Alberto De Rosa: “Una sanidad pública de calidad requiere de la tecnología para afrontar el reto de la cronicidad y el envejecimiento”

Alberto de Rosa

Vivimos un auténtico desafío demográfico. Tenemos una población envejecida, con una esperanza de vida cada vez mayor, con un crecimiento del número de enfermos crónicos y, por tanto, con un consumo de recursos en aumento. Es preciso que los sistemas sanitarios se reorienten y adapten a este escenario, o de lo contrario, su sostenibilidad se verá amenazada”. Es lo que ha dicho el consejero delegado de Ribera Salud, Alberto de Rosa, durante la V Jornada sobre Tecnología al Servicio de la Salud que se ha celebrado en la Universidad Politécnica de Valencia.

Alberto de Rosa

“Uno de los retos que plantea la cronicidad es la capacidad de predecir las necesidades de recursos del sistema sanitario”

Alberto de Rosa ha impartido la conferencia inaugural La transformación de la asistencia sanitaria a través de la tecnología, donde ha presentado el nuevo modelo de gestión de la salud poblacional que ha desarrollado su grupo. Para De Rosa, los modelos actuales de gestión están orientados al tratamiento del paciente agudo y la no adecuación al paciente crónico implica un incremento de los costes y una peor calidad asistencial. “Uno de los retos que plantea la cronicidad es la capacidad de predecir las necesidades de recursos del sistema sanitario para poder, posteriormente, gestionarlos de forma óptima. El programa propio que hemos desarrollado nos permite estratificar a la población en función de los cuidados sanitarios que requerirán el año siguiente”, ha aclarado Alberto de Rosa.

Alberto de Rosa

El Programa de Gestión de Salud Poblacional de Ribera Salud trata de gestionar de forma eficiente las necesidades de salud de su población. Se trata de un modelo de asistencia predictiva, personalizada, preventiva y participativa, ha explicado. Predictiva porque se ha desarrollado un modelo propio predictivo basado en diferentes modelos de ajuste a riesgo. Personalizada porque cada ciudadano tiene un plan de cuidados personalizado que permite a los profesionales sanitarios actuar de forma proactiva y coordinada. Preventiva porque el plan incluye programas de promoción de la salud y prevención de la enfermedad. Participativa porque cada ciudadano está directamente implicado en el cuidado de su salud. A estos efectos, Ribera Salud dispone de un Portal de Salud a disposición de sus profesionales y ciudadanos que permite la comunicación directa de los ciudadanos con sus referentes médicos y de enfermería, el acceso a su historia clínica y a consejos de salud adaptados a sus necesidades o la resolución de trámites administrativos, entre otras funcionalidades.

Hacia una medicina personalizada

Este programa propio de Ribera Salud ha sido explicado a continuación, con más detalle, por Francisco Javier Ballesta, supervisor de hospitalización médico-quirúrgica y UHD del Departamento de Salud del Vinalopó, en la mesa redonda sobre Medicina personalizada.

Alberto de Rosa

“Fue necesario poder estratificar correctamente a la población, para asignar un nivel de cuidados en función de su riesgo”

Como reto inicial, ha explicado Ballesta, “fue necesario poder estratificar correctamente a la población, para asignar un nivel de cuidados en función de su riesgo”. Como resultado de la estratificación realizada a la población asignada a los Departamentos de Salud gestionados por Ribera Salud, se obtuvo la carga de morbilidad (riesgo) de cada paciente. A partir de ahí, para cada uno de los ciudadanos se genera un plan de cuidados estandarizado y personalizado. “Estandarizado porque se ha trabajado en la normalización de procesos de cada patología y, personalizado, porque está basado en la valoración integral del paciente, tanto de su estado general de salud como de sus patologías crónicas, así como de información personal y objetivos de salud”, ha matizado Ballesta.

Alberto de Rosa

Con la implementación de este programa, Ribera Salud ha apostado decididamente por una transformación en la prestación de la atención sanitaria mediante la personalización de los cuidados, el empoderamiento de pacientes y profesionales y el apoyo de la tecnología manteniendo viva la relación médico-enfermera con el ciudadano. Ballesta ha afirmado que gracias a la implementación de este programa “se ha podido contemplar una reducción de los ingresos y urgencias hospitalarias, un aumento de la satisfacción del usuario y profesional y una mejora en la calidad de vida de los ciudadanos”.

Alberto de Rosa

En la mesa redonda sobre Medicina personalizada, moderada por el vicepresidente del Colegio de Médicos de Valencia, Luis Ortega, también han participado Rafael Coronado, Science and Business Development Manager de Toshiba; Carlos Manchado, Jefe de Proyectos de Innovación de Roche Diagnostics, y Carlos Fages, Gerente de relaciones Institucionales y Market Acces de Novartis.

El Proyecto MEDAFAR

La jornada se ha cerrado con la celebración de la mesa Tratamientos y nuevas tecnologías al servicio de los profesionales sanitarios, pacientes y enfermos crónicos. En ella se ha explicado el proyecto MEDAFAR, impulsado por la Sociedad Española de Médicos de Atención Primaria (SEMERGEN), Esteve y la Fundación Pharmaceutical Care, que próximamente aplicará el grupo Ribera Salud en los centros de atención primaria de Crevillent y San Luis en colaboración con las oficinas de farmacia.

Alberto de Rosa

MEDAFAR tiene como objetivo mejorar la comunicación entre los médicos de Atención Primaria y los farmacéuticos comunitarios para conseguir una óptima asistencia farmacoterapéutica en pacientes crónicos. Para ello, se ha establecido una clasificación que define y agrupa las situaciones susceptibles de derivación entre farmacéuticos y médicos relativas a la farmacoterapia de los pacientes, y un listado de mensajes codificados que estandariza la comunicación entre ambos grupos profesionales.

Jorge Vázquez, Public Affairs Manager de Esteve, ha destacado la voluntad de Ribera Salud para ponerlo en marcha y ha denunciado la falta de “voluntad política” para aplicarlo a nivel nacional a pesar del consenso que existe entre los farmacéuticos comunitarios y los médicos de atención primaria.

Alberto de Rosa

Por su parte, para la investigadora del estudio, la Dra. Emilia Montagut, Jefa de Servicio de Farmacia y Gestión Farmaceútica de los Departamentos de Salud de Vinalopó y Torrevieja, esta apuesta decidida de Ribera Salud por MEDAFAR supone un hito muy importante que, “sin duda, dará respuesta a la demanda de los profesionales y mejorará considerablemente la adscripción farmacéutica, -evitando duplicidades, por ejemplo-, y la adhesión al tratamiento”.

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