By Julio Nunes, Director of Public Administration and Health at Indra in Brazil
Technology has given this sector a boost, to the point where today we share the “before” and “after” of its wave of adoption by the medical community. Experts agree that the common denominator of systems that spearhead health development are those that place the patient at the center, seeking their empowerment. They are mainly mobile solutions, wearable devices, remote sensors, big data and robotics that aim to provide follow-up care anytime and anywhere, offering ways to manage Digital Health by interconnecting data from the patient's environment, their daily life and their history and / or clinical status, making them available for health professionals to analyze these data so that they can contribute to disease prevention, accelerate treatments and significantly improve patients' quality of life.
A successful project aimed at improving the interaction and the patient's experience with the health system with the use of mobile applications took place in the information and services center of the Ministry of Health of Andalusia, Spain, which has become the most used channel by population, reaching almost 1.7 million users. More than 117,000 chats were answered through the instant messaging service and more than 1.5 million questions in the application's information catalog. The same project also contemplated the development of a home care platform that allowed for communication via proactive care to be used by chronic patients, facilitating the early detection of changes in the patient's condition. The approval of the system was immediate: after a first pilot in two health centers, 97% of the patients considered that the system improved access to care, the mortality rate was reduced by 13% and the number of visits to the doctor decreased from 3 to 1 , average.
In Brazil, we currently work on a highly advanced and modern system linked to the management of the Unified Health System (SUS), which directly impacts the service to the population, developed to meet the first needs of the sector, such as greater control and speed of care for patients and reducing bureaucratization of processes in hospitals and outpatient clinics. It is a virtual medical record, which can be accessed in a practical way, with more agility and reliability in the information, so that the patient receives more accurate and faster attention. The main advantage is that the information generated in patient care is registered in a central office, which can be accessed digitally through the computer network of any health unit. In addition, the medical record can be used by the sectors of scheduling, control of primary, secondary and specialized care, urgency, structure, hospitalization and requests.
The system also has information on the Ministry of Health's programs and is able to send reports to the public body more quickly and accurately, with the number of people being diagnosed, prescription by active principle and therapeutic group, average duration of treatment among the main care indicators. treatment by therapeutic group, statistical average of second consultations, patients referred for admission and reasons for entry, comparison of presumed and discharged diagnoses, among others.
With health solutions supported by innovative technologies, digital health will create market opportunities for models that can generate greater trust in patients, involve families in patient decision-making, help patients document and communicate their wishes to healthcare professionals. and, ultimately, to provide greater well-being and satisfaction to the patient and his family.