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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: 25 October 2021

The Development of a National EHR in Australia II

The Development of a National EHR in Australia II

The Struggle over ‘Personal Control’

(p.78) 5 The Development of a National EHR in Australia II
The Digitalization of Healthcare

Ian P. McLoughlin

Karin Garrety

Rob Wilson

Ping Yu

Andrew Dalley

Oxford University Press

This chapter considers Australia’s second attempt to create a national EHR—the Personally Controlled Electronic Health Record and documents how the focus on ‘personal control’ by citizens added a new dimension to the digital disruption of the division of medical labour. Events from the late 2000s to the present day are chronicled. These are shown to contribute to a story of Australia’s attempt to build a national EHR system that bears many of the hallmarks of experiences in other jurisdictions. In particular it bears the hallmarks of the ‘dangerous enthusiasms’ of policy-makers and the failure to deliver working and useable systems in practice. Rather than transform the healthcare system through disruptive innovation, attempts to digitalize healthcare information in Australia have instead resulted in a disruption of moral orders, the most recent manifestation of which has been a struggle over the meaning of ‘personal control’ of health records.

Keywords:   Australia e-health policy, Personally Controlled Health Record, PCEHR, disruption of moral orders, patient confidentiality

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