unesco ass-2014-limited
DESCRIPTION
Health Literacy requirements for patients & health care workers. Spanish context in the great depression. UNESCO Assambly 2014. Paris 23-24 January 2014.TRANSCRIPT
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
UNESCO CHAIRS ASSEMBLY 2014
LET´S PUT CULTURE ON THE AGENDA NOW
Leverage culture for poverty reduction & inclusive economic development
LITERACY- HLS•EU
Prof. Dr. O. Ferrer-RocaUNESCO Chair Telemedicine 1999
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Sorensen et al 2012
Health literacy is linked to literacy and entails people’s knowledge, motivation and competences to access, understand, appraise, and apply health information in order to make judgments and take decisions in everyday life concerning healthcare, disease prevention and health promotion to maintain or improve quality of life during the life course
HL-Health Literacy
Standard NVS test
Newest Vital Sign Test
FUNCTIONAL HEALTH LITERACYProf. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
HL-Health Literacy
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
General Health
Health care
Disease prevention
HL-Health Literacy
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Education levels
Social status
HL-Health Literacy
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
4GOOD1.- Old people cannot pay treatments (12,4% pensionists) and abandon treatment, hospital do not pay for efficient cáncer treatments because are too expensive, patients have to pay hospital treatments, government do not approved new treatments…2.- 800.000 inmigrants do not have any health assistance.3.- 80% of the investment in cooperation have disappeared…4.- There are 25% of children with malnutrition…
In Spain
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
• Fiscally proportional to income and richness• Taxes to provide the citizens with universal healthcare, education and social protection. • Adequate salaries.
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
3 Themes changing HealthcareRohit Bhargava & Fard Johnmar 2013
Empathetic InterfacesUnhealthy SurveillancePredictive Psychohistory
The Over quantified SelfDigital Divide/ Device DivideMulticultural MissalignmentHealthy Real State
Care HankingVirtual CouncelingAccelerated Trial-Sourcing
http://epatient2015.com/
HL-PATIENTS
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Introduce TM & modifiy work flow.
Select devices that do not harm
Assure connectivity
HL-DOCTORS
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Danish definition of TELEMEDICINE
• First we have to agree of What is TELEMEDICINE? I personally like the danish definition:
Telemedicine is the practice of medicine over a distance, in which interventions, diagnostic and treatment decisions and recommendations are based on data, documents and other information transmitted through telecommunication systems. http://www.wma.net/en/30publications/10policies/t3/
For that reason they are MD (MEDICAL DEVICES)
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Structured approach
BoK = Body of Knowledge
1998
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Non-structured approach
http://www.healthitcertification.com/
HIT= Health Information TechnologyEHR= Electronical Health RecordHIE= Health Information ExchangeORA= Operating rules administration
UNESCO codes: No place for TM
51 ANTROPOLOGIA (ver 2402)
24 CIENCIAS DE VIDA2410 Biología humana (ver 32)2411 Fisiología humana (ver 2410.10)2412 Inmunología (ver 2302.16, 3109.03, 3207.10 y 3208.05)2405 Biometría2406 Biofísica2407 Biología celular2409 Genética (ver 2407.02, 2410.07 y 3201.02)
23 QUIMICA2302 Bioquímica (ver 2306)
Medicine
Because it affects all specialities should be teached separatly Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
UNESCO codes: No Health Informatics
33 CIENCIAS TECNOLOGICAS3301 Ingeniería y tecnología aeronáuticas3302 Tecnología bioquímica (ver 3309)3303 Ingeniería y tecnología químicas (ver 2303, 2304 y 2306)3304 Tecnologla de los ordenadores (ver 1203)3305 Tecnología de la construcion (ver 3312, 3313.04 y 5312)3306 Ingeniería y tecnología eléctricas3307 Tecnología electrónica (ver 2202, 2203, 3311.07 y 3325)3308 Ingeniería y tecnología del medio ambiente3309 Tecnología de los alimentos (ver 3302 y 3206)3310 Tecnología industrial (ver 5311)3311 Tecnología de la instrumentación3312 Tecnología de materiales3313 Tecnología e ingeniería mecánicas3314 Tecnología médica (ver 331110)
Technology
It is a transversal speciality that do have a Body of Knowledge
EHR StandardsBioengineering Biomedical engineeringHealth Informatics
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
QoCsimple-small-short cost
$50000
$6000
$1500+iPAD
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
REVERSE INNOVATION
The cellphone has become more of a tool and less of a toy, especially among the poor, and those trying to help them, in emerging markets. It helps deliver, via text message, water, energy, financial services, health care and even education.
Drones
eHealth platformArduino & Rasperi-Pi
2010
MDD 93/42/EECMDDEV 2, 1/3 rev 3 (2001)2007/47/EC amendment
4.0
Anytime-Anything-Anyplace 3A
QoCWeb 4.0 items such as: a) KBL o Knowledge base
learning, including literature base learning (LBL),Evidence Based learning (EBL), trial base learning (TBL), Image basedlearning (IBL) etc…
b) QBE o Query by example, including query by image (QBI) etc…
c) CoLD or Cloud of link data with Artificial intelligence
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
http://fnd.us/c/5bf9e
" The buck stop here ". Take your responsibility on changing healthcare delivery and medical training. Fit the requirements of a new Faculty- new Hospital- new Healthcare. Follow us on: http://catai.net/blog/2013/09/nueva-medicina-nueva-facultad-nuevo-hospital/
Harry Truman
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
