Sapientia
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Digital healthcare and the emergence of a more-than-now ethics of care: speculative practices in Portugal
Publication . Pinto da Costa, José Carlos
Portuguese healthcare is being transformed as digital technologies intersect with institutional infrastructures, professional practices, and patient experiences. These shifts are not simply imposed but unfold through everyday negotiations, improvisations, and collaborative work among healthcare professionals, system designers, policymakers, and patients. Drawing on ethnographic engagement and participatory, speculative methods, this presentation explores how actors experiment with care in ways that generate a new, emergent ethics. Unlike traditional ethical frameworks—principlism, virtue ethics, consequentialism, or classical ethics of care—this ethics arises through situated practice, mediated by digital infrastructures, data flows, and collaborative decision-making. It emphasizes responsiveness, relationality, and collective moral reasoning enacted in real time. From an STS perspective, these practices reveal how healthcare futures are actively co-produced in the present. Speculative interventions—such as design experiments—make visible the contingency of socio-technical arrangements and open alternative pathways for more just, equitable, and resilient care across various stakeholders’ standpoints. Aligned with the panel’s focus on speculative and design-based approaches to caring world-making, this contribution demonstrates how digital transformations do not just implement care but reshape what ethical responsibility looks like, creating new modes of reflection, collaboration, and experimentation in healthcare.
The cultural adaptation of value-based health care model
Publication . Pinto da Costa, José Carlos
Precision medicine is a set of practices that seek to adjust medical treatments according to the genetic variability of individuals and the socio-environmental contextin which they live. Due to this genetic-environmental interference, everyone has different organic characteristics that require different clinical and preventive approaches. The goal of precision medicine is therefore “to classify individuals into subpopulations that differ in their susceptibility to a particular disease or their response to a specific treatment.” (The National Research Council, 2011, cited by Ginsburg & Phillips, 2018: 2).
Speculative collage for more-than-now futures in ASTS: an ethnographic experimentation
Publication . Pinto da Costa, José Carlos
Building on the EASST 2026 theme of the more-than-now, this workshop proposes collage as a speculative and participatory method for enacting alternative socio-technical futures in the present. Rather than approaching futures as distant projections, the session mobilizes material and aesthetic practices to rehearse how desired futures might begin today. Situated within Art, Science, and Technology Studies (ASTS), the workshop draws on Stefano Harney and Fred Moten’s concept of the undercommons and Alphonso Lingis’ notion of a “community without commons” to frame collaboration as a plural, relational, and fragile epistemic gathering. Collage functions as both method and metaphor. Through cutting, layering, and recomposing fragments of texts, diagrams, ecological imagery, and technological artifacts, participants expose the contingency of socio-technical arrangements while materially assembling speculative alternatives. From an anthropological standpoint, collage assembles partial perspectives and traces relations across human and non-human actors, foregrounding embodied, affective, and material modes of inquiry over predictive or extractive models of futures research. Structured in three stages—conceptual framing, collective making, and reflective discussion—the workshop generates artifacts that operate as boundary objects and infrastructures for shared imagination. By transforming audiences into co-researchers, the session models STS as an active practice of world-making. In leaning into contemporary crises through collaborative experimentation, it enacts the more-than-now, demonstrating how fragmented, collective, and more-than-human engagements can help realize futures worth living in.
Simulação clínica e aprendizagem colaborativa interdisciplinar em saúde: revisão da literatura
Publication . Ramos, Magda Rita Castela da Cruz; Gaudêncio, Nélia; Oliveira, Claudia; Caldeira Lagem Abrantes, António Fernando
A simulação clínica constitui uma estratégia pedagógica que recria cenários complexos em ambiente seguro, promovendo a integração entre teoria e prática no ensino em saúde. Este estudo teve como objetivo identificar e sintetizar evidências sobre o contributo da simulação clínica no desenvolvimento
de competências em estudantes da área da saúde, com enfoque na aprendizagem colaborativa
e interdisciplinar. Realizou-se uma revisão narrativa da literatura em outubro de 2025, utilizando
as bases de dados PubMed, Scopus e Web of Science. Foram incluídos artigos originais publicados
entre 2015 e 2025, em língua inglesa, relacionados à utilização da simulação clínica nas ciências da
saúde. Os resultados foram organizados em três eixos principais: impacto da simulação no desempenho
técnico, efeitos na gestão do stress e ansiedade e contributos para o desenvolvimento de competências
socioemocionais, comunicacionais, relacionais e comportamentais. Os estudos analisados
demonstraram que a simulação clínica melhora o desempenho técnico, favorece o raciocínio clínico,
fortalece a tomada de decisão em contextos complexos e reduz os níveis de stress e ansiedade
durante a prática clínica. Além disso, verificou-se impacto positivo na comunicação interpessoal, no
trabalho em equipa e na aprendizagem colaborativa entre diferentes áreas profissionais. Conclui-se
que a simulação clínica representa uma estratégia pedagógica baseada em evidências, contribuindo
para modelos formativos integrados e para uma prática clínica mais segura, eficaz e centrada na
qualidade dos cuidados em saúde.
Sociotechnical futures
Publication . Pinto da Costa, José Carlos
This presentation seeks to present the understanding of how visions of the future influence present actions, exploring the impact of imagined future sociotechnical systems on contemporary social practices. Based on Reinhart Koselleck's philosophy of historical time and focusing on the heuristic value of the interaction between experience and expectation, it argues in favor of adopting an anticipatory approach in anthropology as a means to conduct a critical analysis of social practices. By examining the process of implementing digital health in Portugal, through an analysis of the discourse uttered by various stakeholders involved, the presentation provides a comprehensive view of the potential impacts of digitization on sociotechnical systems in the healthcare domain. Results will highlight the primary concerns of the different stakeholders encompassing the various aspects related to the utilization, reconfiguration, and evolution of healthcare.