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Describe the key historical developments in healthcare record keeping

Some say that wider access to and control of their own records will empower patients to become more active in managing their own health problems. Others say that such access and control may lead to wider health inequalities between the IT-aware and those lacking computer and internet skills. With reference to the literature in this area, discuss the issues around encouraging patients to take a more active role in managing their own clinical records and say which of these views you agree with and why.

This paper is focussed only within the NHS in the UK

The paper should encompass the following learning objectives into the body of the paper seamlessly:
• Describe the key historical developments in healthcare record keeping
• Understand why health care systems are moving towards electronic records
• Analyse the strengths and weaknesses of both traditional paper-based and modern electronic health records.
• Describe and critique the electronic health record programme in selected health care systems
• Discuss the structure of typical electronic health records.
• Develop a critical understanding of data security, integrity and confidentiality in electronic records

Secondary referencing to be used only

Lists with no purpose at graduate level should not be included

The following list of journals sources may be of good use, these may be used for referencing. If they are not used peer reviewed journals from the UK of newer than 2005 are only to be used.

Øvretveit J, Scott T, Rundall TG, Shortell S, Brommels M, (2007) Implementation of Electronic Medical Records in Hospitals: Two Case Studies Health Policy 84(2): 181–190.

Øvretveit J, Scott T, Rundall TG, Shortell S, Brommels M. (2007) Improving Quality Through Effective Implementation of Information Technology in Healthcare International Journal for Quality in Health Care 19(5): 259–266.

Sachs M (2005) Transforming the health system from the inside out, Frontiers of Health Services Management, 22(2): 3-12 [Describes what an information-enabled health system might look like in ten to twenty years i.e. now!]

Sidorov J, (2006) It Ain’t Necessarily So: The Electronic Health Record and the Unlikely Prospect of reducing Health care Costs Health Affairs 25(4): 1079-1085

Department of Health (2006) Records Management: Code of Practice. Parts 1 and 2:

NHS Summary Care Records

Scott T, Rundall T, Vogt T, Hsu J (2007) Implementing an Electronic Record System Oxford: Radcliffe Publishing

Brennan S (2005) The NHS IT Project: the biggest computer programme in the world – ever! Oxford: Radcliffe Publishing

Thompson D, Wright K (2003) Developing a Unified-Patient Record a practical guide Oxford: Radcliffe Publishing

The paper requested is a critical paper – it should demonstrate an opinion but should be fully supported at the correct level

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