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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 England

The Development of a National EHR in England

The Summary Care Record

Chapter:
(p.98) 6 The Development of a National EHR in England
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/9780198744139.003.0007

This chapter further illustrates the explanatory power of the moral orders framework by examining a second case of ‘disruption’ provided by the introduction of the ‘summary care record’ as part of the ill-fated National Programme for IT in the English National Health Service. The significant difficulties and delay experience by the project as a whole and to the attempt to introduce a national EHR are chronicled and various attempts to evaluate and explain the reasons for the difficulties are discussed. The analysis of EHRs as disruptors of moral orders is continued through an examination of the tensions and contests that arose when interested groups applied ‘tests of worth’ to the proposed arrangements that invoked different ‘goods’. As a result, as in other countries, it is suggested that stakeholders expended much energy but struggled to reach consensus regarding a moral reordering around the electronic record.

Keywords:   e-health policy in England, National Programme for Information Technology, summary care record, disruption of moral orders, NHS

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