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

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  • Petrakaki, Dimitra
  • Klecun, Ela

Abstract

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.

Suggested Citation

  • Petrakaki, Dimitra & Klecun, Ela, 2015. "Hybridity as a process of technology's ‘translation’: Customizing a national Electronic Patient Record," Social Science & Medicine, Elsevier, vol. 124(C), pages 224-231.
    • Handle: RePEc:eee:socmed:v:124:y:2015:i:c:p:224-231
    DOI: 10.1016/j.socscimed.2014.11.047
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    References listed on IDEAS

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    1. Miller, Peter & Kurunmäki, Liisa & O'Leary, Ted, 2008. "Accounting, hybrids and the management of risk," Accounting, Organizations and Society, Elsevier, vol. 33(7-8), pages 942-967.
    2. Martin Brigham & Niall Hayes, 2013. "Hybridity, consulting and e-development in the making: inscribing new practices of impact assessment and value management," Information Technology for Development, Taylor & Francis Journals, vol. 19(2), pages 112-132, April.
    3. Hislop, Donald, 2002. "The client role in consultancy relations during the appropriation of technological innovations," Research Policy, Elsevier, vol. 31(5), pages 657-671, July.
    4. Eivor Oborn & Michael Barrett & Elizabeth Davidson, 2011. "Unity in Diversity: Electronic Patient Record Use in Multidisciplinary Practice," Information Systems Research, INFORMS, vol. 22(3), pages 547-564, September.
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    Cited by:

    1. Rhodes, Tim & Lancaster, Kari, 2019. "Evidence-making interventions in health: A conceptual framing," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. Daskalopoulou, Athanasia & Palmer, Mark, 2021. "Persistent institutional breaches: Technology use in healthcare work," Social Science & Medicine, Elsevier, vol. 289(C).
    3. Thune, Taran & Mina, Andrea, 2016. "Hospitals as innovators in the health-care system: A literature review and research agenda," Research Policy, Elsevier, vol. 45(8), pages 1545-1557.
    4. Vale, Mira D. & Perkins, Denise White, 2022. "Discuss and remember: Clinician strategies for integrating social determinants of health in patient records and care," Social Science & Medicine, Elsevier, vol. 315(C).

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