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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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The Development of a National EHR in Australia I

The Development of a National EHR in Australia I

Trials, Tribulations, and Uncertainty

Chapter:
(p.58) 4 The Development of a National EHR in Australia I
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/9780198744139.003.0005

This chapter traces Australia’s journey to build a national EHR system. It focuses on the first of two projects—HealthConnect—and provides a chronological narrative of public debates about the introduction of a national EHR in Australia, following events from the early 1990s to the late 2000s. The aim is to uncover the ‘higher principles’ at stake as actors sought to justify the public positions they took as moral orders were disrupted by digitalization. This reveals how several different moral orders informed the positions adopted and justifications offered by various stakeholders during ill-fated attempts to come to a consensus on various aspects of a national system. The chapter concludes by suggesting that the failure of the HealthConnect project and its confused aftermath reflecting this disruption of moral orders.

Keywords:   Australian e-health policy, HealthConnect, disruption of moral orders, Australia Card, Medicare

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