“From the interoperability bag to Health Universal Coverage”. An analysis of governmental agenda and meanings of informational systems

Main Article Content

María Belén Lopez Castro

Abstract

A craft integration of personal health records is usually done by patients gathering their clinical studies in the typical results bags. Computational resources of the present allow what doctors humoristically call the “bag interoperability” be solved by digital resources shared in the national territory. The objective of this paper is to identify and analyze the treatment of information health systems’ interoperability as an object of governmental agenda, as well as its multiple meanings. The public policy cycle approach will be used to study the actors and processes involved. It will be argued that the community of specialists in health informatics, together with the proposal of international organizations on Universal Health Coverage were forces that brought the issue to the agenda, offering a technological solution that favorably resolves the interests of the actors involved.

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Lopez Castro, M. B. (2021). “From the interoperability bag to Health Universal Coverage”. An analysis of governmental agenda and meanings of informational systems. Cuestiones De Sociología, (25), e127. https://doi.org/10.24215/23468904e127
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References

Asociación de Trabajadores del Estado. (2017). La CUS es el caballo de Troya para la mercantilización de la Salud.

Berg, M. (1997). Rationalizing medical work. Decision-support techniques and medical practices. MIT Press.

Castaneda, C., Nalley, K., Mannion, C., Bhattacharyya, P., Blake, P., Pecora, A., Goy, A., & Suh, K. S. (2015). Clinical decision support systems for improving diagnostic accuracy and achieving precision medicine. Journal of Clinical Bioinformatics, 5, 4. DOI: https://doi.org/10.1186/s13336-015-0019-3

Ciciliani, A. (2016). La mercantilización de la medicina pública a través del CUS. El Cronista.

Clarke, A. E., Shim, J. K., Mamo, L., Fosket, J. R., & Fishman, J. R. (2003). Biomedicalization: Technoscientific Transformations of Health, Illness, and US Biomedicine. Source: American Sociological Review, 68(2), 161– 194. DOI: https://doi.org/10.2307/1519765

Cohen, M. D., March, J. G., & Olsen, J. P. (1972). A Garbage Can Model of Organizational Choice. Administrative Science Quarterly, 17(1), 25. https://doi.org/10.2307/2392088 DOI: https://doi.org/10.2307/2392088

Edwards, P. N. (2010). A vast machine : computer models, climate data, and the politics of global warming. MIT Press.

Epstein, S. (1996). Impure Science: Aids, Activism, and the Politics of Knowledge. University of California Press.

Friedman, C. (2009). A fundamental theorem of biomedical informatics. Journal of the American Medical Informatics Association : JAMIA, 16(2), 169– 170. DOI: https://doi.org/10.1197/jamia.M3092

Gardner, R. M., Overhage, J. M., Steen, E. B., Munger, B. S., Holmes, J. H., Williamson, J. J., Detmer, D. E., & AMIA Board of Directors, A. B. of. (2009). Core content for the subspecialty of clinical informatics. Journal of the American Medical Informatics Association, 16(2), 153– 157. https://doi.org/10.1197/jamia.M3045 DOI: https://doi.org/10.1197/jamia.M3045

Gunter, T. D., & Terry, N. P. (2005). The emergence of national electronic health record architectures in the United States and Australia: models, costs, and questions. Journal of Medical Internet Research, 7(1), e3. DOI: https://doi.org/10.2196/jmir.7.1.e3

Herrero, R., y Guerra, J. (2017). Seguridad de la Información en entornos de salud. HL7 LATAM NEWS.

Hess, D. C., Wang, S., Hamilton, W., Lee, S., Pardue, C., Waller, J. L., Gross, H., Nichols, F., Hall, C., & Adams, R. J. (2005). REACH: Clinical feasibility of a rural telestroke network. Stroke, 36(9), 2018– 2020. https://doi.org/10.1161/01.STR.0000177534.02969.e4 DOI: https://doi.org/10.1161/01.STR.0000177534.02969.e4

Jasanoff, S. (2004). States of Knowledge: The Co-Production of Science and the Social Order (S. Jasanoff (ed.)). Routledge. DOI: https://doi.org/10.4324/9780203413845

Jasanoff, S., & Kim, S. H. (2013). Sociotechnical Imaginaries and National Energy Policies. Policy Imaginations, 22(2), 189–196. https://doi.org/10.1080/09505431.2013.786990 DOI: https://doi.org/10.1080/09505431.2013.786990

Jasanoff, S., & Simmet, H. R. (2017). No funeral bells: Public reason in a ‘post-truth’ age. Social Studies of Science, 47(5), 751–770. https://doi.org/10.1177/0306312717731936 DOI: https://doi.org/10.1177/0306312717731936

Kingdon, J. W. (2014). Agendas, Alternatives, and Public Policies (2o). Oxford University Press.

Latour, B. (2008). Reensamblar lo social. Manantial.

Lindberg, D. A. B. (1965). Electronic Retrieval of Clinical Data Electronic Retrieval of Clinical Data. The Journal of Medical Education, 40(8).

Lombardi, V. (2018). Seguro de salud: ¿Una puerta a la privatización del sistema sanitario? Agencia TSS.

Lopez Castro, M. B., Smulski, M. C., & Hidalgo, C. (2019). Inquietud y contingencia. Tres casos de “enredos experimentales” en la investigación ID-TD. Climacom, 5(13).

Lopez Osornio, A. (2018). Estrategia Nacional de Salud Digital. Jornadas Universitarias de Sistemas de Información en Salud.

Luna, D., Otero, C., Almerares, A., Stanziola, E., Risk, M., & González Bernaldo de Quirós, F. (2015). Participatory design for drug-drug interaction alerts. Studies in Health Technology and Informatics, 210, 45– 49.

Mantas, J., Ammenwerth, E., Demiris, G., Hasman, A., Haux, R., Hersh, W., Hovenga, E., Lun, K. C., Marin, H., Martin-Sanchez, F., Wright, G., & IMIA Recommendations on Education Task Force. (2010). Recommendations of the International Medical Informatics Association on Education in Biomedical and Health Informatics. Methods of Information in Medicine, 49(2), 105–120. https://doi.org/10.3414/ME5119 DOI: https://doi.org/10.3414/ME5119

Nouhi, M., Fayaz-Bakhsh, A., Mohamadi, E., & Shafii, M. (2012). Telemedicine and its potential impacts on reducing inequalities in access to health manpower. Telemedicine and E-Health, 18(8), 648– 653. https://doi.org/10.1089/TMJ.2011.0242 DOI: https://doi.org/10.1089/tmj.2011.0242

Ortúzar, M. G. de. (2018). Cobertura Universal de Salud -CUS- Vs Derecho a la Salud. Revista de Ciencias Sociales y Humanas, 12(12), 103- 116.

Oszlak, O. (2006). Burocracia estatal: política y políticas públicas. POSTData. Revista de Reflexión y Análisis Político, 11– 56.

Oszlak, O., y Gantman, E. (2007). La agenda estatal y sus tensiones: gobernabilidad, desarrollo y equidad. Iberoamericana. Nordic Journal of Latin American and Caribbean Studies, 37(1), 79– 110. DOI: https://doi.org/10.16993/ibero.197

Oszlak, O., & O’Donnell, G. (1995). Estado y políticas estatales en América Latina: hacia una estrategia de investigación. REDES, 2(4), 99– 128.

Rizzato Lede, D. (2018). Estrategia Nacional de Salud Digital. Congreso Argentino de Informática y Salud.

Rovere, M. (2016). El Sistema de Salud de la Argentina como Campo; Tensiones, Estratagemas y Opacidades. Debate Público Reflexión de Trabajo Social, 6(12), 23– 41.

Schuttenberg, M. (2017). La política de la despolitización. Un análisis de la construcción del relato PRO. Desafíos, 29(2). DOI: https://doi.org/10.12804/revistas.urosario.edu.co/desafios/a.5259

Simborg, D. W. (1988). Network Application Architecture. Proceedings of the Annual Symposium on Computer Application in Medical Care, 648.

Wegner, P. (1996). Interoperability. ACM Computing Surveys, 28(1), 285– 287. https://doi.org/10.1145/234313.234424 DOI: https://doi.org/10.1145/234313.234424

Winner, L. (1980). Do Artifacts Have Politics? Daedalus, 109(1), 121– 136.