The Medical Record As Organising Discourse

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dc.contributor.author Iedema, RA
dc.date.accessioned 2009-12-21T02:33:04Z
dc.date.issued 2003-01
dc.identifier.citation Document Design: journal of research and problem solving in organizational communication, 2003, 4 (1), pp. 64 - 84
dc.identifier.issn 1388-8951
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/4376
dc.description.abstract This paper analyzes different manifestations of the medical record in order to demonstrate how and why some discourse creates greater organizational reach. In doing so, the paper presents four arguments. First, that types of discourse research that analyze organization from the perspective of regularized practices on the one hand, and those which frame organization as narrative and story-telling unfoldings on the other, are to be complemented with discourse research that considers the inherent characteristics of discourse and its relationship to and relevance for organizational process. Second, that organizing discourse is discourse that mediates between specifying and dedifferentiating moments of representation, by interposing standardizing categories, inscriptions and material appearances; only in this way is discourse able to connect the specific and the personalized with the general, abstract, and depersonalized. Third, the paper argues that the paperbased medical record largely absolves clinicians from âorganizingâ clinical care as it is defined in this paper: its discourse (content, visual appearance, rules governing authorship) remains âun-organizingâ. Finally, it is argued that the electronic PCIS is being framed in discourse that standardizes how clinical care is informated, and potentially even intervenes in the substance of that care; and while at greater risk of bringing about âbad recordsâ (Garfinkel 1967), such âorganizing discourseâ ultimately achieves âlines of forceâ across and beyond the clinic.
dc.publisher John Benjamins Publishing Co.
dc.title The Medical Record As Organising Discourse
dc.type Journal Article
dc.parent Document Design: journal of research and problem solving in organizational communication
dc.journal.volume 1
dc.journal.volume 4
dc.journal.number 1 en_US
dc.publocation The Netherlands en_US
dc.identifier.startpage 64 en_US
dc.identifier.endpage 84 en_US
dc.cauo.name FASS.Faculty of Arts and Social Sciences en_US
dc.conference Verified OK en_US
dc.for 1203 Design Practice and Management
dc.personcode 100638
dc.percentage 100 en_US
dc.classification.name Design Practice and Management en_US
dc.classification.type FOR-08 en_US
dc.description.keywords organizational discourse; medical records en_US
dc.description.keywords organizational discourse
dc.description.keywords medical records
dc.description.keywords organizational discourse
dc.description.keywords organizational discourse
dc.description.keywords medical records
dc.description.keywords medical records
dc.description.keywords organizational discourse
dc.description.keywords medical records
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Arts and Social Sciences
pubs.organisational-group /University of Technology Sydney/Strength - Research in Learning and Change
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10


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