{"title":"'Reengineering' U.S. death data collection: the technology and labour behind electronic death registration.","authors":"Sara M B Simon","doi":"10.1017/mdh.2026.10071","DOIUrl":null,"url":null,"abstract":"<p><p>This article explores the data entry labour demands of electronic death registration systems (EDRS), the jurisdiction-specific software systems developed in the United States in the 1990s and 2000s to 'reengineer' the process that informs vital statistics officials of deaths. Over decades of deliberations about how best to design and implement the tools, officials knew of two key issues that challenged death registration historically: the system moved slowly, and the data it produced was not always accurate. This article explores the techno-solutionism that led to the framing of EDRS as a tool that could solve these two issues simultaneously, improving both ease of data entry and the data's integrity. But this flawed optimism about EDRS's dual affordances, the paper argues, contributed to the tool's sluggish implementation.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-11"},"PeriodicalIF":1.1000,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical History","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1017/mdh.2026.10071","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
This article explores the data entry labour demands of electronic death registration systems (EDRS), the jurisdiction-specific software systems developed in the United States in the 1990s and 2000s to 'reengineer' the process that informs vital statistics officials of deaths. Over decades of deliberations about how best to design and implement the tools, officials knew of two key issues that challenged death registration historically: the system moved slowly, and the data it produced was not always accurate. This article explores the techno-solutionism that led to the framing of EDRS as a tool that could solve these two issues simultaneously, improving both ease of data entry and the data's integrity. But this flawed optimism about EDRS's dual affordances, the paper argues, contributed to the tool's sluggish implementation.
期刊介绍:
Medical History is a refereed journal devoted to all aspects of the history of medicine and health, with the goal of broadening and deepening the understanding of the field, in the widest sense, by historical studies of the highest quality. It is also the journal of the European Association for the History of Medicine and Health. The membership of the Editorial Board, which includes senior members of the EAHMH, reflects the commitment to the finest international standards in refereeing of submitted papers and the reviewing of books. The journal publishes in English, but welcomes submissions from scholars for whom English is not a first language; language and copy-editing assistance will be provided wherever possible.