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Thesis

French

ID: <

10670/1.b5lbte

>

Where these data come from
Policies for the adoption of information and communications technology in the field of public health : The normative characterization of the Brazilian Telehealth program to the recommendations of international organizations

Abstract

The central issues of the research and its problem, we seemed to require non-not an approach limited to the only local context - here, Brazilian-, but to take an investigative look that also consider implications of the international context on the country in question. We needed to understand how the different actors involved in the definition of policies for the adoption of information and communication technologies in the field of health is communicated at all levels of political, global, regional or local action. These "actors", include the commitment of international organizations forming part of the United Nations, such as the world Organization of health, the International Telecommunication Union and those working in the context of Latin America, geopolitical region where the Brazil is located. Stressing the role of those organizations in the dissemination of models or « political recipes » in the world, our research took into account both the phenomenon of globalisation than the delicate question of international regulation. From the preliminary findings, we determined that research should focus on the study of normative characterization of the Brazilian Telehealth Program - Program Telessaúde Brasil Redes - facing the recommendations of international organizations on the issue, including organizations part of the UN working on a global or regional level, namely the Latin American continent in the case that interests us more particularly. The comparison (or confrontation) between these two poles seemed the best solution to check the global and the regional facing the local. Taking into account the reform context and other matters relating to public health in the Brazil and after checking the normative bases of the « Telessaude Brasil Redes program », we can consider that "its creation has been the consequence of compliance of international recommendations" or on the contrary, that "its creation is set to local features of public health Brazilian and other factors of internal policy. Getting to take a stand against this dichotomy, we have defined our two assumptions and our methods and research materials. It was necessary to demonstrate that international organizations rely on awareness-raising structures that are designed to promote the engagement of the Member States that they adopt models policies detailed in their recommendations. The demonstration of the presence of the structures of awareness demanded the definition of a method of analysis. To do this, we resorted to the analysis tools of discourse (AD) and the content analysis (AC) to highlight the relevant observable elements in documents and then associate them with the three structures of awareness identified: « legitimacy, efficiency and coercion. We've combined these three structures of awareness to a "process of acceptability." After defining the epistemological basis and the analysis corpus, have separated and analyzed two groups of documents, we have shown and interpreted the level of correlation between the observable associated with the normative framework of Telessaúde Brasil Redes program and the international recommendations on telehealth.

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