A saúde digital nos últimos quatro anos e os desafios para o novo governo

Marcelo Fornazin; Raquel Requena Rachid; Giliate Cardoso Coelho Neto

doi:10.29397/reciis.v16i4.3515

Digital health over the last four years and the challenges for the new government

Authors

Marcelo Fornazin Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. Universidade Federal Fluminense. Niterói, RJ https://orcid.org/0000-0002-0379-5801
Raquel Requena Rachid Fundação Oswaldo Cruz, Estratégia Fiocruz para a Agenda 2030. Rio de Janeiro, RJ, Brasil. Universidade de São Paulo. Programa de Pós-Graduação em Mudança Social e Participação Política. São Paulo, SP https://orcid.org/0000-0001-8593-3085
Giliate Cardoso Coelho Neto Universidade Federal de São Paulo, Programa de Pós-Graduação em Saúde Coletiva. São Paulo, SP https://orcid.org/0000-0002-5580-3586

DOI:

https://doi.org/10.29397/reciis.v16i4.3515

Keywords:

Digital health, Health information, Digital technologies, Public policies, Unified Health System

Abstract

Digital health emerged as a trend to overcome the health system challenges and during the Covid-19 pandemic it was intensified through the use of health-related technologies to face the health crisis. This conjuncture note evaluates the actions of the federal government over the last four years, in order to highlight the gaps that update the challenges related to the management of the SUS – Sistema Único de Saúde (Unified Health System) information systems. Finally, some ways are proposed for the new government to follow, with regard to digital health, taking account the principles of the SUS.

Author Biographies

Marcelo Fornazin, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. Universidade Federal Fluminense. Niterói, RJ

Doutorado em Administração pela Fundação Getúlio Vargas.

Raquel Requena Rachid, Fundação Oswaldo Cruz, Estratégia Fiocruz para a Agenda 2030. Rio de Janeiro, RJ, Brasil. Universidade de São Paulo. Programa de Pós-Graduação em Mudança Social e Participação Política. São Paulo, SP

Mestrado em Direito Político e Econômico pela Universidade Presbiteriana Mackenzie.

Giliate Cardoso Coelho Neto, Universidade Federal de São Paulo, Programa de Pós-Graduação em Saúde Coletiva. São Paulo, SP

Mestrado em Saúde Coletiva pela Universidade Federal de São Paulo.

References

ASSOCIAÇÃO BRASILEIRA DE SAÚDE COLETIVA (ABRASCO). 3º Plano Diretor para o

Desenvolvimento da Informação e Tecnologia de Informação em Saúde: 3º PlaDITIS 2020-2024. Rio de Janeiro: A Associação, 2020. Disponível em: https://www.abrasco.org.br/site/gtinformacoesemsaudeepopulacao/wp-content/uploads/sites/13/2021/04/plad5.pdf. Acesso em: 21 set. 2021.

BRASIL. Ministério da Saúde. Estratégia de Saúde Digital para o Brasil 2020-2028. Brasília, DF: O Ministério, 2020a. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/estrategia_saude_digital_Brasil.pdf. Acesso em: 17 ago. 2021.

BRASIL. Ministério da Saúde. Plano de Ação, Monitoramento e Avaliação da Estratégia de Saúde Digital para o Brasil 2019-2013. 2020b. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-digital/a-estrategia-brasileira/PlanodeAoMonitoramentoeAvaliao.pdf. Acesso em: 12 dez. 2022.

BRASIL. Ministério da Saúde. Conselho Nacional de Saúde. Consulta Pública n. 70, de 03 de agosto de 2020. Diário Oficial da União, Brasília, DF, v. 148, p. 57, 04 ago. 2020c. Seção 1. Disponível em: https://www.in.gov.br/en/web/dou/-/consulta-publica-n-70-de-3-de-agosto-de-2020-270220874 Acesso em: 12 dez. 2022.

COELHO NETO, Giliate C.; CHIORO, Arthur. Afinal, quantos Sistemas de Informação em Saúde de base nacional existem no Brasil?. Cadernos de Saúde Pública, Rio de Janeiro, v. 37, n. 7, p. e00182119, 2021. DOI: https://doi.org/10.1590/0102-311X00182119. Disponível em: https://www.scielo.br/j/csp/a/RzNmvjHqmLhPHZp6gfcdC6H/?lang=pt. Acesso em: 12 dez. 2022.

COMITÊ GESTOR DA INTERNET (CGI). TIC Domicílios 2021: Pesquisa sobre o uso das tecnologias de informação e comunicação nos domicílios brasileiros. São Paulo: Comitê Gestor da Internet no Brasil, 2022. Disponível em: https://cetic.br/media/docs/publicacoes/

/20221121125504/tic_domicilios_2021_livro_eletronico.pdf. Acesso em: 12 dez. 2022.

FAGHERAZZI, Guy et al. Digital health strategies to fight COVID-19 worldwide: challenges, recommendations, and a call for papers. Journal of Medical Internet Research, Toronto, v. 22, n. 6, p. e19284, 2020. DOI: https://doi.org/10.2196/19284. Disponível em: https://www.jmir.org/2020/6/e19284/. Acesso em: 12 dez. 2022.

MARQUES, Isabel C. P.; FERREIRA, João J. M. Digital transformation in the area of health: systematic review of 45 years of evolution. Health and Technology, [s. l.], v. 10, p. 575-586, 2020. DOI: https://doi.org/10.1007/s12553-019-00402-8. Disponível em: https://link.springer.com/article/10.1007/s12553-019-00402-8. Acesso em: 12 dez. 2022.

PENTEADO, Bruno Elias et al. Mapeando a dinâmica da informática médica: uma análise bibliométrica do campo científico. Revista Eletrônica de Comunicação, Informação e Inovação em Saúde, Rio de Janeiro, v. 15, n. 4, p. 869-889, 2021. DOI: https://doi.org/10.29397/reciis.v15i4.2395. Disponível em: https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/2395. Acesso em: 12 dez. 2022.

RACHID, Raquel et al. Digital Health Driven by Neoliberal Discourse. 1985. Trabalho apresentado ao 8º New Zealand Discourse Conference, Christchurch, 2021. Disponível em: https://www.canterbury.ac.nz/media/documents/oexp-arts/nzdc8/Microsoft-Word---NZDC8-programme.docx.pdf. Acesso em: 30 nov. 2022.

TOPOL, Eric Jeffrey. High-performance medicine: the convergence of human and artificial intelligence. Nature Medicine, Londres, v. 25, p. 44-56, 2019. DOI: https://doi.org/10.1038/s41591-018-0300-7. Disponível em: https://www.nature.com/articles/s41591-018-0300-7. Acesso em: 10 ago. 2021.

WORLD HEALTH ORGANIZATION (WHO). Global strategy on digital health 2020-2025. Genebra: A Organização, 2020. Disponível em: https://www.who.int/docs/default-source/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf. Acesso em: 17 ago. 2021.

Downloads

PDF (Português (Brasil))

Published

2022-12-23

How to Cite

Fornazin, M., Rachid, R. R., & Coelho Neto, G. C. (2022). Digital health over the last four years and the challenges for the new government. Revista Eletrônica De Comunicação, Informação & Inovação Em Saúde, 16(4), 753–758. https://doi.org/10.29397/reciis.v16i4.3515

Download Citation

Issue

Vol. 16 No. 4 (2022): Dossiê Trabalho por Plataformas Digitais e Saúde

Section

Notes on current situations

License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Author’s rights: The author retains unrestricted rights over his work.

Rights to reuse: Reciis adopts the Creative Commons License, CC BY-NC non-commercial attribution according to the Policy on Open Access to Knowledge by Oswaldo Cruz Foundation. With this license, access, download, copy, print, share, reuse, and distribution of articles is allowed, provided that it is for non-commercial use and with source citation, granting proper authorship credits and reference to Reciis. In such cases, no permission is required from the authors or editors.

Rights of authors’s deposit / self-archiving: The authors are encouraged to deposit the published version, along with the link of their article in Reciis, in institutional repositories.

Dossier Care-in-interaction: practices, knowledge, and reflexivity in health (v. 18, n. 2) Apr./Jun. 2024.

October 27, 2023

A concept inseparable from communication, interaction is a constitutive part of the communicative act. While broad and guided by different approaches, human communication interactional studies have the common analytical challenge of observing the joint construction of utterances and their actional values in the microecological environment in which they occur, which implies looking emically, that is, starting from within, and considering the reflective processes of the people participating in that human communication interaction (Rodrigues, 2021).

This dossier, whose title mobilizes the care-in-interaction concept, addresses health care from an interactionist perspective (Ostermann; Meneghel, 2012), with particular interest in research with a multimodal focus to articulate, in a finely detailed descriptive work, speech and body studies (Mondada, 2018).

The expression care-in-interaction is generated by a common matrix in Ethnomethodology and Conversation Analysis (EMCA) (Loder; Jung, 2008), an investigative current originating from North American sociology, derived from Harold Garfinkel’s Ethnomethodology, which has been embraced globally in multiple disciplinary fields (Watson; Gastaldo, 2015), and which has brought speech-and-the-body-in-interaction as an object of study in the last ten years.

Analyses are data driven and can mobilize and articulate other theoretical currents, which focus on multiple objects and events, namely, polyphony and Bakhtinian dialogism, the Austinian analysis of speech acts, the Goffmanian face work and politeness, contextualization prosodic cues, and justifications and the theory of argumentation in language.

From the perspective of ethnomethodological and conversation analysis, care-in-interaction studies open up a range of investigations into interactions in different environments using several resources. As Harvey Sacks points out in his classical study of telephone conversations recorded by a suicide prevention center in the United States of America and, therefore, mediated by a technological device for distance communication, research whose collected material does not include all multimodal resources available in face-to-face interactions bring about challenges that reinforce the great analytical potential of looking inward, considering the natural and artificial devices of mediation to the world.

Two initial questions instigated this dossier: a) How is interactivity being operated in different environments and settings, especially regarding health topics? b) In what ways can microanalytical approaches to studies on interactions contribute to understanding social processes?

We encourage contributions from authors from different social, human, and health sciences fields – with particular emphasis on communication studies, language, anthropology, social work, and sociology – for thematic sub-axes such as:

Epistemic asymmetries, situated cognition, intercomprehension, and emotions-in-interaction;
Microanalytical studies of conversational frameworks of social and health intervention;
Telepresence interactions, mediated by multimodal computers (microphone, speaker, webcam, and screen);
Interactional frameworks of joint research and self-confrontation practices in the training of health and social professionals;
Participation of citizens in devices for joint analysis of service and care practices (citizen science);
Atypical interactions in their interdisciplinary dimensions of social studies of disability.

Guest editors: Marcia Rodrigues Lisboa (Oswaldo Cruz Foundation – Laboratory of Phenomenology, Ethnomethodology and Conversational Analysis of Social Clusivity – Lab-FEACC_CLISSIS) and Michel Binet (Universidade Lusíada – Laboratory of Phenomenology, Ethnomethodology and Conversational Analysis of Social Clusivity – Lab-FEACC_CLISSIS)

Submission deadline: until February 20, 2024.

Publication estimate: v. 18, no. 2, April/June 2024.

When submitting the work, please use the category Dossier Care-in-interaction: practices, knowledge, and reflexivity in health.

References

LODER, Letícia Ludwig; JUNG, Neiva Maria (ed). Fala-em-interação social: introdução à análise da conversa etnometodológica. Campinas: Mercado de Letras, 2008.

MONDADA, Lorenza. Multiple temporalities of language and body in interaction: challenges for transcribing multimodality. Research on Language and Social Interaction, United States, v. 51, n. 1, p. 85-106, 2018. DOI: https://doi.org/10.1080/08351813.2018.1413878. Available from: https://www.tandfonline.com/doi/full/10.1080/08351813.2018.1413878, Accessed: Oct. 25, 2023.

OSTERMANN, Ana Cristina; MENEGHEL, Stela Nazareth (orgs). Humanização Gênero Poder: contribuições dos estudos de fala-em-interação para a atenção à saúde. Campinas: Mercado de Letras; Rio de Janeiro: Fiocruz, 2012.

RODRIGUES, Adriano Duarte. A natureza da atividade comunicativa. Lisboa: Lisbon Press, 2021.

WATSON, Rod; GASTALDO, Édison. Etnometodologia e análise da conversa. Petrópolis: Vozes: PUC-Rio, 2015.

Digital health over the last four years and the challenges for the new government

Authors

DOI:

Keywords:

Abstract

Author Biographies

Marcelo Fornazin, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. Universidade Federal Fluminense. Niterói, RJ

Raquel Requena Rachid, Fundação Oswaldo Cruz, Estratégia Fiocruz para a Agenda 2030. Rio de Janeiro, RJ, Brasil. Universidade de São Paulo. Programa de Pós-Graduação em Mudança Social e Participação Política. São Paulo, SP

Giliate Cardoso Coelho Neto, Universidade Federal de São Paulo, Programa de Pós-Graduação em Saúde Coletiva. São Paulo, SP

References

Downloads

Published

How to Cite

Issue

Section

License

Language

Qualis

Social media

Announcements

Dossier Care-in-interaction: practices, knowledge, and reflexivity in health (v. 18, n. 2) Apr./Jun. 2024.

Prorrogação - Dossiê O Povo da rua: saúde, políticas públicas e comunicação

Keywords

Current Issue

Make a Submission

Indexadores e avaliadores

Information