Research output: Contribution to journal › Review article › peer-review
David Wyatt, Scott Lampon, Christopher McKevitt
Original language | English |
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Pages (from-to) | 1312-1327 |
Number of pages | 16 |
Journal | Sociology of Health and Illness |
Volume | 42 |
Issue number | 6 |
DOIs | |
Accepted/In press | 25 Mar 2020 |
Published | 1 Jul 2020 |
Additional links |
Wyatt et al Delivering healthcares triple aim SHI POST PEER REVIEW
Wyatt_et_al_Delivering_healthcares_triple_aim_SHI.pdf, 213 KB, application/pdf
Uploaded date:25 Mar 2020
Version:Accepted author manuscript
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.
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