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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



Moral (Re)Ordering and Rethinking the Electronic Record

(p.140) 8 Conclusion
The Digitalization of Healthcare

Ian P. McLoughlin

Karin Garrety

Rob Wilson

Ping Yu

Andrew Dalley

Oxford University Press

In this concluding chapter, the enduring vision of shareable electronic health records at a national scale is set against the problematic experience of attempting to build and implement such systems in practice. First, the extent to which EHRs exhibit the features of a disruptive innovation and/or dangerous enthusiasm is considered. Second, the relationship between moral (re)ordering and institutional change in healthcare is explored. Finally, ways in which the electronic record might be rethought are discussed. It is concluded that electronic records—and the digitalization of health more generally—are being shaped by the same forces which are reshaping the medical profession. These reflect the diversity of moral orders now involved in healthcare and the conflicting claims and forces that they have generated. They have implications for both the professional power of doctors and give rise to an increasing need for conversations of care to accommodate multiple orders of worth.

Keywords:   disruptive innovation, moral orders, electronic health records, orders of worth, digitalization of healthcare

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