The flat deals with the technological evolution of health

28 10 2010

Vila-the Hospital of the flat real has today hosted a day in which has been discussed on the technological evolution of health care in recent years in a ceremony framed on the tenth anniversary of the Center.

The director of area healthcare, Gregorio Gómez Soriano, It has highlighted the commitment of the Ministry of health new technologies since "information technologies allow you to save costs and more efficiently manage health resources". In this sense it has been added to that new technologies "can achieve efficiency from a strategic approach and thus the sustainability of the health system", "ensuring the safety and quality of care to the patient". The day, attended by technicians in the departments of the Ministry of health informatics, It has counted with the participation of five entities entrusted with the operation of different technological processes related to health care such as the evolution of the Digital Medical image; the innovation of technology and image in the magnetic resonance in recent years; Innovation in the management of treatments: Treatments 2.0; Building secure systems; and the patient in the center of the care process.

APPLICATION OF ICT IN THE VALENCIA HEALTH

The consellería de Sanitat launched a Plan of information systems, It defines the objectives for the coming years, initiatives to achieve them, obtaining the maximum utilization of ICT in the field of public health. This Plan involved an investment of 163 million euros, that represents the 1% of the total of the budget of the Ministry of health for the year 2010.

In this sense, the Valencia health is a pioneer in cutting red tape, increasing the motivation of its professionals through the application of ICT. In fact the time professionals used on bureaucratic tasks has passed in the last three years of the 30% of the total of their working time to the 10% currently.

In particular, the introduction of ICTs in healthcare has allowed the appointment request online, the telematics of primary and specialty care connection, the issuance of reports, requests for laboratory or the electronic prescription to chronic patients. In short, It has allowed to improve the productivity and efficiency of the functioning of the Valencia health.

It also highlights the e-prescriptions, that prevents displacement of the patient to the health center and frees up time for the professional. Books of recipes will disappear with its definite implementation. In 2011 they will no longer be collected 75 million of planned recipes.

On the other hand, new technologies have allowed to dispense with the developing of testing x-ray diagnostic apparatuses, eliminate areas of evidence storage and moving, that translates into a saving not only economic but space and logistics. Also, the definitive introduction of the Orion-Clinic has given rise to the "hospital without papers", It allows not only to dispense with paper, but the disappearance of its logistics, distribution and storage. Other advantages that ICT will be the reduction of the duplication of testing, Since centers may share information at a distance; telemedicine, It facilitates access to remote services to the patient and prevents you from unnecessary journeys; improving the safety of patients and the decrease of errors.

CENTRAL PURCHASING

Other applications of new technologies in the Valencia health has been the Central of shopping or episodes processed thanks to the compass computer application in the last year. More information is obtained with this tool to manage the system of capitated financing, identifying exchanges that generate compensation between departments.

With regard to the efficient use of resources, It should be noted the rationalization of pharmaceutical prescription, through the use of the pharmaceutical guides, the prescription for lower price of the 50 most significant active principles or the extension to all the region of e-prescriptions.

For Gregorio Gómez Soriano, the improvement of productivity and efficiency for the use of the technologies of information and communication (ICT) It has to do with its ability to optimize the management and organization of the time, facilitate the accessibility of services to citizens, improve the use of resources, support appropriate decision-making, promote the improvement of processes and increase security in attendance.

Laplanaaldia.com [en línea] Vila-Real (Spain): laplanaaldia.com, 27 de octubre de 2010 [REF. of 28 October of 2010] Available on Internet:

http://www.laplanaaldia.com/ vila-real/news /…



Approved an increase in the funding for the program “EHealth”

25 10 2010

The Council of Ministers has approved today increase in 995.247,40 EUR the economic strength of the extension of the Convention framework for the development of digital public services of the national health system, program “EHealth phase II”.

The quality Plan for the national health system, within the framework of the Avanza Plan, It includes among its areas of action, the use of information technologies to improve the health care for citizens, the Government has reported.

In a territorially decentralized health system, as it is the case of the Spanish, in which 4,5 millions of people receive yearly medical care in an autonomous community other than their, is necessary to extend the benefits provided by ICT in respect of clinical information at the national level and not be limited to the territorial delineation of each health service.

One of the strategies planned for the development of the quality Plan is the project called “EHealth”.

For the operational development of this project was signed in November of 2005 a first framework agreement (Phase I) between the Ministry of health and Consumer Affairs, of industry, Tourism and Commerce and the Red.es public entity.

Phase II of the project was the 2 in June of 2009 with the signing between the same parties of a new framework agreement of collaboration, focused especially on the implantation of the project of Digital clinic history, enabling the exchange of clinical information between professionals from the health of different medical devices and autonomous communities.

After barely a year, the complexity that has acquired the activity related to the clinical history Digital project has been highlighted the need to address tasks caused by the initial phase activity.

Among them, Figure the implementation of a standardized clinical vocabulary that allows semantic interoperability in the national health system, as well as in the European Union, in order to, in the current phase of the project history clinic Digital can be exercised the objectives of the Convention.

You can consult the Convention “EHealth phase II” here.

Adn.es [en línea] Madrid (Spain): adADN.es23 de octubre de 2010 [REF. of 25 October of 2010] Available on Internet:

http://www.adn.es/lavida/20101022/NWS-0909-Aprobado-Sanidad-Linea-incremento-economica.html



Estée Lauder for breast cancer

21 10 2010

“Connect. Communicate. Overcome. Prevent Breast Cancer, once for all. Take a bow pink and share it” It is the motto of the new campaign against Breast Cancer presenting Estee Lauder. The brand continues the mission undertaken in 1992 by Evelyn Lauder, Vice President of the Group, When he collaborated in the creation of the Pink Ribbon and launched the campaign against breast cancer.


The provocative image of this year's campaign has been designed by James Gager (Creative Director of M·A·C) and Toni Lachish (Vice President of design M·A·(C)), and photographed by Michael Thompson. The campaign encourages women and men to connect with all people who know and communicate the importance of early detection. Evelyn Lauder call aims to put an end to this disease and defeat it once and for all.

“When I started the campaign, breast cancer was a subject of which he spoke. Now, it not only speaks and writes about the same, but many personalities, politicians and women who have suffered from the disease have joined our cause to create a world without breast cancer. All of us are making a real difference. Women should know that if you detect soon, breast cancer is cured in a 98% cases. Why now, more than ever, We need our voices heard very high throughout the world”

According to Elizabeth Hurley, model of Estée Lauder and spokesperson for the campaign against breast cancer: “There is a great lack of information about breast cancer and it is essential that women get reviews regularly… We say to all the women who we know, whether mothers, grandmothers, Sisters, daughters or friends, you have to go to see your doctor if you have any questions and have Mammograms every year if they have more than 40. Not leaving it for another year”.

In 1992, Evelyn Lauder promoted the creation of the Pink Ribbon to help spread a message of awareness and prevention in the fight against breast cancer. Since then they have distributed nearly 110 million bonds rose in the points of sale of the brands of the Estee Lauder group. The message is simple: early detection and treatment of breast cancer saves lives.

Throughout the month of October of 2010 the new campaign to fight breast Cancer, the brand wants to more of 2 billions of people in over of 70 countries.

The sale will be a limited edition of 13 “Pink products” brands of the Estee Lauder group to raise funds in the fight against breast cancer. This collection will be donated to The Breast Cancer Research Foundation to finance the prevention and treatment of breast cancer. More than 85 cents of every dollar donated to the Foundation will go directly to research programmes. Brands that participate in Spain are: Aveda, Bobbi Brown, Clinique, Darphin, Donna Karan Cosmetics, Estée Lauder, La Mer and Origins.

Brands of the Estee Lauder group dealt by free loops roses and Marca-paginas. Promoter of this initiative, Evelyn Lauder has distributed, in more than 15 years, million bonds rose through the points of sale of the group more signatures of 70 countries. Spain are shared each year around 250.000.

The bonds rose and the Marca-paginas will be available in the 1 to the 31 October of 2010 at all points of sale of Estee Lauder, Clinique, Donna Karan Cosmetics, La Mer, Bobbi Brown and Origins of El Corte Inglés, in Aveda Salon&Spa, as well as in selected pharmacies and perfumeries.

More than 200 monuments and landscapes from around the world will glow rose to send a message of hope and awareness. In some places of the world, the lighting is replaced by giant pink ties made with balloons, candles, t-shirts or other objects, in order to draw attention and remind women of the importance of early detection. New York JFK airport, the London ’ s City Hall in United Kingdom, or the N Seoul Tower in Korea are some of the monuments and places that lit up rose last year. Since the year 1999, emblematic monuments around the world light up pink in October, Thanks to this initiative.

Europapress.es [en línea] Madrid (Spain): europapress.es, 6 de octubre de 2010 [REF. of 21 October of 2010] Available on Internet:

http://www.europapress.es/chance…



Improves the perception of the Spanish society on Science and technology

18 10 2010

They interviewed more than 7 thousand women and older men of 15 years in all DC.AA. For the first time the health and medicine appear as the subjects that most interest the Spanish population, over sports. It significantly increases the number of Spaniards who believe that science has more benefits than harm and lowers the number of people who manifest that the science is not interested. The interest in science is higher in young people and decreases as age increases. Two professional groups better valued by the Spaniards are the doctors and scientists. Catalonia, Madrid, Basque country, Navarra and Aragon, more interested in science and technology communities.

A young man, with College and lives in one major city of 1.000.000 of inhabitants. This is the profile of people showing more interest in science and technology, According to the fourth survey national social perception of science and technology carried out by SIGMADOS for the Spanish Foundation for science and technology (FECYT).

The study, carried out at the national level with interviews with more than seven thousand people, It reflects the degree of interest in science and technology is higher in the autonomous communities of Catalonia, Madrid, Basque country, Navarra and Aragon. On the other hand, the communities that demonstrate less interest for scientific technological subjects are Murcia, Asturias, Extremadura, Andalucia and Castilla-León.

FECYT has carried out a total of four national surveys in 2002, 2004, 2006 and 2008. As in the three previous investigations the main objective of this study has been to determine the way in which Spanish society perceives the science and technology.

In relation to data obtained in previous surveys, in the of 2008 You can see an increase in the level of interest and information that respondents say have on Science and technology. The percentage of people that ensures that you are not interested in science has diminished as regards 2006 of the 36,6% to the 31,7% Although "Do not understand" is still the main reason that justifies his absence of interest.

In this survey, there has been a significant increase in the number of citizens who feel that the benefits of science and technology outweigh their damages (del 44,8% responses in 2006 al 53,4% in 2008), as well as a significant improvement in the level of perception of the scientific and technological education. Since the year 2004 al 2008 decreases in a 20% people who believe that science education has been low or very low (del 65,5% al 45,8%). of theo the increases the percentage of people that is considered "normal" scientific and technical education: 45,4% faced with the 35,1% of 2006.

Another positive indicator of evolution is that reduces significantly the number of people who believe that Spain is more behind Europe in research. Faced with the 55,1% who thought this in 2004, en 2008 believes it the 46,2% of respondents. In addition, the 9,8% of people in 2006 I thought that Spain was that the rest of Europe has become more advanced in a 11,1% en 2008.in

Interests and sources of information. The informational interests vary according to sex. Men cite more topics related to science and technology than women (a 13.1% of them facing the 6.1% women's). Medicine and health top the list of preferences of them (35.2%) and as a whole they appear, for the first time, as the most cited by respondents topics (28%).

The source of information that cite mostly all respondents is the television (82,3%), but when responses being analysed by age groups shows the large presence of Internet as a source of information for young people between 15 y 24 años (61,6%) and 25 a 34 years (50,4%). However, a large percentage of respondents considered that the press, the television and radio dedicated "insufficient" attention to scientific information. So you think the 62,1% on the free press, el 46,1% about the press of payment, ethe48,5% about radio and the 50,3% about television.

Financing and sectors. More than one third of those surveyed believed that the financing of science and technology must lie in the central administration. Almost the 25% It believes that it must come from the EU and only a 2,8% appointment to private companies.

The sectors that should go in the future research effort, It highlights the increase in responses that mentioned the energy sources (a 5% más que en 2006) and the environment (4% more in 2008 that in 2006). A fact that is maintained with regard to the survey of 2006 is that lvast majority (more than the 79%) He believes that the research effort should go to medicine and health.

More information on the website of the Observatory Spanish of innovation and knowledge (ICON)

Stanford [en línea] Madrid (Spain): fecyt.com, 8 de octubre de 2010 [REF. of 18 October of 2010] Available on Internet:

http://fecyt/detalle.do www.fecyt.es/?elegidaNivel1 =;SalaPrensa&elegidaNivel2 =



Consultation medical online in prisons

14 10 2010

The health services of the three Basque prisons - Basauri, Martutene and Nanclares de Oca- they will become clinics that will work as any other public network health center. And new technologies will play an "important role" in this change. The first step that the Department of health will start will allow that prison doctors have access to the medical records of their patients in the computer system of Osakidetza. «In this way», «have your complete history as any other primary care medical», as pointed out yesterday the Deputy Minister of health, Jesús María Fernández.

Another 'major step' will be implementing before the end of the year of the fibrinolytic - web cameras- between the three penitentiary centers and their referral hospitals so that both physicians and the prisoners have to scroll to the health complex everytime they have a doubt. «Moving an inmate from prison to a hospital for a query is a complicated process that we now intend to solve», «at least partly», noted the Deputy Minister.

Elcorreo.com [en línea] Alava (Spain): elcorreo.com, 8 de octubre de 2010 [REF. of 14 October of 2010] Available on Internet:



New technological challenges in rehabilitation engineering and biorobotica

11 10 2010

Josep M. Font Llagunes

CREB - Centre of research in biomedical engineering

Universitat Politècnica de Catalunya

http://www.creb.upc.es

Research in technological products that have as their purpose the improvement of the quality of life of the population is currently strategic plans for research and development (R & D) in many developed countries. This is why there are more and more groups, both universities and private companies, Humanoids that mimic human movement are dedicated to projects related to the development of robots (biorobots), or devices for the movement of people with any pathology of the musculoskeletal rehabilitation. Despite the large amount of time and human capital invested in these areas, There are still many technological challenges to achieve.

In the field of the humanoid Robotics, There are two clearly differentiated approaches. The most classic aims the construction of very versatile robots, that it can carry out many tasks, but that on the other hand lack them autonomy due to high energy costs is necessary to ensure the stability of the different movements. The current approach is based on the construction of robots that have an energy cost that is very similar to the gait of people (limit cycle walkers), What favours their autonomy, but instead they offer very little versatility; in fact, they are only prepared to walk. Today, a very important challenge is the design and development of "hybrid robots" that combine the two previous approaches. I.e., You must reach a compromise between energy autonomy and versatility. Develop robots with much autonomy of batteries and, at the same time, sufficiently stable is the ultimate goal that the robot designers should keep in mind.

In the field of rehabilitation engineering, There is more research in “neurorobotica”, the science that studies the interaction between the central nervous system and robotic assistance systems. However, the design of most orthotics devices is still made from given specifications, and his control is adjusted by trial and error doing tests on the patient's own. The great challenge is to develop tools allowing to simulate the dynamics of interaction between the person and the orthosis designed virtually. In this way, it would improve the quality of life of the patient, Since no is should bother you so many times, and you save time both doctors and engineers, as of the same patient. These tools allow, In addition, try different strategies of control devices and their effects on the movement of the patient. Another important challenge is to develop assistive devices that are comfortable and ergonomic, and ensure a low metabolic cost of patient.

Given the complexity of the study of the interaction between the human body and artificial assistance devices, the achievement of the previous challenges requires very multidisciplinary teams in which live the field of health professionals (medical, Orthopedic, etc.) with professional technological etc.sector (mechanical engineers, robotic, control, electronic, Biomedical, computer, etc.). Good cooetc.ation and communication among these professionals are fundamental aspects to keep in mind to ensure the success of projects.



Doctor-patient communication, key for a better recovery

7 10 2010

Almost the 30% Spaniards Miss good communication with your doctor, essential factor for an effective treatment of the patient. Internet and new technologies may serve very helpful.

It is easy to communicate well with the health professionals do not always. And not only depends on them. Sometimes it's modesty on our part, the emotional charge that generated us sick, because we forget to comment or ask something during the consultation...

However, There is scientific evidence showing that the complicity between patient and health care provider improves outcomes of treatments, reinforces the emotional health, It reduces symptoms and helps to better control the pain. From the OCU, they think that good communication is essential and that we must do everything possible to improve it. AND, especially in our days, where so widespread are many chronic diseases requiring long follow-up and a narrow personal treatment, as obesity, diabetes or cardiovascular problems. The results of a survey conducted by the OCU show some weak points which should lead to reflection, both health professionals and patients.

Communicationn, for many, positive
Respondents you have asked for the healthcare professional with which most have tried in the past two years. In the 59% cases it was the doctor's family. the results show us that there is almost a 70% of Spaniards who communicates well with the health professional that have come more regularly.

Another interesting fact: have the patient and professional the same genus improves the quality of communication. In general, health sector women perform better than their colleagues males in this section. There are also differences in opinion regarding the different types of professionals. As such physicians, both the family and those of other specialties, come out worse standing than other health professionals, as diseases, dentists, psychologists or physiotherapists.

The data also show that respondents feel more satisfied with the communication with your doctor when the consultations are in private schools than when they are in public.

Better when is the doctor not authoritarian
It is proven that health professionals style influences much perceive them the patients and how you communicate with them. Like this, When the professional values and promotes the autonomy of the patient, giving it a more active role in decisions about their own health, communication improves. In this way it reinforces, also called therapeutic alliance, It is the collaborative relationship established between the physician and the patient to achieve the therapeutic objectives.

On the other hand, a driver or authoritarian style, in which the patient is the passive subject of the decisions of the physician, worsens the communication and, at the end, the satisfaction.

As well, a third of Spaniards points out that your doctor fit with a driver or authoritarian profile. Of private health compared with the public health professionals tend to promote more autonomy of the patient and are less authoritarian.

Adherence to treatment is not high
By the responses obtained in our study, more than half of Spaniards are dissatisfied with the medication that have recommended them to take. This may explain why only the 52% It has a 'stickiness' to treatment in general. The two factors that most influence the adhesion improvement are that the patient percIt was that the medication is effective and that it does not cause you adverse effects.

More promotes adhesion? The professional-style, the quality of communication, the prices of medicines. The communication at the same time improves the perception of greater effectiveness of medications. In terms of prices, almost the 40% of respondents stated very dissatisfied with the price of drugs.

Health and attitude of the patient are key
Communication is two. Why patient characteristics influence a decisive in its communication with the doctor. The OCU survey reveals that more than the 20% respondents have a negative attitude toward physicians in general. This group tends to be less satisfied with health professionals that more consultation, perceived communication that keeps with him is of lower quality and does not show good adhesion.

One of every five Spaniards considered that his State of health is regular to bad. Precisely these people who have a more negative perception of their health are communicating worse with the health care professional. The same applies to those who have declared that they have a chronic health problem.

New technologies like
New technologies of information and communication (Internet, email, SMS, electronic health card...) they are of critical importance in the area of health. One of their more interesting possibilities is the open new cauCES, faster and more comfortable, for citizen access to health professionals. And the majority sees more advantages than disadvantages in applying these new technologies.

Another thing is the actual use that is made of them. In the last 12 months, more than half of the respondents resorted to the Internet to obtain on your own health information. However, are quite a few less network that use to make other arrangements. For example, in many regions, it is possible to make an appointment through the Internet.

Arouse fears
Survey shows that there are fears of new technologies and the confidentiality of personal data. In the case of Internet, a 15% It believed that its use will be accompanied by an increase in the number of errors or medical accidents. In addition, almost the 20% It believes that it could even affect the quality of the relationship between the health professional and the patient.

In any case, It is worth driving new technologies because they open new possibilities for improvement the quality of health services.

 

Hola.com [en línea] Madrid (Spain): hoHola.com1 de octubre de 2010 [REF. of 7 October of 2010] Available on Internet:

http://www.hola.com/actualidad/2010100145759/OCU/comunicacion/medico/1/



Sra ESCALA: Doctor seeks partner 2.0 in the health system

4 10 2010

Elena scale Sáenz

Diariomedico.com Chief Editor

Although emerged in the Decade of the 70, We have had to wait until the 21st century for popularized the concept of empowerment or empowerment.

In the health field discusses mainly the empowered patient; that is to say, the patient with capacity and resources to adequately manage their health, make decisions and participate in health institutions. But, is there the empowered doctor?

Traditionally the responsibility on health issues has gone in health professionals and institutions. It was assumed that the citizen had no interest or was not trained for the handling of health issues. Simply receiving a diagnosis and treatment without replicating, and at no time raised the possibility that might opine, criticize or participate in decision-making.

There is little of this paternalistic model, because the process of empowerment of the patient is taking us to a new consultative and participatory model in which the citizen has more access to medical information, more autonomy and, above all, more preparation to interpret medical information.

The empowered patient is providing the necessary tools for the management of their health leaning, mainly, in information and communication technologies (ICT) and on social networks. Thousands of people organized on the internet exchanging therapeutic and personal experiences, and seeking an ally in healthcare professional to validate the acquired knowledge and better manage their health.

Some institutions have well understood this process and, Although not at all convinced, in an exercise of tolerance have put at the service of patient participation tools, valuation and management that give more transparency to the process of health, becoming a partner of the health system to the patient.

However, the Spanish doctor it is costing much more work empower themselves and become a partner of the health system. As the patient gains autonomy, the doctor feels increasingly more limited in their ability to choose profession or specialty, in their access to technology, in prescribing and to decide or control the time dedicated to their patients.

The empowerment of the medical profession within the health system seems much more complex, costly and, According to some, dangerous, so initiatives that give power and autonomy to the doctor shortage.

Low expectations of finding a partner in the health care system has forced many doctors to innovate with individual and private initiatives to improve their professional practice and even for relief assistance in your inquiry.

The doctor is looking for formulas that give more control in the Organization and execution of your job; It is establishing a personal dialogue with the patient through the prescription of links and the follow-ups by e-mail, Twitter or Facebook; He is teaching and spreading through blogs and even his voice joins other colleagues in innovative projects.

Doctors, like patients, they are organizing around ICTs to influence the policies of public health, to improve their clinical practice, the Organization and management of the exhibiting that work, thus creating a new way of working.

And all of this is the personal effort.

The Spanish health system does not seem prepared to accommodate this new professional, just it gives it management tools and what some are innovative initiatives, for others are nothing more than ' outputs of tone’ in an extremely hierarchical and burocratizado system.

But blowing new winds and all, even health institutions, We are called to innovate in health. You will get the Spanish professional find a partner 2.0 in the health system?