<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-7026</journal-id>
<journal-title><![CDATA[Psicología, Conocimiento y Sociedad]]></journal-title>
<abbrev-journal-title><![CDATA[Psicol. Conoc. Soc.]]></abbrev-journal-title>
<issn>1688-7026</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Psicología. Universidad de la República]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-70262019000200188</article-id>
<article-id pub-id-type="doi">10.26864/pcs.v9.n2.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Las Lógicas del Trabajo Moral en Telemedicina: Disputas en Torno a la Legitimidad de Políticas de Salud Digital]]></article-title>
<article-title xml:lang="en"><![CDATA[The Logics of Moral Work in Telemedicine: Disputes on the Legitimacy of Digital Health Policies]]></article-title>
<article-title xml:lang="pt"><![CDATA[A Lógica do Trabalho Moral na Telemedicina: Disputas Sobre a Legitimidade das Políticas de Saúde Digital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valenzuela]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sibrian]]></surname>
<given-names><![CDATA[Nairbis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Andres Bello  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Santo Tomás  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>188</fpage>
<lpage>203</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-70262019000200188&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-70262019000200188&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-70262019000200188&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: A partir del estudio de un programa de teleneurología implementado en Biobío, Chile, este artículo analiza las lógicas que articulan el trabajo moral de la medicina a distancia. Desde un enfoque pragmático informado por la semiótica material, la teoría de la subjetivación y la sociología de la moralidad, este artículo analiza tres lógicas que dan sentido a prácticas de valuación del programa de teleneurología. Ellas son desplegadas por actores que desempeñan roles distintos, generando puntos de tensión y encauzando la constante evolución de los entramados sociomateriales en que se realiza el cuidado de salud. Una lógica cívico industrial fundamenta discursos públicos que destacan la reducción de las listas de espera de especialidad como prueba de valor del programa de telemedicina. Desde una lógica de la seguridad, en tanto, personal médico prioriza la adopción de estándares que, orientados a controlar los riesgos implicados en la realización de medicina a distancia, son tenidos como válidos por una comunidad profesional. Por su parte, adoptando una lógica del cuidado, pacientes y médicos generales enfatizan el despliegue de prácticas orientadas a atender la situación particular que experimenta cada paciente. Se propone que reconocer las lógicas que distintos actores puedan adoptar para otorgar valor a las prácticas de cuidado de salud puede favorecer la comprensión, anticipación y resolución de las tensiones que emergen con la implementación de tecnologías de salud digital y telemedicina.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Based on the study of a teleneurology program implemented in Biobío, Chile, this article analyses the logics that articulate the moral work of medicine at a distance. From a pragmatic approach informed by material semiotics, the theory of subjectivisation and the sociology of morality, this article analyses three logics that give meaning to practices of valuation of the teleneurology program. These are deployed by actors who play different roles, generating points of tension, and channeling the constant evolution of the socio-material networks in which health care is performed. A civic industrial logic underpins public discourses that highlight the reduction of waiting lists as proof of the value of the telemedicine program. From a safety logic, meanwhile, medical staff prioritizes the adoption of standards that, aimed at controlling the risks involved in the realisation of medicine remotely, are held as valid by a professional community. For their part, adopting logic of care, patients and general practitioners emphasize the deployment of practices aimed at attending the particular situation experienced by each patient. It is proposed that recognizing the logics that different actors may adopt when giving value to health care practices can promote understanding, anticipating and solving the tensions that arise with the implementation of digital health technologies and telemedicine.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Com base no estudo de um programa de teleneurologia implementado em Biobío, Chile, este artigo analisa as lógicas que articulam o trabalho moral da medicina à distância. A partir de uma abordagem pragmática informada pela semiótica material, a teoria da subjetivação e a sociologia da moralidade, este artigo analisa três lógicas que dão sentido às práticas de valorização do programa de teleneurologia. Eles são implantados por atores que desempenham diferentes papéis, gerando pontos de estresse e canalizando a constante evolução dos tecidos sociomateriais nos quais os cuidados de saúde são realizados. Uma lógica cívica industrial apoia discursos públicos que destacam o declínio das listas de espera de especialidade como prova de valor do programa de telemedicina. A partir de uma lógica de segurança, entretanto, a equipe médica prioriza a adoção de padrões que, visando controlar os riscos envolvidos na realização da medicina remotamente, são mantidos como válidos por uma comunidade profissional. Por sua vez, adotar uma lógica de cuidado, pacientes e clínicos gerais enfatizam a implantação de práticas voltadas ao atendimento da situação particular vivenciada por cada paciente. Propõe-se que o reconhecimento das lógicas que diferentes atores podem adotar para valorizar as práticas de saúde pode promover a compreensão, antecipação e resolução das tensões que surgem com a implementação das tecnologias de saúde digital e telemedicina.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Evaluación de la tecnología]]></kwd>
<kwd lng="es"><![CDATA[política de la salud]]></kwd>
<kwd lng="es"><![CDATA[salud digital]]></kwd>
<kwd lng="es"><![CDATA[telemedicina]]></kwd>
<kwd lng="en"><![CDATA[Technology assessment]]></kwd>
<kwd lng="en"><![CDATA[health policy]]></kwd>
<kwd lng="en"><![CDATA[digital health]]></kwd>
<kwd lng="en"><![CDATA[telemedicine]]></kwd>
<kwd lng="pt"><![CDATA[Avaliação da tecnologia]]></kwd>
<kwd lng="pt"><![CDATA[política de saúde]]></kwd>
<kwd lng="pt"><![CDATA[saúde digital]]></kwd>
<kwd lng="pt"><![CDATA[telemedicina]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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