In order to achieve a correct implementation of the personalized precision medicine (MPP) a mayor is required to undergo digital transformation. The “Proposal for Recommendations for the Digital Transformation of the Sanitary System for the Incorporation of the Personalized Medicine of Precision”, sponsored by the Roche Foundation, recounts some of the principles on which to focus this change.
During the presentation of the event, Federico Plaza, vice-president of the Instituto Roche Foundation, “the situation in which we live has been complicated, but also an accelerator to realize determined changes in the sanitation system”. In this respect, it added that “this is an integral and integrated process where information flows, affecting the form of the investigator, results in continuous training and a direct impact on the management of patients”. For this, I hope that this document “contributes to tracing a roadmap in this environment, which is of use to those who participate in the decision-making process”.
Change paradigm
âTraditionally, we have formed medical devices with a large memory capacity, paper sources … and all this information from the health system is not in electronic history; for now, now the great reason is to get all the information from the National Health System that we can incorporate in an effective way into the decision-making process, as well as the clinical level as an investigation, âsaid AdriĂĄn Llerena, President of the Spanish Society of Pharmacogenetics. and Pharmacogenomics (SEFF).
The expert considers that “this change of paradigm is what really allows to integrate an MPP center into the patient, yes the big barrier is digital health”. Llerena indicates that, contrary to the patient’s complete information, such as the contents of clinical history such as genomics, âif a decision can be made with a joint statementâ. Inside this equation one has a fundamental ingredient: coordination. âIncreases joint action in data management, with complete clinical histories, niches that have some services and increase the digital capabilities of professionals and systems, more connected; it will allow Spain to provide first line of digital health application, increasing the efficiency of the sanitary system â, aseveraba.
For Llerena, among the issues that urge to solve is the ârigidity of sanitary systems, marked by the lack of connection and interoperability; ensure that information systems are sanitary and increase human training capabilities, allowing infrastructure and repositories to increase data analytics capabilities â. “There are all these pieces used to generate a change in sanitary assistance and biomedical research,” he concluded.
Impulse of digitization
JoaquĂn Dopazo, director of the Area of ââBioinformatics of the Progress and Health Foundation, says that many of the countries that are abundant in this problem are advancing a more digital health to detect that “the amount of data available has use for the patient â. In this process of transformation, for Dopazo, it has three fundamental points. “Having increased shared and secure access to data, the connection and ability to use all of them jointly and to improve the capacity of the citizens in order to access and benefit from these data”, planteaba.
In the national panorama, according to Dopazo, advances are being made with the creation of organisms in matter; âSince the Ministry of Health has created a Digital Health Secretariat, it has a strategy for this collaboration with the Autonomous Communities, it has proposed the Creation of a Public Health Center digitization â, afirmaba.
Pero, todavĂa queda trabajo por hacer. “Respect for innovation and infrastructure, while increasing inversion in I + D + i, which is not only interesting for the patient, but for the SNS, because it will develop more technologies without us being dependent on third parties”, he explained. expert.
Cooperation between administrations
Pablo Serrano, Director of University Hospital Planning, 12 October (Madrid), refers to the need for leadership. âCounting on a governing body and clear leadership is key to digital transformation, both at the state level as in autonomous communities; the Ministry needs the collaboration of other administrations, as well as the ministries involved in digital competencies and all the agents of the sector â, detailed.
“Always have the ability to manage the data, the relevance in its access⊠only to the regulatory level, without compromise”, Serrano said. In this line consider that a very important aspect of leadership in this transformation will be that âthis process takes place in order to increase the digital breach, which is advancing to a part of the population that has less access to these resources digital â.
However, it is unstable to “take into account the analysis of information and its explanation, indicating that information from different sources is combined”. Also, that “one of the requirements for the acometer this change will be continuity, since a continuity of the dates and its standardization is required, which requires a lot of consensus”. Following this, the need to âpromote standards and enable operational data, privacy practicesâ is addressed.
New capabilities and medication results
Another of the challenges that comes from this transformation is the need for new professional profiles. Ălvaro RodrĂguez-Lescure, President of the Spanish Society of Medical Oncology (SEOM), praised the urgency of âincorporating in this strategy a training plan only for sanitary professionals, for decision-makers and managers, in such a way as to ensure that incorporates the necessary knowledge to develop in the digital environment â. âIt is precisely the new, centralized and structured profiles that are turning to date science; for it is necessary to incorporate the vision of nurses, auxiliaries, biologists or any other professional who reflects on this new necessity â. Indicaba the president of SEOM.
Asimismo, RodrĂguez Lescure is unstable to “incorporate competencies in the university’s degree in Medicine and Nursing on genetics and date science”. TambiĂ©n, “consider the incorporation of double degrees, for example, in Bioinformatics and Biomedicine and impulse all this formation of specific ways in the degrees”.
Another of the points that RodrĂguez-Lescure addresses is the need for advancement in results medicine to advance in the rest of aspects in health. As such, it states that âif it promotes and supports digital tools that allow it to analyze data, the importance of prevention from a public perspective and, in an assistive manner, promote institutions and structures so that professionals can converge to this information. âI have to make sure that I incorporate all the results that are obtained from this convergence and especially that it is applicable to this new vision of the personalized medicine of precision, that it is that we always wanted, but with a few observational and analytical methods â, ConcluĂa.
