title: Electronic Medical Records and the Technological Imperative: The Retrieval of Dialogue in Community-Based Primary Care.
abstract: Electronic medical records are regarded as an important tool in primary health-care settings. Because these records are thought to standardize medical information, facilitate provider communication, and improve office efficiency, many practices are transitioning to these systems. However, much of the concern with improving the practice of record keeping has related to technological innovations and human-computer interaction. Drawing on the philosophical reflection raised in Jacques Ellul's work, this article questions the technological imperative that may be supporting medical record keeping. Furthermore, given the growing emphasis on community-based care, this article discusses important non-technological aspects of electronic medical records that might bring the use of these records in line with participatory primary-care medicine.
authors.forename: Berkeley
authors.initials: B
authors.lastname: Franz
authors.forename: John W
authors.initials: JW
authors.lastname: Murphy
mesh_terms: D003142:Communication; D003153:Community Health Services / Q000941:ethics / Q000458:organization & administration*; D004282:Documentation; D057286:Electronic Health Records / Q000941:ethics / Q000458:organization & administration*; D006801:Humans; D010686:Philosophy, Medical; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000941:ethics / Q000458:organization & administration*; D013997:Time Factors