Moral (Re)Ordering and Rethinking the Electronic Record
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.
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