In modern healthcare, clinicians increasingly use instant messaging apps such as WhatsApp® to exchange information when institutional systems are slow or fragmented. DonnaRosa is an Italian community of breast cancer specialists who have used a WhatsApp® group since 2017 to discuss complex cases, share clinical opinions, and provide mutual support. This study explores how informal digital communication can develop […]
Durante le prime e più aggressive ondate della pandemia di Covid-19, il governo italiano istituisce le Unità speciali di continuità assistenziale (Usca), unità mobili di personale sanitario con il compito di curare e assistere i malati di Covid-19 a domicilio, in coordinamento con i medici di medicina generale. L’articolo analizza le Usca come caso emblematico […]
Evidence-Based Medicine (EBM) has been celebrated as a paradigm shift in clinical practice, yet it has also provoked sustained critique across medicine and the social sciences. This article offers a meta-narrative review of critical perspectives, synthesizing debates from medicine, philosophy, sociology, and health policy. We propose a four-dimensional framework—epistemological, methodological, political, and practical—to map these […]
The Covid-19 pandemic offers an unprecedented opportunity to investigate knowledge-making practices and associated epistemic conflicts. In addition to the conflict between the scientific community and social groups that opposed controversial positions, we argue that the pandemic has been the backdrop of a less visible ‘epistemic war’ within the medical field, as the radical uncertainty paved […]
La pandemia da COVID-19 ha richiesto alla sanità un adattamento per fronteggiare un patogeno sconosciuto. La comunità medico-scientifica si è trovata nella condizione di dover sviluppare un corpus di nuove conoscenze e, nel contempo, dare risposte senza poter contare su una solida base di evidenze sperimentali. Alla risposta della comunità scientifica e delle istituzioni, nelle […]
This paper is focused on the production and circulation of medical knowledge ‘from below’ in the early stages of the COVID-19 pandemic. Specifically, the aim is to investigate the link between personal and professional resilience and the sharing of knowledge and practices at a time of epistemic rupture. The empirical case intends to discuss a […]
