RIPSA no Estado: Inovação na gestão da informação em saúde no Brasil?

Ilara Hämmerli Sozzi de Moraes; Vanessa Lima; João Baptista Risi Junior; Dulce Quevedo; Nidilaine Xavier Dias

doi:10.3395/reciis.v7i2.486

RIPSA in the State: Innovation in the management of health information in Brazil?

Authors

Ilara Hämmerli Sozzi de Moraes Pesquisadora Titular da Escola Nacional de Saúde Pùblica/FIOCRUZ
Vanessa Lima Doutoranda ICICT/FIOCRUZ e Universidade de Coimbra
João Baptista Risi Junior Rede Interagencial de Informações para a Saúde (RIPSA)
Dulce Quevedo Coordenadora RIPSA/Santa Catarina – SES/SC
Nidilaine Xavier Dias Mestre em Saúde Pública

DOI:

https://doi.org/10.3395/reciis.v7i2.486

Keywords:

Health Information, RIPSA, Health Management, Information Management and Information Technology in Health, Health Status Indicators

Abstract

It is considered that the current piecemeal practice of Information and Information Technology in Health (ITIS) does not meet the complexity of the processes of health / disease / care, limiting the responsiveness of the Brazilian state. Trying to find alternatives, analyzes the Interagency Network of Information for Health (RIPSA) in its decentralization move to the states inquiring whether their characteristics can be considered innovations in ITIS management. Qualitative, exploratory study, case study refers to the analysis of documents produced by Ripsa and participant observation, considering the national perspective and contexts of five pilot states of decentralization / RIPSA. Carried out literature on the concept of consensus, an important feature of RIPSA. Political and technical bases of the initiative design are launched in 2006-2007. From 2008 to 2012, the states concerned to fulfill the 'RIPSA methodology', synthesized in the slogan:. Producing Knowledge to Action With common dimensions to the Federal Units, show up several determinants for differences: political and institutional support of the state authorities ; organizational dynamics of the Department of Health; involvement of external institutions; characteristics of information sources; and support of the National Ripsa. Despite the structural and political constraints, RIPSA is innovative alternative ITIS management, to consolidate itself through collaborative culture based on consensus.

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Moraes, I. H. S. de, Lima, V., Risi Junior, J. B., Quevedo, D., & Dias, N. X. (2013). RIPSA in the State: Innovation in the management of health information in Brazil?. Revista Eletrônica De Comunicação, Informação & Inovação Em Saúde, 7. https://doi.org/10.3395/reciis.v7i2.486

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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.

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

May 19, 2023

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RIPSA in the State: Innovation in the management of health information in Brazil?

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

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