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Electronic Patient Information Systems, Care Pathways and Integrated Healthcare: reflections on technology and professionalism

Series Name School of Management Research Seminars
Speaker Professor Michael Dent, University of Leicester
Type Lectures & Talks
When 04 May 2016, 03:30PM - 05:00PM
Venue Ken Edwards Building, Fifth Floor, Room 501
Open To University staff and students
For Bookings Contact Professor Jo Brewis jpb18@leicester.ac.uk 0116 252 3891

Electronic Patient Information Systems, Care Pathways and Integrated Healthcare: reflections on technology and professionalism

Presenter: Professor Michael Dent, University of Leicester

Date & Time: Wednesday 4 May 2016, 3:30pm - 5:00pm

Venue: Ken Edwards Building, Fifth Floor, Room 501

Abstract

This paper examines the challenges of e-patient information systems support for care pathways drawing on research carried out within two English local healthcare communities, or networks. It focuses on health professionals and information specialists within two NHS Primary Care Trusts. There is a particularly intriguing aspect to care pathways not commonly recognised, they represent two potentially contesting control systems. They reflect occupational control as a professionally (nurse)-led system to improve quality of care and to reinforce nursing jurisdiction. Conversely, they embody managerial control in the form of a strategy to re-engineer the organisation and delivery of good quality care more efficiently. Within the English NHS; e-care pathways are intended to be part of the solution to the challenging trends of (a) ageing populations (b) rising costs of health technologies and (c) rising patient and public expectations at a time of economic austerity. The paper concentrates on the day-to-day realities of implementing and working with e-care pathways within two health communities or networks. I will start with an account of Care pathways, their development, the role of IT and the implications, and then present case studies of four e-care pathways and the issues around implementing top-down policies in face of local professional preferences and organisational complexities.