¿Hacia una sanidad basada en valor? El VI Taller de Gestión Clínica y Sanitaria en Barcelona reunió experiencias clave en evaluación y eficiencia.

On April 9, Lugo had the VI Clinical and Health Management Workshop, at the headquarters of the Agència de Qualitat I Avaluació Sanitàries de Catalunya (Aquas), in Barcelona, ​​and had as a Tytulo «» where are we really the way to the cable house? «The day brought together professionals from the health, clinical, technological and academic ame, with a common goal: reflection, sharing experiences, and critically analyze the real advances of an discredposed health system, ours, towards» towards «Segures de Segus generation» that prioritizes quality, excellence, and those resulting in health, as well as equity and efficiency, from a perspective of value.

The opening table was attended by Sandra García Armesto, Aquas director; Francesc Cots Reguant, coordinator of the AES Management Group and head of Management Control at the Hospital del Mar; David Barrios, general director for Iberia de Alfasigma; And Javier Abad Fernández, Inetum software representative. Opening put both the challenges in the implementation of the value in value, as well as the need to better integrate economic evaluation, the results reports by patients in health relation (PROMS, Delgléss Result measures informed by the patient), The experience reported by the patient in the medical attitude (prems, from English Experience measures informed by the patient), and data management in the day to day of clinical practice.

For its part, the round table on information systems addressed the quality, availability and introperability of clinical data. Moderate by Francesc Cots, he had the interventions of Francesc García Cuyàs (Sant Joan de Déu Hospital), Pablo Serrano Balazote (Deputy Director of Health Assistance of the Chanian Health Service), Sandra García Armesto (Aquas) and Javier Abad Fernanddez (Inetum). Possible solutions were discussed in order to overcome the limitations ares in management, such as the implementation of the one throughout the exchange of multidisciplinary integrated contributions and a vision shares. It was insisted that, although technological options are already available, the Great Cadgua remains cultural organization: to govern the data well, make sense of its use and overcome fragmentation by standard and dial system. The stink of more liquid digital ecosystems, centered on the patient and prepared to integrate data generated inside and outside the hospital, was the common denominator of this table, in addition to raising a horizon of the future and new challenges.

At the Communications table, moderated by Marina Barreda (Alfasigma-UC chair), projects, innovation and value evaluation projects were presented. Among the communications, the framework for the use of proms in usual clinical practice, presented by the University Hospital Vall d’Hebron; The cost analysis for the value of the contribution, exposure by Iker Ustarroz Aguirre (Osi Ezkerraldea enkarterri Cruces); And the evaluation of the economic impact of robotic surgery in Oncology, developed by professionals of the Hospital del Mar, Clinic and the Pla de D’Oncologia. Also, an explanatory model is presented for the determination of caesarean sections in Catalonia, integrating clinical factors and payment system adjustments; A collective work of the Rech Group on Homogeneizació de Costs for sanitary benchmarking; and a cost-utility analysis of the ritmocore program in patients with pacemaker, promotion from Aquas and several Catalan hospitals.

In the last part of the day, methodological advances are presented for health value medicine, with special focus on evaluation margin Hospitable. Borja García-Lorenzo, from the Biosystemk Institute, introduction a focus on marginal value and Efficient Frontier, while Emmanuel Giménez, of the Barcelona Hebron Campus of the Campus of it proposed a pathologist of the Hebron Barcelona campus. They were introucid and moderated by David Cantarero, co-coordin of the AES management group and professor at the University of Cantabria, and both participated as commentators crossed in suspective presentations, enriching-the methodological debate. As a general conclusion, the need for traditional clinical combined results with reports reports by patients (pros, of English Results informed by the patient) And patient -centered measures (pcos, English Patient -centered results), Advancing towards integrated indicators that allow to build comparable value metrics, such as Pacelys (Patient -centered results adjust the years of life). Together, they seek to lay the foundations of a solid value border, which guides both managers and a clinicians in making information.

The closure ran a burden of Francesc, who stressed the need to strengthen the link between economic evaluation and clinical decisions, as well as the key role of AES to boost spaces like this, converge converge converge analyzes rigurances and experimental practices such as as this, converge rigur analyzes and experimental paricy paricy.