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The politics of healthcare informatics: knowledge management using an electronic medical record system
Author(s) -
BarLev Shirly
Publication year - 2015
Publication title -
sociology of health and illness
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 97
eISSN - 1467-9566
pISSN - 0141-9889
DOI - 10.1111/1467-9566.12213
Subject(s) - variety (cybernetics) , politics , health care , electronic medical record , quality (philosophy) , health informatics , informatics , knowledge management , qualitative research , medical record , sociology , computer science , medicine , political science , epistemology , internet privacy , social science , artificial intelligence , law , philosophy , radiology
The design and implementation of an electronic medical record system pose significant epistemological and practical complexities. Despite optimistic assessments of their potential contribution to the quality of care, their implementation has been problematic, and their actual employment in various clinical settings remains controversial. Little is known about how their use actually mediates knowing. Employing a variety of qualitative research methods, this article attempts an answer by illustrating how omitting, editing and excessive reporting were employed as part of nurses' and physicians' political efforts to shape knowledge production and knowledge sharing in a technologically mediated healthcare setting.