Metapresencialidad: concepto fundante de una teoría crítica de la salud digital

https://doi.org/10.18294/sc.2023.4655

Publicado 19 octubre 2023 Open Access


Naomar Almeida Filho PhD en Epidemiología. Profesor titular jubilado, Instituto de Saúde Coletiva, Universidade Federal da Bahia. Profesor visitante, Instituto de Estudos Avançados, Universidade de São Paulo. Consultor Senior, Secretaria de Informação e Saúde Digital, Ministério da Saúde, Brasil. image/svg+xml




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Palabras clave:

Teoría de la Información, Tecnología Digital, Salud Digital, Telemedicina


Resumen


En este texto, propongo el concepto de “metapresencialidad” como elemento fundante para una teoría crítica de la salud digital. En primer lugar, presento los conceptos de técnica, tecnología y objeto técnico, centrales en las teorías de Álvaro Vieira Pinto y Milton Santos. En segundo lugar, a partir de la filosofía de la información de Luciano Floridi, cuestiono la pertinencia de la dicotomía real-material-concreto versus digital-virtual-informacional como fundamento ontológico de los conceptos de realidad, lugar y presencia, destacando las nociones de realidad virtual y realidad extendida. En tercer lugar, introduzco una crítica etimológica e histórica de la serie presencia-telepresencia-metapresencia, enfocando la noción emergente de metapresencialidad en forma de protoconcepto y su eventual formalización como fundamento conceptual para una apropiación sociotécnica y una integración tecnosocial de las tecnologías digitales. Finalmente, discuto la salud digital como campo de saberes, técnicas y prácticas y evalúo las ventajas epistemológicas y pragmáticas de la metapresencialidad como concepto en los campos de la informática, la educación y la salud.


Referencias bibliográficas


1. Feenberg A. From essentialism to constructivism: Philosophy of technology at the crossroads. In: Higgs E, Light A, Strong D. Technology and the good life. Chicago: Chicago University Press; 2000. p. 294-315. DOI: https://doi.org/10.7208/chicago/9780226333885.003.0017

2. Williams LD. Concepts of Digital Economy and Industry 4.0 in Intelligent and information systems. International Journal of Intelligent Networks. 2021;2:122-129. DOI: https://doi.org/10.1016/j.ijin.2021.09.002

3. Stehr N, Adolf M. Knowledge societies. In: Knowledge: Is knowledge power? London: Routledge; 2017. DOI: https://doi.org/10.4324/9781315543093

4. Cometta M. Digital capitalism and the e-health revolution. Teknokultura, Revista de Cultura Digital y Movimientos Sociales. 2021;18:175-183. DOI: https://doi.org/10.5209/tekn.74387

5. Maas N. Technophoria. München: Carl Hanser Verlag; 2020.

6. Neder RT, (org). A teoria crítica de Andrew Feenberg: racionalização democrática, poder e tecnologia. (2ª ed.). Brasília: Observatório do Movimento pela Tecnologia Social na América Latina, CDS, UnB, Capes; 2013.

7. Iyawa GE, Herselman M, Botha A. Digital Health Innovation Ecosystems: From Systematic Literature Review to Conceptual Framework. Procedia Computer Science. 2019;100:244-252. DOI: https://doi.org/10.1016/j.procs.2016.09.149

8. Mignolo W. Epistemic Disobedience and the Decolonial Option: A Manifesto. Transmodernity. 2011;1(2):44-66. DOI: https://doi.org/10.5070/T412011807

9. Sousa Santos B. O Futuro Começa Agora – Da pandemia à utopia. São Paulo: Bontempo; 2023.

10. Vieira-Pinto A. Ciência e Existência. Rio de Janeiro: Paz e Terra; 1969.

11. Vieira-Pinto A. O Conceito de Tecnologia. vol. 1. Rio de Janeiro: Contraponto; 2005.

12. Santos M. Técnica, Espaço, Tempo: Globalização e meio técnico-científico informacional. São Paulo: Hucitec; 1994.

13. Santos M. A Natureza do Espaço, Técnica e Tempo, Razão e Emoção. São Paulo: Hucitec; 1996.

14. Floridi L. Open problems in the philosophy of information. Metaphilosophy. 2004;35(4):554-582. DOI: https://doi.org/10.1111/j.1467-9973.2004.00336.x

15. Floridi L. The philosophy of information. Oxford: Oxford University Press; 2011. DOI: https://doi.org/10.1002/9781444396836.ch10

16. Floridi L. Steps forward in the philosophy of information. Etica & Politica. 2012;14(1):304-310. DOI: https://doi.org/10.2139/ssrn.3859194

17. Floridi L. Semantic conceptions of information. Stanford Encyclopedia of Philosophy [Internet]. 2013 [citado 10 mar 2023]. Disponible en: https://tinyurl.com/59xmxm9a.

18. Bhaskar R. A realist theory of science. Hassocks: Harvester; 1978.

19. Bhaskar R. Scientific realism and human emancipation. London: Verso; 1986.

20. Samaja J. Dialéctica de la Investigación Científica. Buenos Aires: Helguero; 1987.

21. Samaja J. Epistemología y metodología: Elementos para una teoría de la investigación científica. Buenos Aires: EUDEBA; 1993.

22. Papert S. A Critique of Technocentrism in Thinking About the School of the Future. In: Children in the Information Age: Opportunities for Creativity, Innovation and New Activities. Pergamon Press; 1988. 10.1016/B978-0-08-036464-3.50006-5. DOI: https://doi.org/10.1016/B978-0-08-036464-3.50006-5

23. Gonzalez MN. Luciano Floridi e os problemas filosóficos da informação: da representação à modelização. Incid: Revista de Ciência da Informação e Documentação. 2013;4(1):3-25. DOI: https://doi.org/10.11606/issn.2178-2075.v4i1p3-25

24. Floridi L. A defence of constructionism: Philosophy as conceptual engineering. SSRN. 2017. DOI: https://doi.org/10.2139/ssrn.3835174

25. Capurro R. On Floridi’s Metaphysical Foundation of Information Ecology. Ethics and Information Technology. 2008;10(2-3):167-173. DOI: https://doi.org/10.1007/s10676-008-9162-x

26. Steuer J. Defining virtual reality: Dimensions determining telepresence. Journal of Communication. 2000;42(4):73-93. DOI: https://doi.org/10.1111/j.1460-2466.1992.tb00812.x

27. Høstaker R. The immateriality of information. Cybernetics and Human Knowing. 2021;28(1-2):31-45.

28. Losurdo NJ, Grobbel C. AR/VR and the Metaverse Will (Someday) Change Financial Services Regulation – Here’s How. Goodwin [Internet]. 2022 [citado 10 mar 2023]. Disponible en: https://tinyurl.com/3u84xbzu.

29. Castoriadis C. A instituição imaginária da sociedade. São Paulo: Paz e Terra; 1982.

30. Mingers J, Standing C. What is information? Toward a theory of information as objective and veridical. Journal of Information Technology. 2014;33(2):85-104. DOI: https://doi.org/10.1057/s41265-017-0038-6

31. Mingers J. Prefiguring Floridi’s Theory of Semantic Information. TripleC. 2013;11(2). DOI: https://doi.org/10.31269/triplec.v11i2.436

32. Merz D. Moderate realism and its logic. New Haven: Yale University Press; 1993.

33. Chalmers A. O que é Ciência afinal? São Paulo: Brasiliense; 1988.

34. Samaja J. Epistemología de la Salud. Buenos Aires: Lugar Editorial; 2004.

35. Shannon CE, Weaver W. Mathematical theory of communication. Urbana: University of Illinois Press; 1975.

36. Cornelius I. Theorizing information for information science. Annual Review of Information Science and Technology. 2002;36:393-425. DOI: https://doi.org/10.1002/aris.1440360110

37. Bates MJ. Information and knowledge: an evolutionary framework for information science. Information Research [Internet]. 2005;10(4) [citado 10 mar 2023]. Disponible en: http://www.informationr.net/ir/10-4/paper239.html.

38. Ackoff RL. From data to wisdom. Journal of Applied Systems Analysis. 1989;16(1):3-9.

39. Rey A. Dictionnaire historique de la langue Française. Paris: Dictionnaires Le Robert; 1993.

40. Lombard M, Ditton T. At the heart of it all: The concept of presence. Journal of Computer-Mediated Communication. 1997;3(2). DOI: https://doi.org/10.1111/j.1083-6101.1997.tb00072.x

41. Toet A, Mioch T, Gunkel S, Niamut O, van Erp JBF. Assessment of Presence in Augmented and Mixed Reality. PsyArXiv Preprint.

42. Goffman E. The presentation of self in everyday life. New York: Anchor Books; 1959.

43. Short E. Williams E, Christie B. The social psychology of telecommunications. London: John Wiley & Sons; 1976.

44. Biocca F, Harms C, Burgoon JK. Toward a more robust theory and measure of social presence: Review and suggested criteria. Presence: Teleoperators and Virtual Environments. 2003;12(5):456-480. DOI: https://doi.org/10.1162/105474603322761270

45. Minsky M. Telepresence. Omni Magazine. 1980:45-51.

46. Akin DL, Howard RD, Oliveira JS. Human factors in space telepresence [Internet]. Cambridge: Space Systems Laboratory, Massachusetts Institute of Technology; 1983 [citado 10 mar 2023]. Disponible en: https://tinyurl.com/yc2722y3.

47. Sheridan TB. Musings on telepresence and virtual presence. Presence: Teleoperators and Virtual Environments. 1992;1(1):120-126. DOI: https://doi.org/10.1162/pres.1992.1.1.120

48. Fontaine G. The experience of a sense of presence in intercultural and international encounters. Presence: Teleoperators and Virtual Environments. 1992;1(4):482-490. DOI: https://doi.org/10.1162/pres.1992.1.4.482

49. Slater M, Usoh M, Steed A. Depth of presence in virtual environments. Presence: Teleoperators and Virtual Environments. 1994;3(2):130-144. DOI: https://doi.org/10.1162/pres.1994.3.2.130

50. Hartmann T, Wirth W, Vorderer P, Klimmt C, Schramm H, Böcking S. Spatial presence theory: State of the art and challenges ahead. In: Lombard M, Biocca F, Freemann J, IJsselsteijn W, Schaevitz RJ, (eds.). Immersed in Media: Telepresence Theory, Measurement and Technology. Oxford: Routledge; 2013.

51. Carroll JM, Shih PC, Hoffman B, Wang J, Han K. 5 Presence and hyperpresence: Implications for community awareness. In: Riva G, Waterworth J, Murray D, (eds.). Interacting with presence: HCI and the sense of presence in computer-mediated environments. Amsterdam: De Gruyter; 2014. p. 70-82. DOI: https://doi.org/10.2478/9783110409697.5

52. Khenak N, Vézien J, Théry D, Bourdot P. Spatial presence in real and remote immersive environments and the effect of multisensory stimulation. Presence: Teleoperators and Virtual Environments. 2018;27(3):287-308. DOI: https://doi.org/10.1162/pres_a_00332

53. Tikka P, McNamara RG, Gerry LJ, Kosunen I, Kaipainen M. Designing Enactive Co-Presence: Second-Order Simulation of Empathy for Artificial Humans in Narrative Contexts. Presence: Virtual and Augmented Reality. 2021;30:149-166. DOI: https://doi.org/10.1162/pres_a_00378

54. Haddouk L, Milcent C, Schneider B, Van Daele T, Witte N. Telepsychology in Europe since COVID-19: How to Foster Social Telepresence? Journal of Clinical Medicine. 2023;12:2147. DOI: https://doi.org/10.3390/jcm12062147

55. Jensen WB. The origins of the ortho-, meta-, and para- prefixes in chemical nomenclature. Journal of Chemical Education. 2006;83(3):356. DOI: https://doi.org/10.1021/ed083p356

56. Balsemão-Pires E. A individuação da sociedade moderna: Investigações semânticas sobre a diferenciação da sociedade moderna. Coimbra: Imprensa da Universidade de Coimbra; 2011. DOI: https://doi.org/10.14195/978-989-26-0212-7

57. Cuberos R. Dis-localizaciones del orden simbólico en la comunicación móvil celular. Portafolio, Revista de la Facultad de Arquitectura y Diseño de la Universidad del Zulia. 2011;12(24):20-29.

58. Redmond S, Marvell L. Tarkovsky’s solaris and the (im)possibility of a science fiction cinema. In: Redmond S, Marvell L, (eds.). Endangering Science Fiction Film. New York: Routledge; 2015. DOI: https://doi.org/10.4324/9781315761886

59. Gill LK. I represent freedom: Diaspora & the meta-queerness of dub theatre. In: Johnson EP, (ed.). No tea, no shade: New writings in black queer studies. Durham: Duke University Press; 2016. DOI: https://doi.org/10.2307/j.ctv11smv8r.11

60. Alves M. Status online: Ausência de ausência como metapresença. II Encontro Regional Centro-Sul da ABCiber; 2019.

61. Baudrillard J. Simulacros e simulação. Lisboa: Relogio d’Agua; 1991.

62. Almeida-Filho N, Coutinho D. Counter-hegemonic higher education in a remote coastal region of Brazil: The Federal University of Southern Bahia as a Case Study. In: Aman R, Ireland T, (eds.). Educational alternatives in Latin America new modes of counter-hegemonic learning. London: Palgrave Macmillan; 2018. DOI: https://doi.org/10.1007/978-3-319-53450-3_7

63. Universidade Federal do Sul da Bahia. Plano Orientador. Bahia: UFSB; 2014.

64. Althusser L. Sur la dialectique matérialiste. In: Pour Marx. Paris: Maspero; 1965.

65. Moraes I, Fornazin M. Nem tecnoforia nem tecnofobia: abordagem crítica da incorporação das tecnologias digitais na Saúde. In: Paim J, Almeida Filho N. Saúde Coletiva: Teoria e Prática (2a ed.). Rio de Janeiro: Medbook; 2022, p. 666-688.

66. Schröder T, Schulz T, Haug M, Heiko G. A conceptual framework for a digital health innovation ecosystem. Dubai: Pacific Asia Conference on Information Systems (PACIS); 2021.

67. Galvin JR, D’Alessandro MP, Erkonen WE, Smith WL, el-Khoury GY, Weinstein JN. The virtual hospital. Providing multimedia decision support tools via the Internet. Spine (Phila Pa 1976). 1995;20(15):1735-1738. DOI: https://doi.org/10.1097/00007632-199508000-00017

68. Eysenbach G. What is e-health? Journal of Medical Internet Research. 2001;3(2):E20. DOI: https://doi.org/10.2196/jmir.3.2.e20

69. World Health Organization. Global strategy on digital health 2020-2025. Geneva: WHO; 2021.

70. Gagnon MP, Ngangue P, Payne-Gagnon J, Desmartis M. m-Health adoption by healthcare professionals: a systematic review. Journal of the American Medical Informatics Association. 2016;23(1):212-220. DOI: https://doi.org/10.1093/jamia/ocv052

71. Fornazin M, Penteado BE, Castro LC, Silva SLFC. From medical informatics to digital health: A bibliometric analysis of the research field. AMCIS 2021 Proceedings; 18.

72. Brasil. Estratégia de saúde digital para o Brasil 2020-2028. Brasília: Ministério da Saúde; 2020.

73. Almeida-Filho N. Competência tecnológica crítica em saúde. Interface - Comunicação, Saúde, Educação. 2018;22(66):667-671. DOI: https://doi.org/10.1590/1807-57622018.0257

74. Ayres JRCM. Cuidado: tecnologia ou sabedoria prática. Interface - Comunicação, Saúde, Educação. 2000;4(6):117-120. DOI: https://doi.org/10.1590/S1414-32832000000100010

75. Mendes-Gonçalves RB. Saúde, sociedade e história. São Paulo: Hucitec; 2017.

76. Campos GWS. A mediação entre conhecimento e práticas sociais: a racionalidade da tecnologia leve, da práxis e da arte. Ciência & Saúde Coletiva. 2011;16(7):3033-3040. DOI: https://doi.org/10.1590/S1413-81232011000800002

77. Phillips M, Harrington T, Srai JS. Convergent innovation in emerging healthcare technology ecosystems: Addressing complexity and integration. Technology Innovation Management Review. 2017;7:44-54. DOI: https://doi.org/10.22215/timreview/1105

78. Long LA, Pariyo K, Kallander G. Digital technologies for health workforce development in low- and middle-income countries: a scoping review. Global Health Science and Practice. 2018;6(Suppl 1):S41-S48. DOI: https://doi.org/10.9745/GHSP-D-18-00167

79. Novaes HM. Ações integradas nos sistemas locais de saúde - Silos: análise conceitual e apreciação de programas selecionados na América Latina. São Paulo: PROAHSA; 1990.

80. Malik M, Fatima G, Hussain CA, Sarwar A. E-learning: students’ perspectives about asynchronous and synchronous resources at higher education level. Bulletin of Education and Research. 2017;39(2):183-195.

81. Almeida-Filho N. A clínica e a epidemiologia. Rio de Janeiro: APCE, Abrasco; 1992.

82. Almeida-Filho N. Saramago’s All the Names and the epidemiological dream. Journal of Epidemiology and Community Health. 2004;58(9):743-746. DOI: https://doi.org/10.1136/jech.2003.013979

83. Almeida Filho N. El sujeto de los riesgos en un mundo transhumano y posclínico: reflexiones a partir de Todos los nombres de Saramago y de Matrix de las hermanas Wachowski. Salud Colectiva. 2019;15:e2595. DOI: https://doi.org/10.18294/sc.2019.2595

84. Santaella L. Humanos hiper-híbridos: linguagens e cultura na segunda era da internet. São Paulo: Paulus; 2021.

85. Haraway D. A Manifesto for Cyborgs: Science Technology and Socialist Feminism in the 1980s. In: Nicholson, L. (ed.) Feminism/Postmodernism. New York: Routledge, 1990. p. 190-233.

86. Rodotá S. A vida na sociedade da vigilância: a privacidade hoje. Rio de Janeiro: Renovar; 2008.