Caring for the patient, caring for the record: An ethnographic study of 'back office' work in upholding quality of care in general practice

BMC Health Services Research

Volumn 15, Issue 1, 2015, Pages

  Swinglehurst, Deborah ^a   Greenhalgh, Trisha ^b  

^a QUEEN MARY UNIVERSITY OF LONDON   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

Administration; Classification; Coding; Electronic patient records; Ethnography; Quality of care

Indexed keywords

DENTIST; ELECTRONIC HEALTH RECORD; FEMALE; GENERAL PRACTICE; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; INTERPERSONAL COMMUNICATION; MALE; MANAGEMENT; ORGANIZATION AND MANAGEMENT; PROFESSIONAL STANDARD;

COMMUNICATION; DENTISTS; ELECTRONIC HEALTH RECORDS; FEMALE; GENERAL PRACTICE; HEALTH FACILITY ADMINISTRATORS; HEALTH POLICY; HUMANS; MALE; OFFICE MANAGEMENT; PROFESSIONAL ROLE; QUALITY ASSURANCE, HEALTH CARE;

EID: 84928521639     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-015-0774-7     Document Type: Article

References (41)

1. Majeed A, Car J, Sheikh A. Accuracy and completeness of electronic patient records in primary care. Fam Pract. 2008;25:213-4.
2. Thiru K, Hassey A, Sullivan F. Systematic review of scope and quality of electronic patient record data in primary care. BMJ. 2003;326:1070.
3. de Lusignan S. The optimum granularity for coding diagnostic data in primary care: report of a workshop of the EFMI Primary Care Informatics Working Group at MIE 2005. Inform Prim Care. 2006;14:133-7.
4. de Lusignan S, van Weel C. The use of routinely collected computer data for research in primary care: opportunities and challenges. Fam Pract. 2006;23:253-63.
5. Jordan K, Porcheret M, Croft P. Quality of morbidity coding in general practice computerized medial records: a systematic review. Fam Pract. 2004;21:396-412.
6. NHS. Your records: Better information means better care. NHS Choices. http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Pages/care-data.aspx. 2013.
7. de Lusignan S, Wells SE, Hague NJ, Thiru K. Managers see the problems associated with coding clinical data as a technical issue whilst clinicians also see cultural barriers. Methods Inf Med. 2003;42:416-22.
8. Lusignan D. The barriers to clinical coding in general practice: a literature review. Inform Health Soc Care. 2005;30:89-97.
9. Department of Health, RCGP, BMA: The Good Practice Guidelines for GP electronic patient records v4. Downloadable from: http://www.dh.gov.uk/prod-consum-dh/groups/dh-digitalassets/documents/digitalasset/dh-125350.pdf. 2011.
10. Greenhalgh T, Keen J. England's national programme for IT: From contested success claims to exaggerated reports of its death. BMJ. 2013;346:f4130.
11. Department of Health: Liberating the NHS: An Information Revolution. Downloadable from http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH-120080. 2010.
12. Emmerich N, Swinglehurst D, Maybin J, Park S, Quilligan S. Caring for Quality of Care: Symbolic Violence and the Bureaucracies of Audit. BMC Medical Ethics. 2015; http://dx.doi.org/10.1186/s12910-015-0006-z.
13. Health and Social Care Information Centre. Read Coded Clinical Terms. See: http://www.datadictionary.nhs.uk/web-site-content/supporting-information/clinical-coding/read-coded-clinical-terms.asp?shownav=1. 2013. Health and Social Care Information Centre.
14. Health and Social Care Information Centre. Sandards for the clinical structure and content of patient records. London: Academy of Medical Royal Colleges; 2013.
15. Heeks R, Mundy D, Salazar A. Why Health Care Information Systems Succeed or Fail. 9. 1999. University of Manchester, Institute for Development Policy and Management. Information Systems for Public Sector Management Working Paper Series.
16. Berg M. Health care work and patient care information systems. In: Health Information Management - integrating information technology in health care work. London, New York: Routledge; 2004. p. 45-64.
17. Bowker G, Star S. Sorting things Out: classification and its consequences. Cambridge, Massachusetts: The MIT Press; 2000.
18. Star SL. Ecologies of knowledge. Albany: State University of New York Press; 1995.
19. Berg M. Practices of reading and writing: the constitutive role of the patient record in medical work. Sociol Health Illness. 1996;18:499-524.
20. Berg M. Of Forms, containers, and the electronic medical record: some tools for a sociology of the formal. Sci Technol Hum Values. 1997;22:403-33.
21. Suchman L. Located accountabilities in technology production. Scand J Inf Syst. 2002;14:91-105.
22. Blomberg J, Suchman L, Trigg RH. Reflections on a work-oriented design project. Hum Comp Interact. 1996;11:237-65.
23. Suchman L. Making work visible. Commun ACM. 1995;38:56-64.
24. Swinglehurst D, Greenhalgh T, Roberts C. Computer templates in chronic disease management: ethnographic case study in general practice. BMJ Open. 2012;2:e001754. doi: 10.1136/bmjopen-2012-001754.
25. Greenhalgh T, Swinglehurst D. Studying technology use as social practice: the untapped potential of ethnography. BMC Med. 2011;9:45.
26. Swinglehurst D, Greenhalgh T, Myall M, Russell J. Ethnographic study of ICT-supported collaborative work routines in general practice. BMC Health Serv Res. 2010;10:348.
27. Pope C. Conducting ethnography in medical settings. Med Educ. 2005;39:1180-7.
28. Stake RE: Qualitative Case Studies. In The Sage Handbook of Qualitative Research. 3rd edition. Edited by Denzin NK, Lincoln YS. Sage Publications, Inc; 2005:443-466.
29. Hammersley M, Atkinson P. Access. In: Ethnography: principles in practice. London, New York: Routledge; 1995. p. 54-79.
30. Barley S, Tolbert P. Institutionalization and structuration: studying the links between action and institution. Organ Stud. 1997;18:93-117.
31. Rose G. Deciphering Sociological Research. London: Sage; 1982.
32. Geertz C. Thick description: toward an interpretive theory of culture. In: The interpretation of cultures. New York: Basic Books; 1973. p. 3-30.
33. Ormrod S. Organisational culture in health services policy and research: 'third way' political fad or policy development? Policy Politics. 2003;31:227-37.
34. Goffman E. Regions and region behaviour. In: The presentation of self in everyday life. London: Penguin; 1959. p. 109-40.
35. Mitchell J. Producing data: case studies. In: Ellen R, editor. Ethnographic research: a guide to general conduct. London: Academic; 1984. p. 237-24.
36. Swinglehurst D. Displays of authority in the clinical consultation: a linguistic ethnographic study of the electronic patietn record. Soc Sci Med. 2014;118:17-27.
37. Swinglehurst D, Greenhalgh T, Russell J, Myall M. Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study. BMJ. 2011;343:bmj.d6788.
38. Robinson JD. Getting down to business: talk, gaze and body orientation during openings of doctor-patient consultations. Hum Commun Res. 1998;25:97-123.
39. Cochran N, Gordon AC, Krause MS. Proactive records. Knowledge. 1980;2:5-18.
40. Iedema R. The medical record as organizing discourse. Doc Des. 2003;4:64-84.
41. Swinglehurst D, Roberts C, Greenhalgh T. Opening up the "black box" of the electronic patient record: A linguistic ethnographic study in general practice. Commun Med. 2011;8:3-15.