Hybridity as a process of technology's ‘translation’: customizing a national Electronic Patient Record

Petrakaki, Dimitra and Klecun, Ela (2015) Hybridity as a process of technology's ‘translation’: customizing a national Electronic Patient Record. Social Science and Medicine, 124. pp. 224-231. ISSN 0277-9536

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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.

Item Type: Article
Schools and Departments: School of Business, Management and Economics > Business and Management
Subjects: H Social Sciences
Depositing User: Dimitra Petrakaki
Date Deposited: 03 Dec 2014 09:20
Last Modified: 04 Jun 2015 11:36
URI: http://srodev.sussex.ac.uk/id/eprint/51572
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