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Saisó SG, Marti MC, Medina FM, Pascha VM, Nelson J, Tejerina L, Bagolle A, D'Agostino M. Digital Transformation for More Equitable and Sustainable Public Health in the Age of Digital Interdependence. Am J Public Health 2022; 112:S621-S624. [PMID: 35977328 PMCID: PMC9382148 DOI: 10.2105/ajph.2022.306749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2022] [Indexed: 11/04/2022]
Abstract
This article describes 8 guiding principles for the digital transformation of the health sector and identifies their relationship with the COVID-19 pandemic, as well as highlights their importance to countries undergoing digital transformation processes. In the Region of the Americas, among other gaps, 30% of people do not have access to the Internet, which is why it is mandatory to develop policies and actions to deliver public health interventions equitably and sustainably to ensure that no one is left behind. The 8 principles focus on the 4 areas of a sustainable health system-human, social, economic, and environmental-and highlight the broader possibilities for using digital technology to have an impact on the sustainability of health systems. (Am J Public Health. 2022;112(S6):S621-S624. https://doi.org/10.2105/AJPH.2022.306749).
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Affiliation(s)
- Sebastián García Saisó
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
| | - Myrna C Marti
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
| | - Felipe Mejia Medina
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
| | - Victoria Malek Pascha
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
| | - Jennifer Nelson
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
| | - Luis Tejerina
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
| | - Alexander Bagolle
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
| | - Marcelo D'Agostino
- Sebastián García Saisó and Marcelo D'Agostino are with the Pan American Health Organization, Washington, DC. Myrna C. Marti and Victoria Malek Pascha are international consultants, Buenos Aires, Argentina. Felipe Mejia Medina is an international consultant, Bogotá, Colombia. Jennifer Nelson, Luis Tejerina, and Alexander Bagolle are with Inter-American Development Bank, Washington, DC
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Garcia Saiso S, Marti MC, Malek Pascha V, Pacheco A, Luna D, Plazzotta F, Nelson J, Tejerina L, Bagolle A, Savignano MC, Baum A, Orefice PJ, Haddad AE, Messina LA, Lopes P, Rubió FS, Otzoy D, Curioso WH, Luna A, Medina FM, Sommer J, Otero P, De Quiros FGB, D'Agostino M. [Implementation of telemedicine in the Americas: Barriers and facilitatorsBarreiras e facilitadores para a implementação da telemedicina nas Américas]. Rev Panam Salud Publica 2021; 45:e131. [PMID: 34703460 PMCID: PMC8530000 DOI: 10.26633/rpsp.2021.131] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 06/28/2021] [Indexed: 11/24/2022] Open
Abstract
Con millones de personas en el mundo en situación de distanciamiento físico por el COVID-19, las tecnologías de la información y comunicaciones (TICs) se han posicionado como uno de los medios principales de interacción y colaboración. Ya al inicio de este milenio se empezaban a mencionar las siguientes ventajas: mayor acceso a la información y a la prestación de servicios; fortalecimiento educativo; control de calidad de los programas de detección y reducción de los costos de la atención de en salud. Sin embargo, entre las principales barreras de adopción de la telemedicina se encuentran las de índole: tecnológicas; humanas y sociales; psico-sociales y antropológicas; de Gobernanza y económicas. En estos 20 años se logró un aumento en los recursos y capacidad técnica, una mejora en la educación digital, un empoderamiento del paciente en su tratamiento y un mayor interés público en esta área. En especial se considera exitosa la conformación de equipos interdisciplinarios, las redes académicas y profesionales y las consultas médicas virtuales. Después de revisar el estado de la telemedicina en la Región de las Américas, los autores recomiendan adoptar medidas urgentes para poner en práctica políticas y programas nacionales de telemedicina, incluyendo el marco normativo y presupuesto necesario, cuya implementación se realice de manera integral e interoperable y que se sustente de redes académicas, de colaboración e instituciones especializadas. Dichas políticas deben generar un contexto habilitante que den sostenibilidad al avance logrado, considerando los aspectos mencionados en las posibles barreras.
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Affiliation(s)
- Sebastian Garcia Saiso
- Organización Panamericana de la Salud Washington D.C. Estados Unidos Organización Panamericana de la Salud, Washington D.C., Estados Unidos
| | - Myrna C Marti
- Consultora internacional Argentina Consultora internacional, Argentina
| | | | - Adrian Pacheco
- CENETEC Ciudad de México México CENETEC, Ciudad de México. México
| | - Daniel Luna
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Fernando Plazzotta
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Jennifer Nelson
- Banco Interamericano de Desarrollo Washington D.C. Estados Unidos Banco Interamericano de Desarrollo, Washington D.C., Estados Unidos
| | - Luis Tejerina
- Banco Interamericano de Desarrollo Washington D.C. Estados Unidos Banco Interamericano de Desarrollo, Washington D.C., Estados Unidos
| | - Alexandre Bagolle
- Banco Interamericano de Desarrollo Washington D.C. Estados Unidos Banco Interamericano de Desarrollo, Washington D.C., Estados Unidos
| | - Maria Celeste Savignano
- Hospital de Pediatría "Prof Dr. Juan P. Garrahan" Ciudad Autónoma de Buenos Aires Argentina Hospital de Pediatría "Prof Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina
| | - Analia Baum
- Ministerio de Salud de la Ciudad Autónoma de Buenos Aires Argentina Ministerio de Salud de la Ciudad Autónoma de Buenos Aires, Argentina
| | | | - Ana Estela Haddad
- Universidad de Sao Paulo San Pablo Brasil Universidad de Sao Paulo, San Pablo, Brasil
| | - Luiz Ary Messina
- Rede Nacional de Ensino e Pesquisa Rio de Janeiro Brasil Rede Nacional de Ensino e Pesquisa, Rio de Janeiro, Brasil
| | - Paulo Lopes
- Rede Nacional de Ensino e Pesquisa Rio de Janeiro Brasil Rede Nacional de Ensino e Pesquisa, Rio de Janeiro, Brasil
| | - Francesc Saigí Rubió
- Universitat Oberta de Catalunya Barcelona España Universitat Oberta de Catalunya, Barcelona, España
| | - Daniel Otzoy
- Red Centroamericana de Informática en Salud Guatemala Red Centroamericana de Informática en Salud, Guatemala, Guatemala
| | - Walter H Curioso
- Universidad Continental Lima Perú Universidad Continental, Lima, Perú
| | - Antonio Luna
- Hospital de Pediatría "Prof Dr. Juan P. Garrahan" Ciudad Autónoma de Buenos Aires Argentina Hospital de Pediatría "Prof Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina
| | | | - Janine Sommer
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Paula Otero
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Fernán González Bernaldo De Quiros
- Ministerio de Salud de la Ciudad Autónoma de Buenos Aires Argentina Ministerio de Salud de la Ciudad Autónoma de Buenos Aires, Argentina
| | - Marcelo D'Agostino
- Organización Panamericana de la Salud Washington D.C. Estados Unidos Organización Panamericana de la Salud, Washington D.C., Estados Unidos
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Mejia Medina F, Cucaita Vergara Z, Dario Castro Acuña R, Tellez J. EXPLORING USER EXPERIENCES OF INFORMATION SYSTEMS IN HEALTH OF PATIENT SAFETY PROGRAMS: A RAPID SYSTEMATIC REVIEW. Int J Med Biomed Stud 2020; 3:181-187. [PMID: 32995733 DOI: 10.32553/ijmbs.v3i9.516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Patient safety is one of the most important challenges facing healthcare organizations in the world. Patient safety programs aim to avoid the events caused to the patient during their care, through strategies aimed at guaranteeing infection control, safe use of medications, equipment, clinical practice and environment. However, errors in health care are often due to weak information systems and their causes can be corrected by identifying the incidents and events presented during the care. Each country must have solid and reliable health information systems (HIS) to generate its own data, in order to monitor the different health programs and thus report on their management. In many countries, HISs are weak, incomplete and fragmented, with problems related to infrastructure, interoperability, connectivity, lack of training and availability to health care personnel. The objective of this study was to conduct a rapid systematic review of the literature about the experiences reported by users or health professionals with the Health Information Systems of Patient Safety Programs (PSP). 98 articles were identified in the Medline database, of which 5 articles with a qualitative approach were included. The results showed problems with the definition of concepts related to patient safety, fear of professionals to report events or incidents, reluctance to use HIS due to interoperability or communication problems. The qualitative studies related to HIS of the PSP are scarce and the publications found have been carried out in countries such as Iran, Taiwan, Austria, Spain and the Netherlands.
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Affiliation(s)
- Felipe Mejia Medina
- Consultant and Independent Researcher. MScIH Chemical Engineer, Bogotá, Colombia
| | - Zenaida Cucaita Vergara
- Biomedical Engineer, Student Master in Health Technology Management, Manuela Beltrán University, Bogotá, Colombia
| | - Ruben Dario Castro Acuña
- Biomedical Engineer, Department of Biomedical Engineering, Clínica Universitaria Colombia, Bogotá, Colombia
| | - Jair Tellez
- Vicerrectoría de Investigaciones, Universidad Manuela Beltrán, Bogotá, Colombia
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Abstract
A retrospective study was performed in patients diagnosed with primary lung cancer, and admitted to the Instituto Nacional de Enfermedades Respiratorias between 1984 to 1992. One thousand and nineteen patients were studied, 636 males and 383 females. We found a higher incidence in the group among 61-70 years of age in both sexes. The highest percentage of tumors were from the adenocarcinoma variety, followed by the epidermoid carcinoma, while the small-cell carcinoma presented a lower incidence. Smoking has been associated with the development of lung cancer. Many of our patients were smokers. The highest frequency was in smokers with a smoking habit of more than 30 years and a rate of more than 10 cigarettes per day. However, an important part of the patients with cancer did not have a smoking habit, which led us to believe that there are other etiological possibility factors (genetic or environmental) that could be involved. Most of the cases of cancer were staged as stage IIIb and stage IV and the patients had an ECOG of 1-2. The main symptoms were coughing, sputum, dyspnea and thoracic pain. This data shows an increasing frequency of lung cancer in Mexico city as well as other countries, it also shows that it is going to be a serious health problem in the future. We consider that in order to improve the prognosis, it is necessary to increase the educational and orientation campaigns among the adult population with or without a smoking history.
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Affiliation(s)
- F M Medina
- Servicio Clinico No. 3. Instituto Nacional de Enfermedades Respiratorias, México D.F., Mexico
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