一个专业的史学:澳大利亚健康信息管理专业的社会和政治驱动力。

Kerin Robinson, Simon Barraclough, Elizabeth Cummings, Rick Iedema
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引用次数: 0

摘要

卫生信息渗透到卫生保健服务中,从护理点到整个护理连续体,以及整个卫生保健系统的政策、人口健康、研究、规划和筹资领域。健康信息管理器(HIMs)熟练地管理这些信息。这篇评论首次将卫生信息管理专业理论化。其目的是确定和背景,通过历史的叙述,社会和政治驱动因素塑造了当代澳大利亚健康信息管理和HIMs的科学工作。它旨在建立我们的社会政治影响的专业的出现和发展,其未来的预计驱动因素的知识。确定了八个关键的社会政治驱动因素,并按临时顺序加以处理。科学医学反映了在过去一个半世纪中病历和其他技术、实验室科学、循证医学和循证健康对医学的影响。标准化是该行业实践的基础和指导。非医疗保健管理者的霸权以及与资源和绩效相关的问责制出现在上世纪60年代,医疗保健领域官僚化的效率以及后官僚主义向文本化和技术治理的转变也是如此。技术推动了健康信息管理的不断变化,正如快节奏的风险社会的力量一样。自20世纪80年代以来,健康消费者运动推动了监管机制,赋予患者访问其医疗记录的权利,并强制要求保护信息隐私。最后,健康信息的新生商品化已经出现。这些力量对这个行业产生了持续的影响。我们的结论是,他们将单独和集体地继续塑造其话语和方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The historiography of a profession: The societal and political drivers of the health information management profession in Australia.

Health information permeates healthcare delivery from point-of-care, across the continuum of care and throughout the healthcare system's policy, population health, research, planning and funding arenas. Health information managers (HIMs) expertly manage that information. This commentary theorises the health information management profession for the first time. Its purpose is to identify and contextualise, via a historiographical account, the societal and political drivers that have shaped contemporary Australian health information management and HIMs' scientific work. It seeks to build our knowledge of the socio-political influences on the profession's emergence and development, and the projected drivers of its future. Eight critical, socio-political drivers were identified and are addressed in temporaneous order. Scientific medicine has reflected the influences on medicine in the past century and a half of the medical record and other technologies, laboratory-based sciences, evidence-based medicine and evidence-based health. Standardisation has underpinned and guided the profession's practice. The hegemony of non-medical healthcare managers and resource- and performance-related accountabilities emerged in the 1960s, as did the efficiencies of bureaucratisation in healthcare and post-bureaucratic shifts to textualisation and technogovernance. Technologisation has driven constant change in health information management, as have the forces of the fast-paced risk society. Since the 1980s, the health consumer movement has propelled regulatory mechanisms that accord patients' access rights to their medical records and mandate information privacy protections. Finally, a nascent commodification of health information has emerged. These forces exert ongoing impacts on the profession. They will, we conclude, singularly and collectively continue to shape its discourses and direction.

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