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Computer templates in chronic disease management: ethnographic case study in general practice

The aim of this text is to investigate how electronic templates shape, enable and constrain consultations about chronic diseases. The setting involved general practices in England and used an ethnographic case study design.

The results indicate templates change the nature of chronic disease management and contribute to bureaucratisation of care. The authors conclude electronic templates introduced to assure quality of care in chronic disease management may privilege the needs of the institution for data over the particular needs of individual patients, unless creative use is enabled by the clinician.

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