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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: 16 October 2021

The Troubled History of Implementing EHRs

The Troubled History of Implementing EHRs

(p.23) 2 The Troubled History of Implementing EHRs
The Digitalization of Healthcare

Ian P. McLoughlin

Karin Garrety

Rob Wilson

Ping Yu

Andrew Dalley

Oxford University Press

This chapter examines the problematic experience of implementing national EHR systems. The different dimensions of EHRs are defined which provides a basis for understanding different types of implementation. Different models of consent and control for determining access to and responsibility for the content of electronic records are also outlined. Specific examples of the implementation of EHR systems are then considered from countries regarded as leaders in the take up of e-health. In each case the development of a national EHR system is shown to have been both challenging and problematic. However, a distinction is drawn between those countries which have sought to record and exchange health data according to nationally prescribed standards and store this information in centralized repositories and those whose electronic sharing of health data has arisen out of local clinician-led developments.

Keywords:   electronic health records, models of consent, national EHR implementation, e-health, health privacy

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