The electronic patient record as a meaningful audit tool - Accountability and autonomy in general practitioner work

Publication: Research - peer-reviewJournal article – Annual report year: 2007

Documents

DOI

View graph of relations

Health authorities increasingly request that general practitioners (GPs) use information and communication technologies such as electronic patient records (EPR) for accountability purposes. This article deals with the use of EPRs among general practitioners in Britain. It examines two ways in which GPs use the EPR for accountability purposes. One way is to generate audit reports on the basis of the information that has been entered into the record. The other is to let the computer intervene in the clinical process through prompts. The article argues that GPs' ambivalence toward using the EPR makes them active in finding ways that turn the EPR into a meaningful tool for them, that is, a tool that helps them provide what they see as good care. The article's main contribution is to show how accountability and autonomy are coproduced; less professional autonomy does not follow from more requests to document one's work. Instead, new forms of autonomy are produced in the sociotechnical network that is made up by health policy and local engagements with patients and technology.
Original languageEnglish
JournalScience, Technology & Human Values
Publication date2007
Volume32
Issue1
Pages6-25
ISSN0162-2439
DOIs
StatePublished
CitationsWeb of Science® Times Cited: 13

Keywords

  • GP practice, electronic patient record (EPR), STS, evidence-based medicine, autonomy, self-management, accountability, ethnography
Download as:
Download as PDF
Select render style:
APAAuthorCBEHarvardMLAStandardVancouverShortLong
PDF
Download as HTML
Select render style:
APAAuthorCBEHarvardMLAStandardVancouverShortLong
HTML
Download as Word
Select render style:
APAAuthorCBEHarvardMLAStandardVancouverShortLong
Word

Download statistics

No data available

ID: 4351010