Orchestrating Co-performance in Healthcare: Evolving blueprints to manage complex ecosystems Rafael Poiatti Touchpoint - From AI to Synthetic Services 17 No. 1 (2026) https://doi.org/10.30819/touchpoint.17-1.04     pp: 22-25     2026-04-20

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Abstract
Operating within Brazil’s Unified Health System (Sistema Único de Saúde, or SUS), the world’s largest public health infrastructure, requires a fundamental paradigm shift for any designer. Although the SUS provides a continental-scale reference for interoperability through its National Health Data Network (Rede Nacional de Dados de Saúde, or RNDS), it also establishes a ‘rigorous standard’ that private sector products must follow. In Brazil, this regulation by public agencies acts far beyond a legal obstacle; it is a form of necessary friction designed to safeguard clinical integrity. The real challenge to managing this friction is to bridge the gap between process optimisation and the humanisation inherent in the act of caring. This article demonstrates how we believe we have accomplished this.