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[认知共同体与新冠疫情期间卫生技术人员培训的挑战:新冠疫情期间卫生技术人员教育方面的认知共同体与挑战]

[Epistemic communities and the challenges of training health technicians during the COVID-19 pandemicComunidades epistémicas y retos en cuanto a la educación de los técnicos en salud durante la pandemia de COVID-19].

作者信息

Batistella Carlos Eduardo Colpo, de Noronha Ana Beatriz Marinho, Milagres Luciana Frederico

机构信息

Fundação Oswaldo Cruz (Fiocruz) Escola Politécnica de Saúde Joaquim Venâncio Rio de Janeiro (RJ) Brasil Fundação Oswaldo Cruz (Fiocruz), Escola Politécnica de Saúde Joaquim Venâncio, Rio de Janeiro (RJ), Brasil.

出版信息

Rev Panam Salud Publica. 2023 Mar 10;47:e1. doi: 10.26633/RPSP.2023.1. eCollection 2023.

Abstract

This article discusses the role of the epistemic community linked to the training of health technicians through analysis of the actions initiated by the Pan-American Health Organization/World Health Organization (PAHO/WHO) Collaborating Center for the education of these technicians during the COVID-19 pandemic, with the aim of comparing these actions with the main elements that define the constitution and functioning of epistemic communities according to the specialized literature. It is argued that, despite the differences in the historical configuration of national healthcare and training systems, the emergence of common challenges in the training of technicians allowed the articulation of demands, the sharing of diagnostic assessments, and the cooperation between the International Network of Health Technicians Education, the Ibero-American Network of Health Technicians Education, and the Community of Portuguese Language Countries Network of Health Technician Schools, promoting the exchange of experiences, the search for strategic solutions, and the dissemination of recommendations across countries. By reaffirming the central role of health technicians in epidemiological surveillance, diagnosis and assistance, the COVID health emergency demanded immediate and consistent responses from governments and educational institutions, favoring the strengthening of the health technician epistemic community through the circulation of discourses and the hegemonization of meanings for the education of technicians. These actions, however, do not translate into stability or homogeneity for the epistemic community, since their articulation is always provisional and contingent, nor do they ensure the capacity to directly influence policies in each country.

摘要

本文通过分析泛美卫生组织/世界卫生组织(PAHO/WHO)卫生技术人员教育合作中心在新冠疫情期间发起的行动,探讨了与卫生技术人员培训相关的认知共同体的作用,目的是将这些行动与专业文献中界定认知共同体构成和运作的主要要素进行比较。文章认为,尽管各国医疗保健和培训体系的历史构成存在差异,但技术人员培训中共同挑战的出现,使得国际卫生技术人员教育网络、伊比利亚美洲卫生技术人员教育网络以及葡语国家卫生技术人员学校共同体能够明确需求、共享诊断评估并开展合作,促进了经验交流、寻求战略解决方案以及在各国传播建议。新冠疫情卫生紧急情况通过重申卫生技术人员在流行病学监测、诊断和援助中的核心作用,要求政府和教育机构立即做出一致回应,通过话语传播和对技术人员教育意义的主导,有利于加强卫生技术人员认知共同体。然而,这些行动并未为认知共同体带来稳定性或同质性,因为它们的协调始终是临时和偶然的,也无法确保直接影响各国政策的能力。

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