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What Happens When Digital Information Systems Are Brought Into Health And Social Care? Comparing Approaches To Social Policy In England And Australia, Susan Baines, Penelope Hill, Karin Garrety
What Happens When Digital Information Systems Are Brought Into Health And Social Care? Comparing Approaches To Social Policy In England And Australia, Susan Baines, Penelope Hill, Karin Garrety
Faculty of Business - Papers (Archive)
This review article offers a brief comparative overview of approaches to the application of public sector information systems in England and Australia, with particular reference to health and social care. Since the 1990s, reforms to the public sector in both countries have looked to information and communication technologies (ICTs) from the private sector as the key to modern, citizen-centred services. These efforts have been conducted in the wider context of New Public Management, with the emphasis on the marketisation of government services, reducing the size of the state, and improvements in efficiency. Both countries are typically seen as being at, …
National Electronic Health Records And The Digital Disruption Of Moral Orders, Karin Garrety, Ian Mcloughlin, Rob Wilson, Gregor Zelle, Mike Martin
National Electronic Health Records And The Digital Disruption Of Moral Orders, Karin Garrety, Ian Mcloughlin, Rob Wilson, Gregor Zelle, Mike Martin
Faculty of Business - Papers (Archive)
The digitalisation of patient health data to provide national electronic health record systems (NEHRS) is a major objective of many governments. Proponents claim that NEHRS will streamline care, reduce mistakes and cut costs. However, building these systems has proved highly problematic. Using recent developments in Australia as an example, we argue that a hitherto unexamined source of difficulty concerns the way NEHRS disrupt the moral orders governing the production, ownership, use of and responsibility for health records. Policies that pursue digitalisation as a self-evident 'solution' to problems in healthcare without due regard to these disruptions risk alienating key stakeholders. We …