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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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Moral Orders and Justification in the Division of Medical Labour

Moral Orders and Justification in the Division of Medical Labour

Chapter:
(p.41) 3 Moral Orders and Justification in the Division of Medical Labour
Source:
The Digitalization of Healthcare
Author(s):

Ian P. McLoughlin

Karin Garrety

Rob Wilson

Ping Yu

Andrew Dalley

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198744139.003.0004

In this chapter the core thesis of the book is outlined. This proposes that healthcare can be fruitfully viewed as a cluster of negotiated and interrelated moral orders, a deeper understanding of which is required to explain the difficulties associated with implementing EHRs, especially at a national level. Moral orders can be seen as an integral aspect of the division of labour in healthcare and the reciprocal relationships that develop over time among healthcare providers, administrators, citizens, and the state. They embody core values and serve to legitimate and provide justification for the distribution of key rights and responsibilities that enable healthcare systems to function and develop. It is argued that it is the challenge to moral orders which is at the heart of the problems plaguing the implementations of shareable electronic records.

Keywords:   orders of worth, positioning theory, moral orders, justification, history of medical record keeping

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