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Hybridity as a process of technology's ‘translation’: customizing a national Electronic Patient Record
journal contribution
posted on 2023-06-08, 19:12 authored by Dimitra PetrakakiDimitra Petrakaki, Ela KlecunThis paper explores how national Electronic Patient Record (EPR) systems are customized in local settings and, in particular, how the context of their origin plays out with the context of their use. It shows how representations of healthcare organizations and of local clinical practice are built into EPR systems within a complex context whereby different stakeholder groups negotiate to produce an EPR package that aims to meet both local and generic needs. The paper draws from research into the implementation of the National Care Record Service, a part of the National Programme for Information Technology (NPfIT), in the English National Health Service (NHS). The paper makes two arguments. First, customization of national EPR is a distributed process that involves cycles of 'translation', which span across geographical, cultural and professional boundaries. Second, 'translation' is an inherently political process during which hybrid technology gets consolidated. The paper concludes, that hybrid technology opens up possibilities for standardization of healthcare.
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Publication status
- Published
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- Published version
Journal
Social Science and MedicineISSN
0277-9536Publisher
ElsevierExternal DOI
Volume
124Page range
224-231Department affiliated with
- Business and Management Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2014-12-03First Compliant Deposit (FCD) Date
2021-03-05Usage metrics
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