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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 Klecun
This 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.

History

Publication status

  • Published

File Version

  • Published version

Journal

Social Science and Medicine

ISSN

0277-9536

Publisher

Elsevier

Volume

124

Page range

224-231

Department affiliated with

  • Business and Management Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2014-12-03

First Compliant Deposit (FCD) Date

2021-03-05

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