Delivering healthcare's 'triple aim
Electronic health records and the health research participant in the UK National Health Service
Bibliographic Data
| ID | 2249732 |
|---|---|
| Authors | D Wyatt (0000-0001-5859-7389, School of Population Health & Environmental Sciences Faculty of Life Sciences & Medicine King’s College London London UK, corresponding author), Scott Lampon (School of Population Health & Environmental Sciences Faculty of Life Sciences & Medicine King’s College London London UK), Christopher Mckevitt (0000-0002-5290-4613, School of Population Health & Environmental Sciences Faculty of Life Sciences & Medicine King’s College London London UK) |
| Year | 2020 |
| Volume | 42 |
| Issue | 6 |
| Pages | 1312-1327 |
| Publication date | 2020-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13101 |
| PMID | 32449794 |
| OpenAlex | W3027896624 |
| Language | EN |
| Citations received | 9 |
| References cited | 30 |
The UK National Health Service (NHS) is changing. Consecutive UK industrial strategies have supported the shift from an NHS that provides free-at-point-of-delivery healthcare to one that also facilitates research. Said to promote healthcare's triple aim of 'better health, better healthcare, and lower cost' (Wachter, 2016, 3), the digitisation of patient records is a core part in opening routine aspects of the health system to potential research. In this paper, we thematically analyse 11 policy documents and ask, how does the NHS discuss its decision to digitise patient records and what are the implications of such practices on the citizen? We document how (1) digitisation is presented as a collective endeavour for patients and NHS professionals, offering new possibilities for patients to participate in their own health and that of the population through research and, (2) digitisation contributes to the building of an efficient health system. Through this analysis we reflect on how discussions of digitisation present uncritically the potential of Electronic Health Records and big data analytics to improve care and generate wealth through research, and reconfigure patienthood, by placing research participation as a routine part of accessing NHS healthcare
Business · Health care · Healthcare service · Internet privacy · Political science · Public relations · Service (business · Biomedical Ethics and Regulation · Computer Science · Ethics in Clinical Research · Medicine · Mental Health and Patient Involvement · Nursing · Marketing
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| Unique citing works | 9 |
|---|---|
| Citations per year | 2,25 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 9 |