de Moraes Ilara Hämmerli Sozzi, de Gómez Maria Nélida González
Departamento de Ciências Sociais, Escola Nacional de Saúde Pública, FIOCRUZ, RJ.
Cien Saude Colet. 2007 May-Jun;12(3):553-65. doi: 10.1590/s1413-81232007000300002.
This essay is based on the assumption that current practices and knowledge of Information and Information Technology in Health are unable to deal with the complexity of the health/disease/care processes and contemporary problems that must be overcome, curbing the expansion of the response capacity of the Brazilian State. It aims to further explore the understanding of the roots and determining factors behind these constraints, analyzing alternatives for confronting them that depend less on location-specific initiatives in the field of information and more - among others - on the adoption of new benchmarks, starting with the meaning and concept of Health. It identifies the existence of an 'information and information technology interfield' that arises from an epistemology based on a transdisciplinary approach, as well as the consolidation of a political and historical process of institutional construction, an area endowed with power and relevance: a political-epistemological interfield. The analysis goes on through an exploratory study of the social, political and epistemological processes found in the historical construction health information networks established by Science and Technology in health, as well as by healthcare systems and services, in addition to social, political and economic information.
本文基于这样一种假设，即当前卫生领域中信息及信息技术的实践与知识，无法应对卫生/疾病/护理过程的复杂性以及必须克服的当代问题，从而抑制了巴西政府应对能力的扩展。其目的是进一步探究这些限制背后的根源和决定性因素，分析应对这些限制的替代方案，这些方案较少依赖信息领域特定地点的举措，而更多地（包括其他方面）依赖采用新的基准，从健康的意义和概念入手。它确定了一个“信息与信息技术跨领域”的存在，该跨领域源自一种基于跨学科方法的认识论，以及一个政治和历史的制度建设过程的巩固，这是一个具有权力和相关性的领域：一个政治认识论跨领域。除了社会、政治和经济信息之外，该分析还通过对科学技术在卫生领域建立的历史健康信息网络以及医疗保健系统和服务中发现的社会、政治和认识论过程进行探索性研究来展开。
