Fostering the post-development debate: the Latin American concept of<i>tecnologia social</i>

Pozzebon, Marlei; Fontenelle, Isleide Arruda

doi:10.1080/01436597.2018.1432351

Cited by 22 publications

(21 citation statements)

References 51 publications

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“…It has been driven by a process wherein “technosolutionist experts” dominate the construction of the narrative around technology and establish “rhetorical closure”. This means that a given technological “solution is supposed to have reached stabilization, being already well defined, ready to use and able to solve the problem it sets out to solve” [ 131 ]. Such a paradigm has largely influenced the type of technologies and the population-level consequences seen so far [ 118 ].…”

Section: Implications For Policy-makers Practitioners Researchers Pub...mentioning

confidence: 99%

Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients

Alami

Lehoux

Shaw

et al. 2022

IJERPH

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Virtual care spread rapidly at the outbreak of the COVID-19 pandemic. Restricting in-person contact contributed to reducing the spread of infection and saved lives. However, the benefits of virtual care were not evenly distributed within and across social groups, and existing inequalities became exacerbated for those unable to fully access to, or benefit from virtual services. This “perspective” paper discusses the extent to which challenges in virtual care access and use in the context of COVID-19 follow the Inverse Care Law. The latter stipulates that the availability and quality of health care is inversely proportionate to the level of population health needs. We highlight the inequalities affecting some disadvantaged populations’ access to, and use of public and private virtual care, and contrast this with a utopian vision of technology as the “solution to everything”. In public and universal health systems, the Inverse Care Law may manifests itself in access issues, capacity, and/or lack of perceived benefit to use digital technologies, as well as in data poverty. For commercial “Direct-To-Consumer” services, all of the above may be encouraged via a consumerist (i.e., profit-oriented) approach, limited and episodic services, or the use of low direct cost platforms. With virtual care rapidly growing, we set out ways forward for policy, practice, and research to ensure virtual care benefits for everyone, which include: (1) pay more attention to “capabilities” supporting access and use of virtual care; (2) consider digital technologies as a basic human right that should be automatically taken into account, not only in health policies, but also in social policies; (3) take more seriously the impact of the digital economy on equity, notably through a greater state involvement in co-constructing “public health value” through innovation; and (4) reconsider the dominant digital innovation research paradigm to better recognize the contexts, factors, and conditions that influence access to and use of virtual care by different groups.

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Section: Implications For Policy-makers Practitioners Researchers Pub...mentioning

confidence: 99%

Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients

Alami

Lehoux

Shaw

et al. 2022

IJERPH

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“…The dynamics of innovation systems could not be fully understood and addressed without carefully examining technological appropriation processes which may vary according to the context [42]. This view requires to move away from the historical trend where "accredited" experts dominate the process of building and interpreting technology, leading to "rhetorical closure" [43]. Indeed, the lack of an inclusive dialogue about these innovations limits the possibilities of gaining a detailed understanding of the scientific, technological, social, and cultural issues innovation raises in LMICs and among historically marginalized communities and groups [44].…”

Section: Developing Responsible Sustainable and Inclusive Ai For Hementioning

confidence: 99%

Artificial intelligence in health care: laying the Foundation for Responsible, sustainable, and inclusive innovation in low- and middle-income countries

et al. 2020

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The World Health Organization and other institutions are considering Artificial Intelligence (AI) as a technology that can potentially address some health system gaps, especially the reduction of global health inequalities in low-and middle-income countries (LMICs). However, because most AI-based health applications are developed and implemented in high-income countries, their use in LMICs contexts is recent and there is a lack of robust local evaluations to guide decision-making in low-resource settings. After discussing the potential benefits as well as the risks and challenges raised by AI-based health care, we propose five building blocks to guide the development and implementation of more responsible, sustainable, and inclusive AI health care technologies in LMICs.

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“…Em um mundo com recursos naturais limitados, o imperativo do crescimento econômico é apontado como insustentável por ser incompatível com os limites da natureza. Embora o crescimento, combinado ao paradigma do desenvolvimento b , tenha se sustentado sob o argumento de promover bem-estar às sociedades e seus indivíduos, muitos autores (e.g., HARCOURT, 2014;ASARA et al, 2015;BRAND, 2018;POZZEBON;FONTENELLE, 2018) questionam o alcance dessa meta em face aos diversos problemas sociais enfrentados, como o aumento da inequidade e da desigualdade, defendendo a necessidade de se repensar o que é bem-estar.…”

Section: Contexto Socioeconômico Contemporâneounclassified

Inovação Social e decrescimento: desenvolvendo alternativas

Perez¹,

Moura²,

Martins³

2019

Blucher Design Proceedings

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Fostering the post-development debate: the Latin American concept oftecnologia social

Cited by 22 publications

References 51 publications

Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients

Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients

Artificial intelligence in health care: laying the Foundation for Responsible, sustainable, and inclusive innovation in low- and middle-income countries

Inovação Social e decrescimento: desenvolvendo alternativas

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