EPRs in the consultation room: A discussion of the literature on effects on doctor-patient relationships [Book Review]
Ethics and Information Technology 8 (2):73-83 (2006)
In this paper we discuss expected and reported effects on care provider-patient relations of the introduction of electronic patient records (EPRs) in consultation settings by reviewing exemplary studies and literature on the subject from the past decade. We argue that in order for such assessments to be meaningful, talk of effects of “the” EPR needs to be replaced by an “unpacking” of EPR systems into their constituent parts and functionalities, the effects of which need to be assessed individually. Following from this principle, the paper discusses EPR systems ranging from simple data entry and retrieval systems to more sophisticated multi-user and multifunctional on-line systems. On a second level, our analysis of the literature is informed by the question which model of ideal patienthood underlies the assessment of effects of EPRs. To this end, we identify three “models of patienthood” implicit in writing about benefits and drawbacks of EPRs for patients: the autonomy, the consumer, and the holistic models, and argue that assumptions concerning these models need to be reflected upon more critically to improve understanding of what exactly EPR use does to the doctor-patient relationship.
|Keywords||doctor-patient relations electronic patient records models of patienthood patient-centeredness|
|Categories||categorize this paper)|
References found in this work BETA
What Diagnostic Devices Do: The Case of Blood Sugar Measurement.Annemaire Mol - 2000 - Theoretical Medicine and Bioethics 21 (1):9-22.
Citations of this work BETA
No citations found.
Similar books and articles
Cost Containment Forces Physicians Into Ethical and Quality of Care Compromises.Renate G. Justin - 1989 - Theoretical Medicine and Bioethics 10 (3):231-238.
The Doctor–Patient Relationship.Harry H. Gordon - 1983 - Journal of Medicine and Philosophy 8 (3):243-256.
Government Influence on Patient Organizations.Hester M. Bovenkamp & Margo J. Trappenburg - 2011 - Health Care Analysis 19 (4):329-351.
The Impact of Factitious Disorder on the Physician-Patient Relationship. An Epistemological Model.Christina M. van Der Feltz-Cornelis - 2002 - Medicine, Health Care and Philosophy 5 (3):253-261.
Boundaries in the Doctor–Patient Relationship.Carol Nadelson & Malkah T. Notman - 2002 - Theoretical Medicine and Bioethics 23 (3):191-201.
Consultation Instead of Prescription?A Model for the Structure of the Doctor?Patient Relationship.Annemarie Gethmann-Siefert - 2003 - Poiesis and Praxis 2 (1):1-27.
Strategic Maneuvering in Treatment Decision-Making Discussions: Two Cases in Point. [REVIEW]Nanon Labrie - 2012 - Argumentation 26 (2):171-199.
Added to index2009-01-28
Total downloads14 ( #329,613 of 2,158,177 )
Recent downloads (6 months)1 ( #356,322 of 2,158,177 )
How can I increase my downloads?