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首页> 外文期刊>Science, Technology and Human Values >The Electronic Patient Record as a Meaningful Audit Tool: Accountability and Autonomy in General Practitioner Work
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The Electronic Patient Record as a Meaningful Audit Tool: Accountability and Autonomy in General Practitioner Work

机译：电子病历作为一种有意义的审核工具：全科医生工作中的责任制和自主权

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Health authorities increasingly request that general practitioners (GPs) use information and communication technologies such as electronic patient records (EPR) for accountability purposes. This article deals with the use of EPRs among general practitioners in Britain. It examines two ways in which GPs use the EPR for accountability purposes. One way is to generate audit reports on the basis of the information that has been entered into the record. The other is to let the computer intervene in the clinical process through prompts. The article argues that GPs' ambivalence toward using the EPR makes them active in finding ways that turn the EPR into a meaningful tool for them, that is, a tool that helps them provide what they see as good care. The article's main contribution is to show how accountability and autonomy are coproduced; less professional autonomy does not follow from more requests to document one's work. Instead, new forms of autonomy are produced in the sociotechnical network that is made up by health policy and local engagements with patients and technology.
机译：卫生当局日益要求全科医生（GPs）使用电子病历（EPR）等信息和通信技术来实现问责制。本文讨论了英国全科医生中EPR的使用。它研究了GP出于责任制目的使用EPR的两种方式。一种方法是根据已输入记录的信息生成审核报告。另一种是让计算机通过提示来介入临床过程。该文章认为，全科医生对使用EPR的矛盾态度使他们积极寻找使EPR成为对他们有意义的工具的方法，即一种工具，可以帮助他们提供他们认为良好的护理。本文的主要贡献在于展示问责制和自治是如何共同产生的。更少的专业自主权不会源于更多的要求来记录一个人的工作。取而代之的是，在社会技术网络中产生了新的自治形式，该网络由健康政策以及与患者和技术的本地互动组成。

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