017

DOI: 10.1093/acprof:oso/9780198744139.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 20 October 2021

Digitalizing Healthcare

Digitalizing Healthcare

‘Dangerous Enthusiasm’ or ‘Disruptive Innovation’?

(p.10) 1 Digitalizing Healthcare
The Digitalization of Healthcare

Ian P. McLoughlin

Karin Garrety

Rob Wilson

Ping Yu

Andrew Dalley

Oxford University Press

This chapter considers the motivations behind the significant investments that governments have made in e-health in general and electronic health records (EHRs) in particular. Two propositions concerning the policy and financial investments that governments have and continue to make in developing national EHRs are explored. The first argument, in part fuelled by broader experiences of public investments in information systems, suggests that such policies can reflect a ‘dangerous enthusiasm’ on the part of politicians and policy-makers that exposes significant weaknesses in the ability of governments and their agencies to manage large-scale information-technology projects. The second argument takes a different tack and explores the significance of EHRs as a key component of the ‘disruptive innovation’ required to transform healthcare systems so that they can cope more effectively with the challenges they face.

Keywords:   wicked health problems, e-health policy, disruptive innovation, electronic health records, IT in health

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