The Medical Record As Organising Discourse

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dc.contributor.author Iedema, Roderick en_US
dc.date.accessioned 2009-12-21T02:33:04Z
dc.date.available 2009-12-21T02:33:04Z
dc.date.issued 2003 en_US
dc.identifier 2006010108 en_US
dc.identifier.citation Iedema Roderick 2003, 'The Medical Record As Organising Discourse', John Benjamins Publishing Co., vol. 4, no. 1, pp. 64-84. en_US
dc.identifier.issn 1388-8951 en_US
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 a??organizinga?? clinical care as it is defined in this paper: its discourse (content, visual appearance, rules governing authorship) remains a??un-organizinga??. 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 a??bad recordsa?? (Garfinkel 1967), such a??organizing discoursea?? ultimately achieves a??lines of forcea?? across and beyond the clinic. en_US
dc.publisher John Benjamins Publishing Co. en_US
dc.title The Medical Record As Organising Discourse en_US
dc.parent Document Design: journal of research and problem solving in organizational communication en_US
dc.journal.volume 4 en_US
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 120300 en_US
dc.personcode 100638 en_US
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.staffid 100638 en_US


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