the keys to improving the health system


Our health system already showed weaknesses for years, but the health crisis we are facing has shown that it is necessary to implement reforms to adapt and align it with the needs that the present already poses, but especially to face the challenges that will happen in the near future.

“The sanitary system The current situation does not respond to the need for patient-oriented healthcare and does not meet the expectations of strategy and digital transformation; For this reason, it would be necessary to have a model that takes into account patients and their representatives when making decisions that affect them, participating in forums and environments in which issues that concern them are approached and discussed. In addition, it is essential to carry out a digital transformation in the health sector and develop established strategic plans in information and communication technologies and in personalized precision medicine ”.

This has been assured Juan Abarca, president of the Institute for the Development and Integration of Healthcare (IDIS Foundation), during the opening of the third IDIálogoS forum for Better Health, which gives continuity to the cycle started in February to deepen, from the hand of great experts, the 10 principles “Manifesto for better Health” promoted by the IDIS Foundation, on this occasion, patient-focused healthcare and the digital transformation of the system are the topics to be developed.

The Health in Spain report

Perception survey carried out by SIGMA DOS for the entity, showed that 85.6% of the Spanish surveyed consider it necessary or very necessary the participation of patient representatives in decisions that may affect care, as well as that 95.7% believe that it is essential to incorporate the latest technological and digital innovations in all care and patient care processes. In this sense, Marta Villanueva, general director of the IDIS Foundation and moderator of the session, explains that “these two attributes are closely related to each other and it is essential to address them in their entirety as a key element to guarantee the best indices of health, well-being and quality of life.”

Carina Escobar, president of the Platform of Patient Organizations (POP) and Julián Isla, engineer at Microsoft Spain and patient representative on the committee for orphan drugs of the European Medicines Agency (EMA), have been part of the discussion table in which the importance of prioritizing and listening to the problems of patients has been recognized, as well as the need to have a digitized and technological healthcare in which humanization and technology go hand in hand.

Patient interaction with the system, which should be taken for granted, is not always like this; For this reason, during the session it was revealed that the representation of patients and their incorporation in decision-making is something that in decision-making bodies should be applied; Likewise, emphasis has been placed on the need to return “data sovereignty” to patients, to incorporate their voice in all strategic decisions that affect them, to count on them as one more agent and to work so that the model of health care is aimed at achieving the best health and health results, in an exercise of transparency. In this sense, there has been a debate on the need for the patient to be jointly responsible in managing their own health both with their doctor and with the level corresponding to the management bodies of the system, in this case through their representatives. As an example, the importance of having a training path so that entities know the trends in innovation and that there may be a figure of the medical manager, a reference professional to care for the patient and a guide on how to manage emotions.

To introduce the concept of “Digitized and technological health”, experts have defended that patients and digital medicine are two sides of the same coin and that, therefore, digital technology must go hand in hand with the criteria and standards of humanization in the doctor-patient relationship, which is the basis of any medical act worth its salt. Digitization is a great opportunity but, as they have pointed out, it must be accompanied by an innovation in processes and care, in which patients also have to be very present.

The objective is that thanks to technology, administrative burdens that the doctor now has can be automated so that he can dedicate more time to his patient, since currently the total time of the consultation can be reduced by up to a third.

But, in addition, health technology has a key objective, which is interoperability, in such a way that it is possible to move towards an interconnected and properly financed system that allows the individual to travel through the geographical space with their own health data. This will also have an impact on a relief in the consumption of health resources, and in the improvement of quantitative and qualitative health outcomes related in this case to the patient’s experience.

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