[Intersubjectivity and modes of care in health: eco-ethno-social sensitivity and critical technological competence for quality-equity in digital health].

Abstract

In this essay, we propose that Mendes Gonçalves' theory of the labor process in health can contribute to a critical theory of digital health capable of deconstructing technological alienation within digital transformation processes in the health sector. First, we identify modes of care and models of technological organization of healthcare delivery. Second, we analyze the collective-informational mode of care oriented toward sociotechnical health networks, highlighting collaborative practices rooted in territories and local realities. Third, we propose a theoretical platform for understanding digital transformation in health, based on the articulation of the following concepts: sociotechnical appropriation, metapresence, critical technological competence, quality-equity, and eco-ethno-social sensitivity. Finally, we outline the epistemological and theoretical foundations necessary for a "digital epistemodiversity," understood as an ecology of knowledges in which technical objects, sociotechnical systems, human agents, and transhuman beings may coexist, interact, and produce systemic changes in the health field, with the protagonism of healthcare workers and broad popular participation.