el hospital del futuro

EL HOSPITAL DEL FUTURO:
Las ideas de los expertos
Club Gertech
Madrid Network
El hospital del futuro: las ideas de los expertos
0DGULG 1HWZRUN GHVDUUROOD D WUDYpV GH VXV &OXVWHUV \ VXV
3DUTXHV&LHQWt½FRV\7HFQROyJLFRVXQDSROtWLFDGHDSR\RDOD
VRFLHGDGGHOFRQRFLPLHQWRSDUDKDFHUGH0DGULGXQDGHODVUHJLRQHVPXQGLDOHVGHPD\RUDWUDFWLYRSDUDHOGHVDUUROORHPSUHVDULDO
0DGULG \D ½JXUD HQWUH ODV UHJLRQHV TXH OLGHUDQ HO GHVDUUROOR D
QLYHOPXQGLDO\GHQWURGH(VSDxD½JXUDFRPRODGHPD\RUSHVR
HQODLQYHUVLyQSDUDODLQYHVWLJDFLyQ\HOGHVDUUROOR
(Q OD VRFLHGDG GHO IXWXUR OD 6DOXG \ HO %LHQHVWDU YDQ D UHSUHVHQWDUXQDGHODVDFWLYLGDGHVGHPD\RULPSRUWDQFLDHFRQyPLFD
GHELGRWDQWRDOLQFUHPHQWRGHODHVSHUDQ]DGHYLGDGHODVSHUVRQDVFRPRSRUODQHFHVLGDGGHDWHQGHUDXQQ~PHURFDGDYH]PiV
HOHYDGRGHFLXGDGDQRVFRQSUREOHPDVFUyQLFRV$VtHOFRQFHSWR
GHKRVSLWDOL]DFLyQFDPELDUi\ODVHPSUHVDVDVRFLDGDVD0DGULG
1HWZRUNGHEHQGHHVWDUSUHSDUDGDVSDUDRIUHFHUVROXFLRQHVWpFQLFDPHQWHH½FLHQWHV\HFRQyPLFDPHQWHVRVWHQLEOHV
/DFRODERUDFLyQFRQHO&OXE*HUWHFKSDUDODSXEOLFDFLyQGHHVWH
LQIRUPH VREUH OD YLVLyQ GH H[SHUWRV GHO VHFWRU GH OD VDOXG DVt
FRPRVREUHODKRVSLWDOL]DFLyQHQHOIXWXURFRLQFLGHFRQQXHVWURV
REMHWLYRV GH SURPRYHU IRURV GH GHEDWH VREUH ODV QHFHVLGDGHV \
UHWRVTXHVHSUHVHQWDQHQODVRFLHGDGJOREDO
0DGULG1HWZRUNRIUHFHVXDSR\RDODGLIXVLyQGHOFRQRFLPLHQWR
LQLFLDQGRDVtXQDFROHFFLyQGHSXEOLFDFLRQHVTXHHQFRODERUDFLyQ
FRQVXVDVRFLDGRV\RWURVIRURVGHGHEDWHSXHGDQPRYHUDODVRFLHGDGDUH¾H[LRQDUVREUHFyPRGHEHPRVGHDIURQWDUORVUHWRV
TXHVHQRVSUHVHQWDQ
0DGULGTXLHUH\YDDVHJXLUVLHQGRPRWRUGHOGHVDUUROORSDUDHO
WHMLGRHPSUHVDULDO\JUDFLDVDODSROtWLFDGH&OXVWHUVGH0DGULG
1HWZRUNVLWXDUiDQXHVWUDUHJLyQHQODSULPHUDOtQHDGHODSURPRFLyQKDFLDDODVRFLHGDGGHOFRQRFLPLHQWR
'$XUHOLR*DUFtDGH6ROD
3UHVLGHQWHGH0DGULG1HWZRUN
6
El debate como herramienta de mejora.
Club Gertech
Madrid Network
Prólogo.
Madrid Network
*(57(&+VHGH½QHFRPRXQDFUyQLPRGH²*(5HQFLD\7(&QRORJtD+RVSLWDODULD³SHURVXDOPDYLHQHGHODHVHQFLDGHODFRQ½JXUDFLyQFRPR&/8%
(VWH&OXEWLHQHFRPRPRWLYRHOGHEDWHGHLGHDVKHUUDPLHQWDV
HVWUDWHJLDVH[SHULHQFLDV©GHGHVDUUROORGHODJHVWLyQKRVSLWDODULD\GHODVWHFQRORJtDVGHLQIRUPDFLyQ\FRPXQLFDFLyQ7,&µV
FRQMXQWD R VHSDUDGDPHQWH FRPR RSRUWXQLGDG SDUD DSR\DU HO
SURJUHVRHQHOGHVHPSHxRGHODVODERUHVGLUHFWLYDVGHQXHVWURV
KRVSLWDOHV
*(57(&+QDFHGHODFRQMXQFLyQGHLQWHUHVHVGHOD8QLYHUVLGDG
3~EOLFDGH1DYDUUDGHO,QVWLWXWRGH6DOXG&DUORV,,,\GHO+RVSLWDO&OtQLFR6DQ&DUORV\HQHVWRVPRPHQWRVVHFRQ½JXUDFRPR
XQ JUXSR DFWLYR GRQGH SDUWLFLSDQ GLUHFWLYRV GH KRVSLWDOHV
DGHPiVGHVXV²VRFLRVIXQGDGRUHV³WHQLHQGRVXVFDXFHVGHFRPXQLFDFLyQSDUWLFLSDFLyQ\SXHVWDHQFRP~QGHH[SHULHQFLDVH
LGHDVFRQGHEDWHVWULPHVWUDOHVSiJLQDZHEVHFUHWDUtDSHUPDQHQWH\DFXHUGRVGHFRODERUDFLyQFRQHQWLGDGHVHPSUHVDULDOHV
SDUDDSR\RGHVXVDFWLYLGDGHVGHIRUPDWUDQVSDUHQWH
/D SUHVHQFLD GH H[SHUWRV GHFLVRUHV JHVWRUHV WHFQyORJRV© HQ
QXHVWUDVUHXQLRQHVPRWLYDQHOLQWHUpVGHFRQWLQXDUHQHVWDOtQHD
GHODTXHQRVHQULTXHFHPRVWRGRVHQQXHVWUDVODERUHVFRWLGLDQDV
+HPRV GHVDUUROODGR GHEDWHV HQ 0DGULG 6HYLOOD 2YLHGR 2SRUWR \ OR FRQWLQXDUHPRV KDFLHQGR DOOt GRQGH LGHQWL½TXHPRV XQD
RFDVLyQSDUDDSUHQGHUGHTXLHQVDEH\TXLHUDFRPSDUWLUFRQRFLPLHQWRV
(O&OXEHVWiDELHUWRDWRGRVVLQH[FOXVLRQHV6HRVHVSHUDVHRV
TXLHUHVHRVLQYLWD
'-RVp6RWR
'LUHFWRU *HUHQWH GHO +RVSLWDO &OtQLFR 6DQ &DUORV GH 0DGULG \
3UHVLGHQWHGHO&OXE*HUWHFK
7
El hospital del futuro: las ideas de los expertos
&RPRVXWtWXORLQGLFDHQHVWDSXEOLFDFLyQVHUHFRJHQXQQ~PHUR
LPSRUWDQWHGHUH¾H[LRQHVDELHUWDVVREUHHOIXWXURGHORVKRVSLWDOHV
UHDOL]DGDVSRUXQSDQHOGHH[SHUWRVGHPX\DOWRQLYHOHQODJHVWLyQ
VDQLWDULDMXQWRFRQFRODERUDFLRQHVGHVGHODLQGXVWULD\GHOPXQGRFLHQWt½FR\DFDGpPLFR/DVGLIHUHQWHVDSRUWDFLRQHVFRQGHQVDQ
H[SHULHQFLDFRQRFLPLHQWR\YLVLRQHVGHVGHODVSHUFHSFLRQHVQHFHVDULDPHQWHLQGLYLGXDOHVGHORVGLVWLQWRVDXWRUHV7RGDVHOODVFRQ½JXUDQXQDPSOLRHVSHFWURGHPLUDGDVVXJHUHQWHVVREUHHVFHQDULRV
IXWXULEOHVMXQWRFRQODVRSRUWXQLGDGHVUHWRVHLQFHUWLGXPEUHVTXH
ORVDFRPSDxDQ
(QWUHORVJUDQGHVWHPDVTXHD¾RUDQHQODOHFWXUDGHORVWH[WRVVH
HQFXHQWUDHQSULPHUOXJDUODSURSLDFRQFHSFLyQGHORVKRVSLWDOHV\
VXSDSHOHQODQXHYDVRFLHGDGGHOFRQRFLPLHQWR\GHODLQQRYDFLyQ
2WURWHPDOLJDGRDODQWHULRUVRQODVSHUVSHFWLYDVGHFDPELRGHORV
PRGHORVGHRUJDQL]DFLyQ\GHSHUIHFFLRQDPLHQWRGHODJHVWLyQGLUHFWLYDFRQXQDDWHQFLyQPX\HVSHFLDODOGHVDUUROORGHOFDSLWDOKXPDQR(VWDVFXHVWLRQHVVHSODQWHDQHQUHODFLyQFRQODPHMRUDGHOD
FDOLGDGHODFFHVR\ODFRQWLQXLGDGGHODDVLVWHQFLD\ODUHVSXHVWDD
ODFURQLFLGDG\ORVQXHYRVSHU½OHVGHODGHPDQGDGHDWHQFLyQVDQLWDULD-XQWRDHOORXQHMHGHSHQVDPLHQWRVVHGLULJHKDFLDODLPSRUWDQFLDGHODJHVWLyQGHODLQFRUSRUDFLyQGHORVDYDQFHVWHFQROyJLFRV
\ HO SRWHQFLDO SDUD SDUWLFLSDU H LPSXOVDU SURFHVRV GH LQQRYDFLyQ
WHFQROyJLFD\GHVHUYLFLRV
/DVQXEHVQRVRQHVIHUDVODVPRQWDxDVQRVRQFRQRV\ODOX]QR
VHWUDQVPLWHHQOtQHDUHFWD1RKD\PRGHORVVHQFLOORVSDUDFDUDFWHUL]DUVLVWHPDVWDQFRPSOHMRVFRPRORV+RVSLWDOHV\SUHGHFLUVX
HYROXFLyQ&LHUWDPHQWHORV+RVSLWDOHVVRQHPSUHVDVGHIXWXURHQ
ODVTXHGHVFDQVDXQJUDQSRWHQFLDOSDUDHOGHVDUUROORHFRQyPLFR
\VRFLDOGHODVVRFLHGDGHVDYDQ]DGDVEDVDGDVHQHOFRQRFLPLHQWR\
FRPSURPHWLGDVFRQYDORUHVGHELHQHVWDUVRFLDO\HTXLGDGHQHODFFHVRDODVDOXG&RQWRGDVHJXULGDGVHYDQDSURGXFLUWUDQVIRUPDFLRQHVGHODVUHDOLGDGHVORFDOHVDFWXDOHV'HDFXHUGRFRQXQFRQRFLGR
SURYHUELRODPHMRUIRUPDGHSUHGHFLUHOIXWXURHVFRQVWUXLUOR6H
SXHGHDxDGLUTXHVLQRORKDFHPRVQRVRWURVRWURVORKDUiQHQQXHVWUROXJDU(VSHUDPRVTXHHOFRQWHQLGRGHOOLEURSXHGDVHUYLUSDUD
KDELOLWDUYLVLRQHVFRPSDUWLGDVGHOFDPLQRDVHJXLU
Comité editorial.
El hospital del futuro
El hospital del futuro
Introducción.
Madrid Network
Presidente
-RVp)UDQFLVFR6RWR%RQHO
Vicepresidente
5LFDUGR+HUUDQ]4XLQWDQD
Secretario
-RVp/XLV0RQWHDJXGR3HxD
Tesorero
/XLV-DYLHU6HUUDQR$UULH]X
Vocal
-RVHED%DUURHWD8UTXL]D
Vocal
3HUH6ROH\%DFK
Coordinador
-RDTXtQ*DUFtD*XDMDUGR
%XHQDOHFWXUD\EXHQDVXHUWH
'-RVp/XLV0RQWHDJXGR
6HFUHWDULRGHO&OXE*(57(&+
8
/DVRSLQLRQHVYHUWLGDVHQHVWHOLEURVRQUHVSRQVDELOLGDGGHORVGLIHUHQWHVDXWRUHV(O&OXE*HUWHFKQRVHKDFHUHVSRQVDEOHGHODVPLVPDV
9
El hospital del futuro: las ideas de los expertos
(O+RVSLWDOGHOIXWXURVHRFXSDUiIXQGDPHQWDOPHQWH GH ORV SDFLHQWHV
DJXGRV HOOR H[LJLUi SRWHQFLDU DO
Pi[LPR VX FDSDFLGDG GH UHVROXFLyQ \ HQ FRQVHFXHQFLD ORV 'HSDUWDPHQWRVGH,PDJHQUHIRU]DUiQVXSURWDJRQLVPR
(OQ~PHURDFWXDOGHHVWXGLRVGH
,PDJHQ SRU KDELWDQWH \ DxR
RVFLOD HQWUH \ HQ ORV
países desarrollados
FRQXQDWHQGHQFLDDOFLVWD (VSDxD HVWi HQ OD SDUWH EDMD GHO UDQJR $~Q FRQWDQGR
FRQTXHVHUDFLRQDOLFHODGHPDQGDQRHVSUHYLVLEOHTXHHQ
XQ IXWXUR SUy[LPR VH PRGHUH HO FUHFLPLHQWR VXVWDQFLDOPHQWHGDGDVXDFHSWDFLyQFOtQLFD\ODFRQWLQXDLQQRYDFLyQ
WHFQROyJLFD
/DGL½FXOWDGGHORVSUREOHPDVDORVTXHHO'HSDUWDPHQWR
GH,PDJHQGHEHKDFHUIUHQWHHVFDVH]GHSHUVRQDOLQFUHPHQWR GH OD GHPDQGD FRQWHQFLyQ GHO JDVWR FRPSOHMLGDG
GHORVHVWXGLRVHWFDXPHQWDODH[LJHQFLDGHXQDSURIXQGD
WUDQVIRUPDFLyQTXHPHMRUHVXH½FLHQFLD3RUVXSDUWHHQ
OD,QGXVWULDVHHVWiSURGXFLHQGRXQFDPELRGHSDUDGLJPD
HQ OD ,QQRYDFLyQ GHVSOD]DQGR HO pQIDVLV GH KDFHU LPiJHQHVPiVFODUDV\PHMRUHVTXHWDPELpQDKDFHUPiVFRQ
PHQRV
/DVPD\RUHVLQQRYDFLRQHVVHHVWiQSURGXFLHQGRHQ
5HGXFFLyQGHORVWLHPSRVGHDGTXLVLFLyQGHLPiJHQHVEDMDUODVGRVLV
0HMRUDUODIRUPDGHYLVXDOL]DU\QDYHJDUSRUODVLPiJHQHV
XQHVWXGLRWtSLFRGH7$&LQFOX\HPiVGHLPiJHQHV
$\XGDUDODWRPDGHGHFLVLyQSRUODLQFRUSRUDFLyQGH6LVWHPDV([SHUWRV
0HMRUDUODH[SHULHQFLDGHOSDFLHQWH&XUDU\&XLGDU
,QWHJUDFLyQ GH SURFHVRV 1XHYDV (VWDFLRQHV GH 7UDEDMR
TXH IDFLOLWDUiQ HO GLDJQyVWLFR \ HO WUDEDMR FRODERUDWLYR HQ
FXDOTXLHUOXJDU
,QWHJUDFLyQGH'LDJQyVWLFR\7HUDSLD
&LUXJtD0tQLPDPHQWH,QYDVLYD*XLDGDSRUOD,PDJHQ
'HVWUXFFLyQGH7XPRUHVFRQ8OWUDVRQLGRVPX\IRFDOL]DGRVGHDOWDSRWHQFLDOLEHUDQGRIiUPDFRVTXHVHKDQ
LQ\HFWDGRHQHO¾XMRVDQJXtQHRGRSDQGRPLFUREXUEXMDV
TXHVRQJXLDGDVVHOHFWLYDPHQWHSRU50
'HWHFFLyQ3UHFR],PDJHQ0ROHFXODU(OFRQFHSWRGHHQIHUPHGDGQRHVHVWiWLFRODLQIRUPDFLyQTXHKR\QRVDSRUWDQ
ODVWHFQRORJtDVSRULPDJHQQRVHUiVX½FLHQWHSDUDHOIXWXUR
(OUHWRHVQXHYDVWpFQLFDVFX\DUHVROXFLyQVXSHUHODEDUUHUD
VXEPLOLPpWULFD\VHDQFXDQWLWDWLYDV<DGLVSRQHPRVGHPRGDOLGDGHVPX\SURPHWHGRUDVFRPRHO3(77$&\HQEUHYH
HO3(705QXHYDVPRGDOLGDGHVFRPRHO0DJQHWLF3DUWLFOH
,PDJLQJ03,RHO6SHFWUDO&7HVWiQ\DHQORVODERUDWRULRV\
FRQ½UPDUiQHOWUiQVLWRDOD,PDJHQ0ROHFXODU
/DUDGLFDOLQQRYDFLyQTXHVHHVWiSURGXFLHQGRHQHOHQWRUQR
GHOD7HFQRORJtD6DQLWDULDGHEHLUSDUHMDFRQXQDVXEVWDQFLDOLQQRYDFLyQHQOD*HVWLyQGHORV6HUYLFLRVGH,PDJHQ
,JQDFLR $\HUGL 'LUHFWRU *HQHUDO GH 3KLOLSV &XLGDGR GH OD
6DOXG3DWURQRGHOD)XQGDFLyQ6LJQRGHOD)XQGDFLyQ7HFQRORJtD\6DOXG0LHPEURGHO&RPLWpGH'LUHFFLyQGH3KLOLSV
+HDOWKFDUH GH (XURSD \ GHO &RQVHMR GH $GPLQLVWUDFLyQ GH
3KLOLSV,EpULFD6$8
LJQDFLRD\HUGL#SKLOLSVFRP
Gestión hospitalaria en tiempos de crisis:
Soluciones.
Joseba Barroeta Urquiza
Ignacio Ayerdi Salazar
La Tecnología de Imagen en el Hospital del futuro.
Imaging 2.0.
Madrid Network
+RVSLWDOHV 8QLYHUVLWDULRV 5HJLRQDOHV GH
(VSHFLDOLGDGHV &RPDUFDOHV +RVSLWDOHV
GH $OWD 5HVROXFLyQ /LJHURV &RQVRUFLDGRV )XQGDFLRQHV +RVSLWDODULDV GLIHUHQWHV SODQHV GH LQIUDHVWUXFWXUDV VDQLWDULDV \ GLYHUVRV PRGHORV GH JHVWLyQ
SDUDXQ~QLFR½QJDUDQWL]DUXQDDWHQFLyQ
VDQLWDULD GH FDOLGDG HQ OD RUJDQL]DFLyQ
WHUULWRULDO GHO (VWDGR FRQ &RPXQLGDGHV $XWyQRPDV HQ XQ GHEDWH
SROtWLFR VDQLWDULR VLQ SUHFHGHQWHV HQ
ODKLVWRULD'HEDWHTXHSUHWHQGHFRQVHJXLUH½FLHQFLDVLQUHFRUWDUSUHVWDFLRQHVPLQRUDQGRHOJDVWR
UHJXODQGRODSUHVLyQGHODVWHFQRORJtDV\HOFRQRFLPLHQWR\FXEULHQGRODVH[SHFWDWLYDVGHORVFLXGDGDQRVFRQLQWHQVRVFDPELRVGHPRJUi½FRV\FRQXQDHVSHUDQ]DGHYLGDTXHVHDVRFLD
DQXHYRVSDWURQHVGHHQIHUPHGDGSDFLHQWHVSOXULSDWROyJLFRV
FURQL½FDFLyQGHODVHQIHUPHGDGHVSDFLHQWHVRQFROyJLFRSDOLDWLYRVHSLGHPLDGHREHVLGDG1XHYRVYDORUHVGHEHQFDUDFWHUL]DU
ODJHVWLyQGHORVKRVSLWDOHVFRPRRUJDQL]DFLRQHVFRPSOHMDV/D
¾H[LELOLGDGODFDSDFLGDGGHDGDSWDUVHODGHVFHQWUDOL]DFLyQOD
JHVWLyQFRPSDUWLGDODFRUUHVSRQVDELOLGDGGLUHFWLYD\GHORVSURIHVLRQDOHVVRQYDORUHVHVHQFLDOHVSDUDPDQWHQHUHODYDQ]DGR
GHVDUUROORTXHKHPRVFRQVHJXLGRHQHO6LVWHPD6DQLWDULR(VSDxRO1RHVQHFHVDULRKDEODUGHXQPRGHORGDGRTXHODLQVRVWHQLELOLGDGDPHQD]DDODVRFLHGDGGHOELHQHVWDU\HVGHREOLJDGR
FXPSOLPLHQWRTXHQRVLPSOLTXHPRVSURIHVLRQDOHVFLXGDGDQRV
\DGPLQLVWUDFLRQHVSDUDFRQVHJXLUUHVXOWDGRVFRQXQDYLVLyQGH
ULHVJRFRPSDUWLGD
$ORODUJRGHDxRVGHH[SHULHQFLDHQODJHVWLyQGHKRVSLWDOHV
KHPRVSRGLGRREVHUYDUORLPSRUWDQWHTXHHVWUDEDMDUFRQSUHYLVLyQ\FRQPpWRGRHQDOLDQ]DSDUDDGHODQWDUVHDORVWLHPSRV\
YLVLRQDUHOIXWXUR/DH½FLHQFLD\H½FDFLDSXHGHQFRPSDWLELOL]DUVHFRQODYDQJXDUGLD\ODLQQRYDFLyQ
3RGHPRVDWUHYHUQRVDH[SRQHUDOJXQDVFRQVLGHUDFLRQHVVREUHHOIXWXUR\ODVRVWHQLELOLGDGGHO6LVWHPDTXHQRVOOHYHQD
LQGLFDUORTXHWLHQHTXHFDPELDUSDUDREWHQHUORVUHVXOWDGRV
TXH TXHUHPRV UHYLVDQGR HO HVWDGR GHO ELHQHVWDU QRUPDOL]DQGRODVH[SHFWDWLYDVVRFLDOHVEDVDGDVHQXQDDPSOL½FDFLyQ
WHFQROyJLFD\FUHDWLYDTXHHVWDEDQVREUHYDORUDGDVHQVXYHORFLGDG \ SRVLELOLGDG GH GHVDUUROOR /RV FDPELRV WHFQROyJLFRVODHVSHUDQ]DGHYLGDHQORTXHVHUiHOSDtVPiVYLHMRGHOD
WLHUUDODFURQLFLGDG\SOXULSDWRORJtDGHORVQXHYRVSDWURQHV
GHHQIHUPHGDGQRVREOLJDQD
*HQHUDUDOWHUQDWLYDVDOD+RVSLWDOL]DFLyQ7UDGLFLRQDOSDUDTXH
GLVPLQX\DQUDGLFDOPHQWHHOQ~PHURGHHVWDQFLDV\IUHFXHQWDFLyQDODVSUHVWDFLRQHVVDQLWDULDVHQJHQHUDO
6HJXLU FUHDQGR ²+RVSLWDOHV GH $OWD 5HVROXFLyQ³ TXH UHVXHOYDQPDVGHOGHORVSURFHVRVDVLVWHQFLDOHVFRQXQD
DWHQFLyQ LQWHJUDO SHUVRQDOL]DGD UiSLGD \ H½FD] 3RWHQFLDU
DVtODVFRQVXOWDVGHDFWR~QLFRODFLUXJtDDPEXODWRULDODFLUXJtD PtQLPDPHQWH LQYDVLYD OD KRVSLWDOL]DFLyQ GRPLFLOLDULD
FRQVRSRUWHWHOHPpGLFR\ODJHVWLyQSRUSURFHVRVSDUDODVHQIHUPHGDGHVPiVIUHFXHQWHV
'HVDUUROODU SODWDIRUPDV WHFQROyJLFDV PXOWLFDQDO TXH FXEUDQ QHFHVLGDGHV GH LQIRUPDFLyQ VDQLWDULD \ DWHQFLyQ D ORV
SURFHVRVFUyQLFRVRDJXGRVGHPX\EDMDFRPSOHMLGDGJULSH
JROSHV GH FDORU SROLPHGLFDGRV /DV SODWDIRUPDV GHEHQ
WHQHU XQD WHOHRSHUDFLyQ FXDOL½FDGD TXH Gp UHVSXHVWD D ORV
SODQHVH[SHUWRVVREUHORVSURFHVRV\XQDFRQVXOWDUtDSHUPDQHQWHGLULJLGDDORVFXLGDGRVDSDFLHQWHV\FXLGDGRUHV
2SWLPL]DU H LQFRUSRUDU ODV WHFQRORJtDV SUHYLD HYDOXDFLyQ GH
LPSDFWR\H½FLHQFLD
$IURQWDUODDOWDFRPSOHMLGDGEDVDGDHQODFRQFHQWUDFLyQGHFDVRV\H[SHULHQFLDHYLWDQGRODIUDJPHQWDFLyQPHQRVKRVSLWDOHV
GHDOWDFRPSOHMLGDG\FRQPHQRVFDPDV%~VTXHGDGHODHIHFWLYLGDG\H½FDFLD
,QWHJUDFLyQ\RSWLPL]DFLyQGHORVSURFHVRVGHFRPSUD\FDGHQD
GHVXPLQLVWUR*HVWLRQDUSRUHFRQRPtDGHHVFDODEXVFDQGROD
H½FLHQFLD
,QFHQWLYDUDODVRUJDQL]DFLRQHV\ORVSURIHVLRQDOHVHQHOUHQGLPLHQWR VRVWHQLEOH (V PiV UHOHYDQWH OD VRVWHQLELOLGDG GHO
FRQMXQWRGHO6LVWHPDTXHHOGHXQDGHVXVRUJDQL]DFLRQHV(V
RSRUWXQRWRPDUGHFLVLRQHV\DFWXDUVREUHXQDXQLGDGGHJHVWLyQ
FOtQLFDSDUDQRSRQHUHQULHVJRXQKRVSLWDO
0HFDQL]DUWRGRVORVSURFHVRVSRVLEOHV/RTXHODVPiTXLQDV
SXHGHQKDFHUTXHQRORKDJDHOKRPEUH
/RV SURIHVLRQDOHV KDQ GH VHU VHOHFFLRQDGRV SRU VX QLYHO GH
FRPSHWHQFLD\GHEHQPRYHUVHSHUPHDEOHPHQWHSRUODVLQVWLWXFLRQHVGHOVLVWHPDFRQSUR\HFFLyQ\YLVLyQFRPSDUWLHQGRORJURVIDYRUHFLHQGRODYDQJXDUGLD\ODH[FHOHQFLD
-RVHED%DUURHWD8UTXL]D0'03++DGLULJLGRKRVSLWDOHV\
SUHVLGLGR IXQGDFLRQHV SDUD OD LQYHVWLJDFLyQ HQ ORV ~OWLPRV DxRV'XUDQWHDxRVJHUHQFLy+RVSLWDOHV8QLYHUVLWDULRV9LUJHQGHO5RFtR$FWXDOPHQWHHVHOGLUHFWRUJHUHQWHGHOD(PSUHVD
3~EOLFDGH(PHUJHQFLDV6DQLWDULDV\GHOD3ODWDIRUPD0XOWLFDQDO6DOXG5HVSRQGHHQ$QGDOXFtD
MRVHEDEDUURHWD#HSHVHV
El hospital del futuro: las ideas de los expertos
/DPHMRUDGHODH½FLHQFLDHQODXWLOL]DFLyQGHORVUHFXUVRVHVODFODYH GH ODV UHIRUPDV TXH QXHVWUR
PRGHOR VDQLWDULR QHFHVLWD 6H
WUDWDGHSURGXFLUHOPi[LPRQLYHOGHVDOXGFRQORVUHFXUVRVGLVSRQLEOHV(VWR
KD GH FRQFUHWDUVH
HQ OD H½FLHQFLD HQ
OD JHVWLyQ HV GHcir, desarrollar la
DFWLYLGDG HQ ORV
FHQWURV \ VHUYLFLRVVLQGHUURFKDU
UHFXUVRV \ DGHPiV VHOHFFLRQDU ODV DFWLYLGDGHV TXH SURPXHYDQ OD PD[LPL]DFLyQGHODVDOXG&RPELQDGRFRQHOFULWHULRGHHTXLGDG
GH½QLGRFRPRLJXDOGDGHQHODFFHVRSDUDLJXDOQHFHVLGDG
DOFDQ]DUtDPRVHOLGHDOGHXQVLVWHPDVDQLWDULR
/RVUHFXUVRVKXPDQRVVRQHOUHFXUVRSULQFLSDOGHOVLVWHPD
VDQLWDULR /RV SURIHVLRQDOHV VDQLWDULRV SRVHHQ PRWLYDFLyQ
LQWUtQVHFDXQHOHYDGRQLYHOLQWHOHFWXDOODUHOHYDQFLDGHVX
GHVHPSHxR HV HQRUPH VRQ DJHQWHV GH VXV SDFLHQWHV \
GHVXVJHUHQWHV\FRQVHMHURVGHVDOXGWLHQHQGHUHFKRVGH
SURSLHGDGLOLPLWDGRVVREUHVXDFWLYLGDGSRUTXHVXVFRQWUDWRV VRQ QHFHVDULDPHQWH LQFRPSOHWRV TXHGDQGR D VX GLVFUHFLyQ EXHQD SDUWH GH ODV GHFLVLRQHV GH DFWXDFLyQ \ SRU
WDQWR GH JDVWR SHUR PXFKRV VLHQWHQ LQVDWLVIDFFLyQ HQ VX
GHVHPSHxRHQHOVLVWHPDVDQLWDULRS~EOLFR<HVTXHHOVHFWRUS~EOLFRWLHQHGL½FXOWDGHVSDUDGHVDUUROODUPHFDQLVPRV
GHLQFHQWLYRVDSURSLDGRV
(QODOLWHUDWXUDHFRQyPLFDODPRWLYDFLyQLQWUtQVHFDVHFRQWHPSOD FRPR XQD FXHVWLyQ TXH GHSHQGH GH FyPR ORV WUDEDMDGRUHVVHYHQDVtPLVPRVHQVXUHODFLyQFRQODHPSUHVD/DLGHQWL½FDFLyQGHORVWUDEDMDGRUHVFRQVXSXHVWRVX
HTXLSR\VXRUJDQL]DFLyQFUHDLGHQWLGDGHVTXHKDFHQTXH
ODV RUJDQL]DFLRQHV ORJUHQ PHMRUHV UHVXOWDGRV GHELGR D OD
PD\RUSURGXFWLYLGDGGHORVWUDEDMDGRUHVPRWLYDGRV$NHUORI \ .UDQWRQ FRQFHGHQ D HVWD GH½QLFLyQ GH OD LGHQWLGDG
HOYDORUGHVHUXQDIRUPDGHPRWLYDUDORVHPSOHDGRV8Q
FDPELRHQODLGHQWLGDGHVHOPRWLYDGRULGHDOVLHOHVIXHU]R
GHXQWUDEDMDGRUHVELHQGLItFLOGHREVHUYDURGLItFLOGHUHFRPSHQVDU
6LQ HPEDUJR ORV VLVWHPDV GH LQFHQWLYRV XWLOL]DGRV HQ ORV
KRVSLWDOHV \ FHQWURV VDQLWDULRV HQ (VSDxD JHQHUDOPHQWH
PRQHWDULRVGHVFRQVLGHUDQODLGHQWLGDG1XHVWUDKLSyWHVLV
FRQVWDWDGD HQ RWURV VHFWRUHV HFRQyPLFRV HV TXH OD XWLOL]DFLyQH[FOXVLYDGHLQFHQWLYRVPRQHWDULRVSXHGHPLQDUOD
PRWLYDFLyQLQWUtQVHFDGHORVSURIHVLRQDOHVVDQLWDULRVSURYRFDQGRHOHIHFWRFRQWUDULRDOSHUVHJXLGR/DLGHQWLGDGVLQ
HPEDUJRSRGUtDDWHQXDUODQHFHVLGDGGHLQFHQWLYRVPRQHWDULRV\UHGXFLUHOFRVWHSDUDHOSULQFLSDOJHVWRUHVGHLQFHQWLYDUDORVDJHQWHVSURIHVLRQDOHVVDQLWDULRV
/RVLQFHQWLYRVKR\H[LVWHQWHVFRPRODFDUUHUDSURIHVLRQDO
QR VH FRQVLGHUDQ HIHFWLYRV GHELGR D VX LQFDSDFLGDG SDUD
GLVFULPLQDUHOGHVHPSHxRODHVHQFLDPLVPDGHXQVLVWHPD
GHLQFHQWLYRV+D\TXHUHGLVHxDUHOVLVWHPDGHLQFHQWLYRVH
LQYHUWLUHQXQQXHYRWLSRGHFDSLWDOTXHGHQRPLQDPRVFDSLWDOPRWLYDFLRQDO8QDUHWULEXFLyQDGHFXDGD\PD\RUDXWRQRPtDHQHOGHVHPSHxRGHWDUHDVJHQHUDQODLGHQWL½FDFLyQ
FRQODRUJDQL]DFLyQFRQHOHTXLSR\FRQHOSURSLRWUDEDMR\
SXHGHQDFHUFDUORVREMHWLYRVGHORVUHVSRQVDEOHVJHVWRUHV
\GHORVSURIHVLRQDOHVWUDEDMDQGRFRQMXQWDPHQWHSRUHOORJURGHORVREMHWLYRVHVWDEOHFLGRVHQODHVWUDWHJLDGHVDOXG
5HIHUHQFLD $NHUORI *$ DQG 5( .UDQWRQ ,GHQWLW\
DQGWKH(FRQRPLFVRI2UJDQL]DWLRQV-RXUQDORI(FRQRPLF
3HUVSHFWLYHVZLQWHUSS
-XDQ 0 &DEDVpV +LWD &DWHGUiWLFR GH (FRQRPtD $SOLFDGD
8QLYHUVLGDG3~EOLFDGH1DYDUUD
MPFDEDVHV#XQDYDUUDHV
Hospital del futuro.
Luis Carretero Alcántara
Juan M. Cabasés Hita
Profesionales, identidad y capital motivacional en
las organizaciones sanitarias.
Madrid Network
8QD FDUDFWHUtVWLFD IXQGDPHQWDO GHO
hospital del futuro ha de ser su
¾H[LELOLGDG VX FDSDFLGDG SDUD
DGDSWDUVH \ SDUD LQFRUSRUDU GH
IRUPDUDFLRQDOORVDYDQFHVWHFQROyJLFRV8QUDVJRSDUDKDFHU
SRVLEOH HVD ¾H[LELOLGDG HV OD
SDUWLFLSDFLyQFRPRVRFLRVGHORV
SURYHHGRUHVGHDOWDWHFQRORJtD
/RVDYDQFHVHQWHFQRORJtD
HOHFWURPpGLFD DIHFWDQ
HQ PXFKRV FDVRV QXHVtra capacidad para obteQHU PHMRUHV UHVXOWDGRV
\D VHD D WUDYpV GH XQ
GLDJQyVWLFRPiVUiSLGR\
SUHFLVRGHODXWLOL]DFLyQGHSURFHGLPLHQWRVPHQRVFUXHQWRVR
GHXQPHMRUVHJXLPLHQWR\YLJLODQFLDGHORVSDFLHQWHV+R\HQ
GtDODWHFQRORJtDQRHVXQDYDULDEOHHVWiWLFDHQXQKRVSLWDO
VLQRFDGDYH]PiVGLQiPLFD
/D DGPLQLVWUDFLyQ S~EOLFD SRU VX SDUWH QR HVWi SUHSDUDGD
SDUD DIURQWDU ORV UHWRV TXH SODQWHD OD WHFQRORJtD &RQVLGHUD FXDOTXLHU WLSR GH LQYHUVLyQ FRPR XQ KHFKR H[FHSFLRQDO
TXH VH SDJD FRQ SDUWLGDV HVSHFt½FDV HO FDStWXOR 9, \ FX\D
GRWDFLyQ VROR VH SURGXFH HQ OD SUiFWLFD GH IRUPD PX\ UHVWULQJLGD6HWUDWDGHXQPHFDQLVPRGHFRQWUROPiVRULHQWDGR
DODJHVWLyQGHDFWLYRVFRPRXQHGL½FLRRXQDFDUUHWHUDSHUR
WUHPHQGDPHQWHDOHMDGRGHODVQHFHVLGDGHVDFWXDOHVHQGLDJQyVWLFRSRUODLPDJHQRUDGLRWHUDSLD
(OKRVSLWDOGHOIXWXURKDGHJHVWLRQDUVXWHFQRORJtDPHGLDQWH
DFXHUGRVGHFRRSHUDFLyQFRQSURYHHGRUHVTXHLQFOX\DQODDFWXDOL]DFLyQWHFQROyJLFDFRQVWDQWHODUHQRYDFLyQGHORVHTXLSRV
ODJDUDQWtDGHGLVSRQLELOLGDGHOPDQWHQLPLHQWR\HOUHQGLPLHQWR
DVHJXUDGRGHHVWRV$FDPELRHOSURYHHGRUUHFLELUiXQDFXRWD
DQXDOTXHFXEULUiWRGDVHVWDVQHFHVLGDGHVFRQSHQDOL]DFLRQHV
SRU HO QR FXPSOLPLHQWR GH ORV REMHWLYRV GH GLVSRQLELOLGDG (O
SURYHHGRUKDGHVHQWLUVHVRFLRSDUWtFLSHGHORVUHVXOWDGRV½QDOHVGHODDSOLFDFLyQGHVXVHTXLSRV\KDGHLPSOLFDUVHHQVX
UHQGLPLHQWRWDQWRFRPRHOSURSLRKRVSLWDO
/DFODYHGHHVWHWLSRGHUHODFLRQHVHVHOODUJRSOD]R1RVHSXHGHQHVWDEOHFHUFRQWUDWRVGHFRODERUDFLyQHQWUHHOVHFWRUS~EOLFR
\HOSULYDGRVLQRH[LVWHXQKRUL]RQWHWHPSRUDOVX½FLHQWHPHQWH
DPSOLR7DPELpQHVLPSRUWDQWHODJHQHUDFLyQGHPDVDVFUtWLFDV
VX½FLHQWHVSDUDSURGXFLUHFRQRPtDVGHHVFDODTXHEHQH½FLHQD
ODVGRVSDUWHV1RWLHQHVHQWLGRXQKRVSLWDOFRQ½JXUDGRFRPR
SX]]OHGHGLVWLQWDVPDUFDVVLQRPiVELHQFRPRODVXPDGHXQ
SXxDGRGHSURYHHGRUHVDOWDPHQWHHVSHFLDOL]DGRVHQVXVVHFWRUHVGHFRPSHWHQFLD
2WUD EDVH IXQGDPHQWDO HV HO GLiORJR FRQ ORV SURYHHGRUHV /D
E~VTXHGDGHUHODFLRQHVDODUJRSOD]RMXVWL½FDSOHQDPHQWHXQ
HVIXHU]R DPSOLR HQ VHOHFFLRQDU OD PHMRU DOWHUQDWLYD HQWUH ORV
SRVLEOHVVRFLRV(VWRVXSRQHSURFHVRVGHOLFLWDFLyQPiVFRPSOHMRVEDVDGRVHQHOGLiORJR\ODWUDQVIHUHQFLDGHFRQRFLPLHQWR
SHURTXHIRUWDOHFHQDOKRVSLWDOHQODPHGLGDHQTXHHOUHVXOWDGR
HVPXFKRPiVPHGLWDGR\FRQWUDVWDGRTXHPHGLDQWHXQFRQFXUVRS~EOLFRWUDGLFLRQDO1RGHEHIDOWDUHOGLiORJRLQWHUQRHQWUH
GLUHFFLyQGHKRVSLWDO\FOtQLFRVSDUDH[WUDHUGHODUHODFLyQFRQ
ORVSURYHHGRUHVHOPi[LPRUHQGLPLHQWRSDUDORVSDFLHQWHV
/DJHVWLyQSRVWHULRUGHHVWDQXHYDUHODFLyQGHEHEDVDUVHSRU
XQDSDUWHHQORVFRPSURPLVRVDGTXLULGRVSRUORVSURYHHGRUHV
HQHOPDQWHQLPLHQWRGHORVSULQFLSLRVHVWDEOHFLGRVHQHOGLiORJRSUHYLR(VLPSRUWDQWHLJXDOPHQWHDUPDURUJDQL]DWLYDPHQWH
HOKRVSLWDOSDUDJHVWLRQDUODSULRUL]DFLyQGHODLQFRUSRUDFLyQGH
WHFQRORJtD\SDUDH[WUDHUHOPi[LPRYDORUGHORVFRQWUDWRVHQ
PDUFKD/DGLQDPL]DFLyQWHFQROyJLFDGHEHLUGHVGHODYLJLODQFLD GHO FXPSOLPLHQWR GH ORV FRQWUDWRV KDVWD OD IRUPDFLyQ OD
E~VTXHGDGHQXHYDVVLQHUJLDVFRQORVSURYHHGRUHVHODSURYHFKDPLHQWRDVLVWHQFLDOGHODVYHQWDMDVWHFQROyJLFDVREWHQLGDVHO
VHJXLPLHQWRGHOUHQGLPLHQWRGHORVHTXLSRV\HOVHJXLPLHQWRGH
ODGLVSRQLELOLGDGGHORVPLVPRVDVtFRPRODJHVWLyQGHODDFWXDOL]DFLyQWHFQROyJLFD
(QGH½QLWLYD¾H[LELOLGDG\FDSDFLGDGGHDGDSWDFLyQVRQFODYHVHQXQKRVSLWDOQRVRORGHOIXWXURVLQRGHOSUHVHQWH(Q
WRGRVVXVDVSHFWRVRUJDQL]DWLYRVSHURWDPELpQHQODJHVWLyQ
GHODWHFQRORJtD
/XLV&DUUHWHUR$OFiQWDUD(FRQRPLVWD'LUHFWRU*HQHUDOGHO
+RVSLWDO6RQ(VSDVHV$QWHVKDGLULJLGRHQHWDSDVSUHYLDV
HO +RVSLWDO 6RQ 'XUHWD \ OD )XQGDFLyQ +RVSLWDO $OFRUFyQ
DGHPiVGHRFXSDUSXHVWRVGLUHFWLYRVHQRWURVKRVSLWDOHVHQ
$QGDOXFtD3URIHVRUGHOD(VFXHOD$QGDOX]DGH6DOXG3~EOLFD+DGHVHPSHxDGRLJXDOPHQWHOD'LUHFFLyQGH*HVWLyQ\
3ODQL½FDFLyQGHO6HUYHL%DOHDUGHOD6DOXW
OXLVPLJXHOFDUUHWHUR#VVLEHV
Innovación tecnológica como herramienta del hospital
del futuro para la sostenibilidad del sistema sanitario.
Los sistemas de información como garantía de la
seguridad futura del paciente.
(O+RVSLWDOGHO)XWXURVHJXLUiDSR\iQGRVHPiVDXQHQOD,QQRYDFLyQ7HFQROyJLFDSDUDSHUPLWLUDERUGDUGHOD~QLFDPDQHUDSRVLEOHPHQRVFRVWHV\PiVFDOLGDGODHSLGHPLDGHODV
HQIHUPHGDGHVFUyQLFDV8QVLVWHPD FRPR HO DFWXDO EDVDGR
HQQLYHOHVDVLVWHQFLDOHVPiVRPHQRVGHVFRQHFWDGRVSXHGH
VHUH½FD]SDUDODVHQIHUPHGDGHVDJXGDVSHURHVFODUDPHQWH
LQFRPSHWHQWHSDUDODVFUyQLFDV\QRIRUPDUiSDUWHGHO)XWXUR
6yOROD,QQRYDFLyQ7HFQROyJLFDMXQWRDXQFDPELRGHFXOWXUD
RUJDQL]DWLYD TXH DWUDYLHVH HO VLVWHPD SHUPLWLUiQ WUDQVLWDU
KDFLD HVH +RVSLWDO GHO )XWXUR VXSHUDQGR XQD UHDOLGDG KR\
HYLGHQWH TXH PX\ ELHQ UHVXPH HO WtWXOR OD FDQFLyQ ²1R KD\
FDPDSDµWDQWDJHQWH³
(VWUDWHJLDVLQQRYDGRUDVGHEDVHWHFQROyJLFDFRPRHOFRQWURO
UHPRWRGHSDFLHQWHV\DSHUPLWLUiQFRQVWUXLUORVWUHVSLODUHV
IXQGDPHQWDOHVHQORVTXHVHEDVDHODERUGDMHGHODHQIHUPHGDGFUyQLFDLQFRUSRUDUDFWLYDPHQWHDOSDFLHQWHFRPRSRWHQWHUHFXUVRDVLVWHQFLDOSDUDHOPDQHMRGHVXHQIHUPHGDG
LQWHJUDU ORV GLIHUHQWHV QLYHOHV DVLVWHQFLDOHV HQ XQ ~QLFR
VLVWHPDFDSD]GHHVWUDWL½FDUHOULHVJRGHODSREODFLyQHQIHUPD\OOHYDUODDVLVWHQFLDKDVWDHOGRPLFLOLRGHOHQIHUPRUH-
(V YHUGDG TXH OD DGRSFLyQ GH ,QQRYDFLyQ 7HFQROyJLFD HQ HO
6LVWHPD6DQLWDULRQRSXHGHSURGXFLUVHGHXQDPDQHUDLQGLVFULPLQDGDRGLVFUHFLRQDO3RUTXHHQWRQFHVVHFRQYLHUWHHQXQ
SUREOHPD(VQHFHVDULRGLVSRQHUGHDHYLGHQFLDGHVXHIHFWLYLGDGFOtQLFDEHVWXGLRVTXHJDUDQWLFHQXQLPSDFWRHFRQyPLFRSRVLWLYR\FUHGLVHxDUORVSURFHVRVDVLVWHQFLDOHVDIHFWDGRV
GHIRUPDTXHVHPXOWLSOLTXHQORVEHQH½FLRV
&XDQGRVHGDQHVDVFRQGLFLRQHVHOWtWXORGHHVWH
DUWtFXOR GHVSOLHJD WRGR VX VLJQL½FDGR SDUD HO
+RVSLWDOGHO)XWXUROD,QQRYDFLyQ7HFQROyJLFDHV
SDUWHGHOD6ROXFLyQ\QRSDUWHGHOSUREOHPD
-DYLHU&ROiV)XVWHUR'LUHFWRU*HQHUDO0HGWURQLF
,EpULFD6$
MDYLHUFRODV#PHGWURQLFFRP
)UDQFLVFRGH3DXOD5RGUtJXH]3HUHUD'LUHFWRUGH
(VWUDWHJLD0HGWURQLF,EpULFD6$
IUDQFLVFRGHSDXODURGULJXH]#PHGWURQLFFRP
/D VHJXULGDG GH ORV SDFLHQWHV TXH
VRQ DWHQGLGRV GLDULDPHQWH HQ HO
KRVSLWDO\ODPLQLPL]DFLyQGHORV
ULHVJRVGHULYDGRVGHORVSURFHGLPLHQWRV \ WUDWDPLHQWRV D ORV
TXH VRQ VRPHWLGRV HV \D VLQ
OXJDU D GXGDV XQR GH ORV DVSHFWRVGHPD\RUH[LJHQFLDHQ
ODVRUJDQL]DFLRQHVDVLVWHQFLDOHVHQODDFWXDOLGDG
3RUHOORHQXQIXWXURPX\FHUFDQR
HOGHVDUUROORHLPSODQWDFLyQGH
WRGDV DTXHOODV QXHYDV
KHUUDPLHQWDV OLJDGDV D WHFQRORJtDV
GH LQIRUPDFLyQ
TXH FRQWULEX\DQ
GHFLGLGDPHQWH D JDUDQWL]DU OD PHMRUD GH OD VHJXULGDG GH
ORV SDFLHQWHV TXH FLUFXODQ SRU QXHVWURV FHQWURV VHUi XQ
SXQWRFODYHHQODFRQVHFXFLyQGHORVUHVXOWDGRVHQVDOXG
/RV VLVWHPDV GH LQIRUPDFLyQ KRVSLWDODULRV HQ VX FRQMXQWR
HVWDUiQLQWHJUDGRVFRQWRGRVORVSURFHGLPLHQWRV\HTXLSDPLHQWRVTXHLQWHUDFW~DQFRQORVSDFLHQWHVGHPDQHUDTXH
ODUHFRJLGDGHLQIRUPDFLyQFOtQLFDVHUiSHUPDQHQWH\DXWRPiWLFDQRVXMHWDDHUURUHVQLPDQLSXODFLRQHV(OORJHQHUDUi
XQDWRWDOFRQH[LyQGHWRGDODLQIRUPDFLyQFOtQLFDGLVSRQLEOH
SDUDSRQHUODDODOFDQFHGHORVFOtQLFRVFRQFDSDFLGDGLQ½QLWD
SDUDSULRUL]DUOD\SDUDPHWUL]DUODTXHSHUPLWLUiLQGLYLGXDOL]DUDODUPDV\DYLVRVHQXQDPHGLFLQDFDGDYH]PiVVHJXUD
\SHUVRQDOL]DGD
&RPR HQ RWURV iPELWRV \ VHFWRUHV DOWDPHQWH WHFQL½FDGRV
WRGD SUiFWLFD DVLVWHQFLDO HVWDUi SODQL½FDGD VHJ~Q SURWRFRORV WRWDOPHQWH LQWHJUDGRV HQ ORV VLVWHPDV GH LQIRUPDFLyQ
LQFOX\HQGR OD SUHVFULSFLyQ YDOLGDFLyQ \ DGPLQLVWUDFLyQ GH
PHGLFDFLyQDVtFRPRFXDOTXLHUDFWXDFLyQDVLVWHQFLDOODFXDO
HVWDUiJXLDGDYDOLGDGD\UHJLVWUDGDSRUHOSURSLRVLVWHPDGH
LQIRUPDFLyQ
2WURV DVSHFWRV HQ GHVDUUROOR VHUiQ SRU HMHPSOR ORV VLVWHPDVGHLQIRUPDFLyQFRPSDUWLGRVHQWUHQLYHOHVDVLVWHQFLDOHV
SULPDULDHVSHFLDOL]DGDRLQWHUFHQWURVODLQFRUSRUDFLyQGHORV
FRQRFLPLHQWRVGHULYDGRVGHODHYLGHQFLDFLHQWt½FDRORVVLVWHPDV GH WHOHPRQLWRUL]DFLyQ D GLVWDQFLD OR TXH JDUDQWL]DUi
OD VHJXULGDG GHO SDFLHQWH PiV DOOi GH
cada especialidad o proceso, o
LQFOXVRODVSDUHGHVGHOKRVSLWDO
HQWHQGLHQGR HO SDFLHQWH FRPR
XQWRGR
3RU ~OWLPR HVWDV QXHYDV KHUUDPLHQWDV JHQHUDOL]DUiQ OD
LGHQWL½FDFLyQ DXWRPiWLFD GH
SDFLHQWHV\HTXLSRVFRQRFLHQGR
FRQGHWDOOHVXHVWDGRRXELFDFLyQ
ItVLFDHQFXDOTXLHUPRPHQWRTXH
XQLGRDODLQIRUPDFLyQ GH ORV
VLVWHPDV GH
JHVWLyQ GH
OD DFWLYLGDG
DVLVWHQFLDO
SHUPLWLUiQPLQLPL]DUHOULHVJRGHHUURUHV\SRU
RWURODGRXQDPHMRUHYDOXDFLyQGHODSURSLDRUJDQL]DFLyQDVLVWHQFLDO
Alfredo García Díaz
6LQQLQJXQDGXGDOD,QQRYDFLyQ7HFQROyJLFDKDVLGR
ODEDVHVREUHODTXHVHKDQ
SURGXFLGRORVJUDQGHVSURJUHVRVHQODDVLVWHQFLDVDQLWDULDGH
ORV~OWLPRVDxRVRIUHFLHQGRUHVSXHVWDVHIHFWLYDVDJUDYHV
SUREOHPDV FOtQLFRV QR UHVXHOWRV (VD ,QQRYDFLyQ FXDQGR KD
VLGR GLVUXSWLYD KD FRQVHJXLGR DGHPiV H[WHQGHU VXV EHQH½FLRV D XQ Q~PHUR GH SDFLHQWHV PXFKR PD\RU \ D XQ FRVWH
XQLWDULR LQPHQVDPHQWH LQIHULRU SDUD HO VLVWHPD 3HQVHPRV
HQOD7HFQRORJtDGHO6WHQWIUHQWHDODFLUXJtDGHO%\3DVVHQOD
UHGXFFLyQGHODHVSDVWLFLGDGTXHSHUPLWHGHDPEXODURHQODV
VXVWLWXFLRQHVYDOYXODUHVHQGRYDVFXODUHVIUHQWHDODVFLUXJtDV
DELHUWDVGHWyUD[
VHUYDQGRDO+RVSLWDOGHO)XWXURSDUDORVFDVRVHVWULFWDPHQWH
QHFHVDULRV0HQRVFRVWHSHURPXFKDPiVFDOLGDG
Francisco de Paula
1RHVLQIUHFXHQWHRtUROHHUHQPHGLRV
HVSHFLDOL]DGRV TXH OD 7HFQRORJtD
HVODSULQFLSDOUHVSRQVDEOHGHOOHYDUHOFUHFLPLHQWRGHOJDVWRVDQLWDULR KDVWD OD LQVRVWHQLELOLGDG
7DO D½UPDFLyQ SDUHFH FRQGXFLU
DO VLJXLHQWH VR½VPD HO VLVWHPD
VH KDFH PiV VRVWHQLEOH FXDQGR
OLPLWDODDGRSFLyQGHWHFQRORJtD
¢1DGDPiVIDOVR
Xavier Corbella Virós
Madrid Network
Javier Colás Fustero
El hospital del futuro: las ideas de los expertos
(VWDFUHFLHQWHLQFRUSRUDFLyQGHLQIRUPDFLyQIDFLOLWDUi SXHV XQD HYDOXDFLyQ WUDQVSDUHQWH \
SUREDEOHPHQWHS~EOLFDGHORVUHVXOWDGRV\VHUi
XQLQVWUXPHQWRFODYHSDUDODJHVWLyQ\½QDQFLDFLyQGHORVFHQWURVFRQXQSHVRSURJUHVLYDPHQWHPD\RUGHORVLQGLFDGRUHVGHFDOLGDGUHVSHFWR
DORVGHFDQWLGDG(VWRVQXHYRVHQWRUQRVGHLQIRUPDFLyQSDUDODJHVWLyQFOtQLFDIDYRUHFHUiQOD
FRPSDUDFLyQGHUHVXOWDGRVHQWUHFHQWURVGHIRUPDREMHWLYDORTXHSHUPLWLUiQRVyORDO½QDQFLDGRUVLQRWDPELpQDORVSURSLRVXVXDULRVHVFRJHU
DORVPiVH½FDFHV\VHJXURVSDUDOD²FRPSUD³GH
VXVVHUYLFLRV
'U ;DYLHU &RUEHOOD 9LUyV 'LUHFWRU *HUHQWH GHO
+RVSLWDO8QLYHUVLWDULRGH%HOOYLWJH
'U$OIUHGR*DUFtD'tD]6XEGLUHFWRU*HUHQWHGHO
+RVSLWDO8QLYHUVLWDULRGH%HOOYLWJH
JHU#EHOOYLWJHKRVSLWDOFDW
El hospital del futuro: las ideas de los expertos
,PDJLQDUODDWHQFLyQVDQLWDULDGHOIXWXUR¡FXiQWRIXWXUR"VLJQL½FDSHQVDU
HQDOPHQRVWUHVHVFHQDULRVFXDOLWDWLYDPHQWHGLIHUHQWHVHOSRVLEOHHO
GHVHDEOHHOSUREDEOH
UHHVWUXFWXUDFLyQGHOVHUYLFLRUHGH½QLUORVUROHVSURIHVLRQDOHV\ODHQWUDGDGHRWURVQXHYRVLQFOXLGRHOSDSHOGHDJHQFLD
HQWUHGLVWLQWRVQLYHOHVGHFRPSOHMLGDGSDFLHQWHFXLGDGRULQIRUPDOFXLGDGRUHVIRUPDOHVJHQHUDOLVWDVHVSHFLDOLVWDVVXSHUHVSHFLDOLVWDVHWF
6L KDEODPRV GHVGH OR SRVLEOH
OD IURQWHUD WHFQROyJLFD SHUPLWH
LPDJLQDUVROXFLRQHVDOWDPHQWHH½FDFHVHQHODERUGDMHLQGLYLGXDOGH
FRQWURO GH ULHVJRV FRUUHFFLyQ
SUHFR] PtQLPDPHQWH LQYDVLYD UHKDELOLWDFLyQ \ VRSRUWH
SDUD XQD PHMRU FDOLGDG GH
YLGD/RPiVGLItFLOHVWiHQODV
PRGL½FDFLRQHV GH ORV KiELWRV
GHYLGDTXHFRQGLFLRQDQHOGHVDUUROORGHHQIHUPHGDG\HOPHGLRDPELHQWHTXHORVGHWHUPLQD
3RQHU HQ PDUFKD OD UHYLVLyQ \ UHLQJHQLHUtD GH ORV SURFHVRV
DVLVWHQFLDOHVYDDUHTXHULUXQJUDQHVIXHU]R\WUDEDMRGHORV
SURIHVLRQDOHV\WDPELpQXQHQWRUQRGHVRSRUWHWHFQROyJLFR\
GHLQFHQWLYRVPiVSRWHQWHRSRVLEOHPHQWHGLIHUHQWH
/R GHVHDEOH FRPR WRGRV ORV GHVHRV GHSHQGH GHO SXQWR GH
YLVWDTXHVHDGRSWH/RLGHDOVHUtDDTXHOVLVWHPDTXHPD[LPL]DVHORVUHVXOWDGRVHQVDOXGGHODSREODFLyQJDUDQWL]DQGR
HTXLGDG\H½FLHQFLD\ODVDWLVIDFFLyQGHORVVWDNHKROGHUV/RV
PiUJHQHVGHORSRVLEOHVHUHGXFHQSRUTXHORVFRVWHVOLPLWDQ
ODVVROXFLRQHVDPHQRVTXHVHLQWURGX]FDQLQFHQWLYRVSDUDOD
LQQRYDFLyQ\HVRUHTXLHUHFDPELRVHQORVPRGHORVGHQHJRFLR
&DPELRVFRPRWRGRVGLItFLOHV\PiVHQXQVHFWRUFRPRHO
QXHVWURTXHHVGHDOWDVHQVLELOLGDGSROtWLFD6yORUHDOL]DEOHV
FRQXQJUDQFRQVHQVRHQWUHODVSDUWHVLQWHUHVDGDVFRVDTXH
DIHFWDJUDQGHPHQWHDORSRVLEOH
/RSUREDEOHGHSHQGHGHOHTXLOLEULRGHIXHU]DV\ODIRUPDHQ
TXHVHJHVWLRQHRSRUWXQLGDGHVDPHQD]DVGHELOLGDGHV\IRUWDOH]DV7HQHPRVXQJUDQSDTXHWHGHRSRUWXQLGDGHVWHFQROyJLFDVSHURHONQRZKRZRUJDQL]DFLRQDOQHFHVLWDGHVDUUROOR
/RVKRVSLWDOHVVHJXLUiQVLHQGRHOFHQWURGHOVLVWHPDKD\GHPDVLDGRFDSLWDOItVLFR\KXPDQRLQVWDODGR2WUDFRVDHVTXH
VLODVWHQGHQFLDVVREUHQHFHVLGDGHV\GHPDQGDVGHORVFLXGDGDQRVVHPDQWLHQHQpVWRVWLHQHQFDSDFLGDGGHLQ¾XLUHQ
ODRIHUWD\ODV7,&\VXPDQHMRLQWHOLJHQWHDSR\DQSRGUtDSHQVDUVHXQDUHGLVWULEXFLyQGHOFDSLWDOLQWHOHFWXDO\HPSH]DUD
LPDJLQDUIRUPDVGHRUJDQL]DFLyQGLIHUHQWHV
(QFXDOTXLHUFDVRHOPDQHMRGHODLQIRUPDFLyQ\GHOFRQRFLPLHQWRYDDUHTXHULUGHXQWUDEDMRH[SHUWRTXHDFHUTXHODV
PHMRUHV VROXFLRQHV PiV HIHFWLYDV \ H½FLHQWHV D FDGD FDVR
LQGLYLGXDO GH XQD PDQHUD VRVWHQLEOH (VR UHTXLHUH XQD
$FRUWRPHFRQIRUPRFRQTXHODKLVWRULDFOtQLFDGLJLWDOLQWHJUDGDVHPDWHULDOLFH\HPSLHFHDGDUHQWDGDDOXVRSHUVRQDO$
TXHORVSDFLHQWHV\FLXGDGDQRVWHQJDQFDSDFLGDGGHLQ¾XLUHQ
ODDVLJQDFLyQGHORVUHFXUVRV$TXHORVSURIHVLRQDOHVGHDWHQFLyQSULPDULDWHQJDQUHVSRQVDELOLGDGVREUHORVUHVXOWDGRVHQ
VDOXG\FDSDFLGDGGHLQ¾XLU$TXHORVKRVSLWDOHVPiVOLJHURV
WHQJDQ¾H[LELOLGDG\FRPSHWHQFLDVSDUDDGDSWDUVHDOHQWRUQR
$TXHODLQQRYDFLyQVHDHOHMHGHODDJHQGDGHOGHVDUUROORVDQLWDULR\VRFLDO$TXHODUHODFLyQDFDGHPLDLQGXVWULDVHUYLFLRV
VDQLWDULRVPDGXUH\FDGDSDORDJXDQWHVXYHOD
-RVp0GHOD+LJXHUD*RQ]iOH]$VHVRUWpFQLFRHQHO3ODQ
(VWUDWpJLFRGH,'LHQ6DOXGGH$QGDOXFtD
MPDULDKLJXHUDVVSD#MXQWDGHDQGDOXFLDHV
Medicina Individualizada a la cabecera del enfermo.
Jaime del Barrio
J. M. de la Higuera González
Hospital del futuro (en España).
Madrid Network
+DFH XQD GpFDGD HPSH]DURQ
D SXEOLFDUVH ORV SULPHURV \
SURPHWHGRUHVWUDEDMRVVREUH
0HGLFLQD ,QGLYLGXDOL]DGD
'HVGH HQWRQFHV QXPHURVRV
HVWXGLRV KDQ FRLQFLGLGR HQ
DSXQWDUTXHHVWHLQQRYDGRU
DERUGDMHVXSRQHXQDYDQFH
HQ H½FDFLD \ HQ VHJXULGDG
SDUD ORV SDFLHQWHV LQFLGLHQGR WDPELpQ SRVLWLYDPHQWH WRGR HOOR
HQ XQ PHMRU XVR
UDFLRQDO GHO PHGLFDPHQWR YV JDVWR
IDUPDFpXWLFR
6LQHPEDUJRHVWD0HGLFLQDPiVH½FD]VHJXUD\H½FLHQWHD~Q
VH HQFXHQWUD FRQ GL½FXOWDGHV SDUD LPSRQHUVH GHQWUR GH OD
DWHQFLyQKRVSLWDODULD$GtDGHKR\VRQD~QSRFRVORVKRVSLWDOHVHVSDxROHVHQORVTXHVHWUDEDMDDPSOLDPHQWHHQVXGHVDUUROORFDVLH[FOXVLYDPHQWHHQORVJUDQGHVKRVSLWDOHVXQLYHUVLWDULRVGHQLYHOWHUFLDULR$GHPiVHOFRQRFLPLHQWRVREUHHO
YHUGDGHUR DOFDQFH GH OD 0HGLFLQD ,QGLYLGXDOL]DGD WRGDYtD HV
HVFDVRHQWUHORVJHVWRUHVVDQLWDULRV3RURWURODGRVHPDQWLHQHFLHUWDFRQWURYHUVLDVREUHVXLPSDFWRHQODVRVWHQLELOLGDG
GHORVVLVWHPDVVDQLWDULRV
LPSUHVFLQGLEOHXQPD\RUGHVDUUROORGHORVVLVWHPDVGHLQIRUPDFLyQODKLVWRULDFOtQLFDHOHFWUyQLFD\VXFRPSDWLELOLGDGFRQ
ODV EDVHV GH GDWRV SURYHQLHQWHV GHO GLDJQyVWLFR PROHFXODU
VHUiQFODYHVHQHOIXWXURLQPHGLDWRDVtFRPRHOGHVDUUROORGH
ORVELREDQFRV\ODLQYHVWLJDFLyQWUDVODFLRQDOODLQYHVWLJDFLyQ
RULHQWDGDDOSDFLHQWHQRGHEHVHUH[FOXVLYDGHORVFHQWURVGH
LQYHVWLJDFLyQVLQRTXHHVGHVHDEOHTXHVHKDJDWDPELpQHQ
FRQORVKRVSLWDOHVXQLYHUVLWDULRV
&RPRDVLJQDWXUDVSHQGLHQWHVORVKRVSLWDOHVGHEHQHPSH]DU
SRU UHRUJDQL]DU \ UHIRU]DU VX DFWXDFLyQ HQ PHGLFLQD PROHFXODUJHQHUDUEDVHVGHGDWRVFUHDUXQDHVWUXFWXUDTXHYLQFXOH OD DFWLYLGDG DVLVWHQFLDO \ OD LQYHVWLJDGRUD IRPHQWDU OD
FUHDFLyQGHXQELREDQFRVLQRGLVSRQH\DGHpODFRUGDUOD
UHDOL]DFLyQGHHQVD\RVFOtQLFRVHQORViPELWRVLPSOLFDGRVHQ
0HGLFLQD,QGLYLGXDOL]DGD\DOFDQ]DUDFXHUGRVGHFRODERUDFLyQ
FRQ ODV LQGXVWULDV UHODFLRQDGDV 'LVHPLQDU HO FRQRFLPLHQWR GHVDUUROODGR HV WDPELpQ WDUHD IXQGDPHQWDO GHO KRVSLWDO
FRPRGHEHVHUORLJXDOPHQWHODLGHQWL½FDFLyQGHFRVWHV\GH
UHVXOWDGRVDOFDQ]DGRVFRQORVSDFLHQWHVGHVGHODSHUVSHFWLYD
GHODVXSHUYLYHQFLD\FDOLGDGGHYLGD
'U-DLPHGHO%DUULR'LUHFWRU*HQHUDOGHO,QVWLWXWR5RFKH
([&RQVHMHURGH6DQLGDG&RQVXPR\%LHQHVWDU6RFLDOGHO
*RELHUQRGH&DQWDEULD
MDLPHGHOBEDUULR#URFKHFRP
(VWDV GXGDV Gp½FLWV \ WHPRUHV VH HVWiQ VXSHUDQGR FRQ HO
SDVRGHORVDxRVSHURDXQDYHORFLGDGGHPDVLDGROHQWD\WHQLHQGR TXH VRUWHDU REVWiFXORV PXFKDV YHFHV LQFRPSUHQVLEOHV$GLIHUHQFLDGHORTXHVXFHGtDHQORVDOERUHVGHHVWDWHQGHQFLDDKRUDQRKD\WLHPSRSDUDODVGXGDVSDUDODSDVLYLGDG
\ODLQDFWLYLGDG6LQRVHSURGXFHXQDUHDFFLyQUiSLGD\FRQWXQGHQWHGHODVDXWRULGDGHVSROtWLFDV\VDQLWDULDVORVJHVWRUHV
ORV LQYHVWLJDGRUHV \ ORV FOtQLFRV (VSDxD FRUUH HO SHOLJUR GH
SHUGHUHVWHWUHQ1RVHWUDWDGHXQWUHQFXDOTXLHUDOD0HGLFLQD,QGLYLGXDOL]DGDSDVDSRUVHUHQHVWRVPRPHQWRV²ODDOWD
YHORFLGDG³TXHOOHYDUiDFDPELDUGH½QLWLYDPHQWHODIRUPDGH
SUHYHQLU SUHGHFLU GLDJQRVWLFDU WUDWDU \ VHJXLU OD HYROXFLyQ
GHODVHQIHUPHGDGHV
(QHVWHFRQWH[WRORVKRVSLWDOHVSXHGHQ\GHEHQMXJDUXQSDSHOHVHQFLDOWLHQHQTXHVLWXDUVHDOIUHQWHFRPRORFRPRWRUD
GHXQSURJUHVRH[LJLGR\HVSHUDGRSRUORVFLXGDGDQRV<SDUD
TXH FRSHQ HO SURWDJRQLVPR UHTXHULGR UHVXOWD HVHQFLDO TXH
DFRPHWDQFDPELRVHVWUXFWXUDOHV\FRQFHSWXDOHVTXHVHH[WLHQGDQGHVGHODJHVWLyQ\RUJDQL]DFLyQGHSURFHVRVKDVWDOD
IRUPDFLyQ\ODDFWXDFLyQFOtQLFD(QWRGRHVWHFDPELRUHVXOWD
El hospital del futuro: las ideas de los expertos
(V HYLGHQWH TXH DFWXDOPHQWH
KD\ ULHVJR HQ OD VRVWHQLELOLGDG GH QXHVWUR 6LVWHPD
1DFLRQDOGH6DOXG\TXHHO
IXWXURGHEHSDVDUSRULQFUHPHQWDU HO 3,% VDQLWDULRSRUHOHVWDEOHFLPLHQWRGHXQ3DFWRGH(VWDGR
HQHOTXHLQWHUYHQJDPRV
WRGRV ORV ²VWDNHKROGHUV³
R JUXSRV GH LQWHUpV \ SRU
ODUHHODERUDFLyQGHO&DWiORJRGH3UHVWDFLRQHV
$ QLYHO GH ORV +RVSLWDOHV VH
GHEHUHYLVDUOD3ROtWLFD
GH&DOLGDGPLGLHQGR
pVWD UHD½UPDQGR HO
OLGHUD]JR FOtQLFR WHQLHQGR HQ FXHQWD OD
VDWLVIDFFLyQ GH ODV
H[SHFWDWLYDVGHORVFOLHQWHV\FRQODPHMRUDFRQWtQXDGHORV
SURFHVRVHQHOFDPLQRDODH[FHOHQFLD7DPELpQHVSUHFLVR
GHVDUUROODU SULQFLSLRV pWLFRV EDVDGRV HQ OD LQWHJULGDG OD
SURIHVLRQDOLGDG \ OD pWLFD HPSUHVDULDO DVt FRPR FDPELDU
ODHVWUXFWXUDRUJDQL]DFLRQDOORVyUJDQRVGHJRELHUQR\OD
JHVWLyQ GH SHUVRQDV \ UHFXUVRV LQWURGXFLHQGR OD JHVWLyQ
SRUSURFHVRVHQQXHVWURIXQFLRQDPLHQWRGLDULR
3RUWDQWRORV+RVSLWDOHVGHEHQ
5HGLVHxDUODRUJDQL]DFLyQ\HOJRELHUQRGHOKRVSLWDOPiV
KRUL]RQWDO PHQRV FRUSRUDWLYR FRQ PD\RU SURWDJRQLVPR
GHOHQIHUPR
'DUPD\RUSHVRDODDPEXODWRUL]DFLyQ
,QFUHPHQWDUORVKRVSLWDOHVGHPHGLD\ODUJDHVWDQFLD
'HVDUUROODUKRVSLWDOHVGHFUyQLFRV
/OHJDUDODLQWHJUDFLyQVRFLRVDQLWDULD
+DFHUKRVSLWDOHVFRQDUTXLWHFWXUDGHGHVDUUROORKRUL]RQWDO
3RWHQFLDUHOGHVDUUROORKXPDQRYDORUHV
7DPELpQGHEHQPHGLU
3URGXFFLyQDVLVWHQFLDOGRFHQWHHLQYHVWLJDGRUD
3URGXFWLYLGDG
- Calidad
6HJXULGDGGHSDFLHQWHV\GHWUDEDMDGRUHV
&RVWHV
(VIXHU]RUHQGLPLHQWRFDUJDVGHWUDEDMR
6DWLVIDFFLyQODERUDO
<KD\TXHHYDOXDU
(½FDFLD
(½FLHQFLD
(IHFWLYLGDG
([FHOHQFLD
*UDGRGHDFUHGLWDFLyQ
3RU ~OWLPR QR KD\ TXH ROYLGDU TXH GHEHPRV RULHQWDU OD
RUJDQL]DFLyQKDFLDODVSHUVRQDV\FXPSOLUORVGRVPDQGDPLHQWRVEiVLFRVGHODVHPSUHVDVH[FHOHQWHV
/DVDWLVIDFFLyQGHOFOLHQWHH[WHUQR
/DVDWLVIDFFLyQ\PRWLYDFLyQGHQXHVWURVFOLHQWHVLQWHUQRV
SURIHVLRQDOHVVDQLWDULRV
-RDTXtQ(VWpYH]/XFDV3UHVLGHQWHGHOD6RFLHGDG(VSDxROD
GH'LUHFWLYRVGHOD6DOXG6HGLVD6HFUHWDULR*HQHUDOGHOD
)XQGDFLRQ$G4XDOLWDWHP
MHVWHYH]#IXQGDTRUJ
Hospital del futuro.
Roberto Ferrándiz
Joaquín Estévez Lucas
Hacia dónde van los hospitales.
Madrid Network
&XDQGR PH LPDJLQR HO KRVSLWDO GHO
IXWXURHVWR\YLVXDOL]DQGRXQKRVSLWDO GRQGH HO IDFWRU KXPDQR HQ OD
DWHQFLyQDORVSDFLHQWHVVHDXQR
GHORVSLODUHVODDWHQFLyQGRQGH
WRGRVORVSURIHVLRQDOHVGHODVDOXGVHFHQWUHQHQHVH½Q
HO GH GLDJQRVWLFDU\FXUDU3HUR
SDUDFRQVHJXLU
esto creo que
G H E H P R V
FRQVHJXLU
todos los
TXH QRV GHGLFDPRV D HVWH VHFWRU WDQ DSDVLRQDQWH HV UHGXFLUDOPi[LPRHOWLHPSRDWDUHDVTXHQRDSRUWDQHVHYDORU\
DTXHOODVWDUHDVTXHWHQJRSRVLELOLGDGHVGHHUURUKXPDQR(V
GHFLUODLQFRUSRUDFLyQGHODVWHFQRORJtDVHQORVSURFHVRVDGPLQLVWUDWLYRV\FOtQLFRVTXHD\XGHQDUHGXFLUODYDULDELOLGDG
HQODUHDOL]DFLyQGHGLFKRVSURFHVRVVHJ~QSHUVRQDVVHJ~Q
FLUFXQVWDQFLDVWDQKDELWXDOHQQXHVWUDVRUJDQL]DFLRQHV
'HVGH HO SURFHVR GH DGPLVLyQ GH ORV SDFLHQWHV GRQGH VH
GHEH JDUDQWL]DU PLQLPL]DU HO WLHPSR GHO SURFHVR HO HOLPLQDU SRVLELOLGDGHV GH HUURU HQ OD LGHQWL½FDFLyQ GH ORV
PLVPRV\TXHSDUWLUGHHVHPRPHQWRWRGDODRUJDQL]DFLyQ
FRQRFHODDGPLVLyQGHGHGLFKRSDFLHQWHODJHQHUDFLyQGH
OD LQIRUPDFLyQ FOtQLFD DVRFLDGD D HVH SDFLHQWH ORV VHUYLFLRVGHKRVWHOHUtDTXHVRQSHUVRQDOL]DGRVGHDFXHUGRFRQ
ODV SUHIHUHQFLDV \ HOHFFLyQ GH ORV PLVPR SDFLHQWHV SUHIHUHQFLDV GH KDELWDFLRQHV SRVLELOLGDG GH DFRPSDxDQWHV
VHOHFFLyQ GH FDQDOHV GH WHOHYLVLRQHV HWF OD JHVWLyQ GHO
SURFHVRDVLVWHQFLDOHQODXWLOL]DFLyQGHODVGLIHUHQWHViUHDV
GLDJQyVWLFDVGHSDUWDPHQWRGHLPDJHQODERUDWRULRViUHDV
TXLU~UJLFDVHWFTXHSHUPLWDTXHHOSDFLHQWH¾X\DSRUODV
PLVPDVFRQH½FLHQFLD\VHJXULGDGGRQGHFXDOTXLHUSURIHVLRQDOGHODVDOXGVHDFRQVFLHQWHGHOSDFLHQWHGHVXVSDUWLFXODULGDGHVDOHUJLDVPHGLFDFLyQHWF\TXHVHLGHQWL½TXH
\QRSHUPLWDJHQHUDUQLSURSDJDUHUURUHVGHLPSDFWRQHJDWLYRSDUDORVSDFLHQWHVRSDUDODRUJDQL]DFLyQ
7RGRHOSURFHVRGHODSUHVFULSFLyQGHSUXHEDVGLDJQyVWLFDV
PHGLFDFLyQHWFGHEHSURFHVDUVHPHGLDQWHORVFULWHULRVGHOD
VHJXULGDG\H½FLHQFLD
8QQLYHOGHFRQIRUW\GHHOHFFLyQGHDTXHOORVHOHPHQWRVTXH
ORKDFHSRVLEOHSRUSDUWHGHOSDFLHQWH\DFRPSDxDQWHVHQOD
SDUWHKRVWHOHUDWHOHYLVLRQHVDOPRKDGDVHOHFFLyQGHPHQ~
ODSRVLELOLGDGGHXWLOL]DUGHWHFQRORJtDVSDUDGLVWUDFFLyQHWF
FRQ XQD LQIRUPDFLyQ SRU SDUWH GHO SDFLHQWH TXH SHUPLWD VX
GLVSRQLELOLGDGHQODHVWDQFLD
(O SURFHVRGHDOWDODLQIRUPDFLyQGHORVPpGLFRVHOVHJXLPLHQWR\UHFRPHQGDFLRQHVGHEHWHQHUXQDFRQWLQXLGDGXQD
YH] TXH HO SDFLHQWH GHMH HO KRVSLWDO \ HVH FRQRFLPLHQWR GH
PDQWHQHUVHHQHOVLVWHPD\DFFHVLEOHSRUSDUWHGHRWURVSURIHVLRQDOHVGHODVDOXGSHURWDPELpQSRUSDUWHGHORVSDFLHQWHV\IDPLOLDUHVRFXLGDGRUHV
(QUHVXPHQYLVXDOL]RXQDRUJDQL]DFLyQTXHSDUDJDUDQWL]DU
ODVHJXULGDGHQEHQH½FLRGHOSDFLHQWHGHODH½FLHQFLDHQOD
JHVWLyQGHORVUHFXUVRVHQEHQH½FLRGHODLQVWLWXFLyQRULHQWDU
DORVSURIHVLRQDOHVDVXYHUGDGHUDSURIHVLyQHQODDWHQFLyQGH
ORVSDFLHQWHVVHUHTXLHUHLPSODQWDUODWHFQRORJtDHQWRGRVORV
SURFHVRVSDUDUHGXFLU\PLQLPL]DUODYDULDELOLGDG\SRUWDQWR
SRVLELOLGDGHVGHOHUURUKXPDQR
5REHUWR)HUUiQGL]'LUHFWRUGHO863+RVSLWDO6DQ-DLPHGH
$OLFDQWH
KVDQMDLPHKVM#XVSKRVSLWDOHVFRP
(OiUHDGHLQIRUPDFLyQDSDFLHQWHSRUSDUWHGHORVIDFXOWDWLYRV
ORVFXLGDGRVGHOSHUVRQDOGHHQIHUPHUtDGHEHQVHUORVSLODUHVGRQGHGHEHGDUYDORUHOWUDWRSHUVRQDO\KXPDQRDXQTXH
VRSRUWDGDV HQ DSR\R GH ODV WHFQRORJtDV VLVWHPDV GH LQIRUPDFLyQLQWHUDFWLYDDORVSDFLHQWHV\IDPLOLDUHVSDUDFRQRFHU\
UHVROYHUGXGDVDWUDYpVGHORVGLVSRVLWLYRVWHOHYLVLRQHVWHOpIRQRVHWFODSURWRFROL]DFLyQGHORVFXLGDGRVGHHQIHUPHUtD\
VXDXWRPDWL]DFLyQTXHJDUDQWLFHVXFXPSOLPLHQWR
El hospital del futuro: las ideas de los expertos
(O+RVSLWDOGHOIXWXURVHIXQGDPHQWDUiHQ
HOWUDEDMRHQHTXLSRHQWUHORVDFWRUHVTXH
SDUWLFLSDQ HQ ORV GLIHUHQWHV SURFHVRV
6H SXHGH GLVWLQJXLU HO HTXLSR IRUPDGR SRU ORV GLVWLQWRV SURIHVLRQDOHV TXH
SDUWLFLSDQ HQ XQ SURFHVR FRQFUHWR SRU
HMHPSOR GLDJQyVWLFR \ WUDWDPLHQWR GHO
SDFLHQWHFRQLQIDUWRGHPLRFDUGLRRLFWXVHOHTXLSRIRUPDGRHQWUHORVSURIHVLRQDOHVVDQLWDULRV\ORVSDFLHQWHV
\SRU~OWLPRHOHTXLSRTXHLQYROXFUD
DOKRVSLWDO\ORVPpGLFRVFRQODLQGXVWULDWHFQROyJLFD\GHVHUYLFLRV
(O WUDEDMR HQ HTXLSR PHMRUD OD
FDOLGDGGHOFXLGDGRGHORVSDFLHQWHVPHMRUDODFRPXQLFDFLyQ\HODPELHQWHGHWUDEDMR\GLVPLQX\HORVFRVWHV(VWR
VLQHPEDUJRUHTXLHUHHOHVIXHU]R\HOFDPELRGHPHQWDOLGDG
WDQWRGHORVJHUHQWHVFRPRGHORVSURIHVLRQDOHVLPSOLFDGRV
SXHVWRTXHHOWUDEDMRKDGHHVWDUPX\RUJDQL]DGRDVtFRPR
ODJHVWLyQHFRQyPLFD
/RVGLIHUHQWHVHTXLSRVGHWUDEDMRVRQ
D(TXLSRGHSURIHVLRQDOHVVDQLWDULRVTXHDWLHQGHDORVSDFLHQWHV/RVSURIHVLRQDOHVVHKDQGHRUJDQL]DUSDUDJHQHUDU
XQSURGXFWRGHYDORUDxDGLGRSDUDHOORHVQHFHVDULRODHVWUHFKDFRODERUDFLyQGHDTXHOORVTXHHVWiQPiVUHODFLRQDGRVSRUHMHPSORFDUGLyORJR\FLUXMDQRFDUGLDFRQHXPyORJR
\FLUXMDQRWRUiFLFRHWF3DUDTXHHVWDUHODFLyQVHSURGX]FD
VHUiQHFHVDULRFRQWDUFRQODPHMRUJHVWLyQGHODLQIRUPDFLyQDWUDYpVGHOD+LVWRULD&OtQLFD(OHFWUyQLFD+&(ODUHFHWDHOHFWUyQLFDRODWDUMHWDVDQLWDULD\ODLQWHJUDFLyQGHOD
LQIRUPDFLyQ SURFHGHQWH GH ODV GLVWLQWDV IXHQWHV DSDUDWRV
GH GLDJQyVWLFR GLVSRVWLYRV PpGLFRV HQIHUPHUDV IDUPDFpXWLFRVHWF(QHVWDOtQHDVHGHVDUUROODUiQPXFKDVXQLGDGHV\VHUYLFLRVPXOWLGLVFLSOLQDUHVGRQGHD~QQRH[LVWHQ
SRUHMHPSORLQVWLWXWRGHOFRUD]yQRGHOWyUD[XQLGDGPXOWLGLVFLSOLQDU GH LQVX½FLHQFLD FDUGLDFD HWF 0HQFLyQ DSDUWH
PHUHFHODUHODFLyQHQWUHODDWHQFLyQSULPDULD\HVSHFLDOL]DGDHQHOiPELWRODVDQLGDGS~EOLFDGRQGHVHGHEHUiQRULHQWDUJUDQSDUWHGHORVHVIXHU]RVIXWXURV
E (TXLSR IRUPDGR SRU SURIHVLRQDOHV VDQLWDULRV \ SDFLHQWHV(ODFWRVDQLWDULRPXFKDVYHFHVVHROYLGDGHOSDFLHQWH
FXDQGRODDOLDQ]DWHUDSpXWLFDFRQHOPLVPRHVIXQGDPHQ-
WDO SDUD WHQHU p[LWR (Q HVWH iPELWR OD 0RQLWRUL]DFLyQ 'RPLFLOLDULD ²+RPH 0RQLWRULQJ³ \ OD 7HOHDVLVWHQFLD ²+RPH
+HDOWK&DUH³VHUiQIXQGDPHQWDOHVHVSHFLDOPHQWHSDUDHO
FXLGDGR GH SDFLHQWHV DQFLDQRV \ GHSHQGLHQWHV R HQ SDWRORJtDVGHFDUiFWHUFUyQLFRFRPRODLQVX½FLHQFLDFDUGLDFDR
ODV HQIHUPHGDGHV UHVSLUDWRULDV (32& (VWDV WHFQRORJtDV
GLVPLQX\HQ ORV FRVWHV PHMRUDQ OD VHJXULGDG \ FRQIRUW GHO
SDFLHQWH\SHUPLWHQXQDPD\RUDFFHVLELOLGDG/RVSDFLHQWHV
FUyQLFRVQRWHQGUiQTXHYHQLUFRQWDQWDSHULRGLFLGDGDOKRVSLWDOGHOIXWXUR
(QHOKRVSLWDOGHOIXWXURODPD\RUtDGHODVGHFLVLRQHVVHUiQ
GHFLVLRQHVFRPSDUWLGDV²6KDUH'HFLVLRQ0DNLQJ³HQWUHORV
SDWLHQWHV\ORVPpGLFRVSRUORTXHVHUiQQHFHVDULRKHUUDPLHQWDVTXHD\XGHQDRUJDQL]DU\SUHVHQWDUODLQIRUPDFLyQ
F (TXLSR IRUPDGR SRU ORV PpGLFRVLQVWLWXFLRQHV \ OD LQGXVWULD WHFQROyJLFD \ GH VHUYLFLRV /D LQIRUPDFLyQ HV IXQGDPHQWDO SDUD TXH HO WUDEDMR HQ HTXLSR VHD iJLO \ ¾XLGR
/D LQIRUPDFLyQ TXH VH JHQHUD D SDUWLU GH ORV DSDUDWRV GH
GLDJQyVWLFR 7$& 501 HFRFDUGLyJUDIRV HOHFWURFDUGLyJUDIRVUHWLQyJUDIRVHWFVHKDGHSRGHULQWHJUDUFRQIDFLOLGDG
HQ HO HQWRUQR KRVSLWDODULR $Vt PLVPR ORV GLVSRVLWLYRV LPSODQWDGRVHQHOSDFLHQWHPDUFDSDVRVGHV½EULODGRUHVHWF
GHEHQVHUFDSDFHVGHSURYHHULQIRUPDFLyQUHOHYDQWHVREUH
HOHVWDGRGHVDOXGGHOSDFLHQWHTXHVHKDGHLQFRUSRUDUDVX
KLVWRULDOPpGLFR3DUDFRQVHJXLUHVWHREMHWLYRHVIXQGDPHQWDOTXHODLQGXVWULDWHFQROyJLFDWUDEDMHVyORFRQHVWiQGDUHV
',&20+/;0/,62,(((HWFSDUDIDFLOLWDUVXLQWHJUDFLyQFRQGLIHUHQWHVSURYHHGRUHVVROXFLRQHVGHPLGGOHZDUHRVRIWZDUHGH+&(
$QWRQLR*DUFtD4XLQWDQD0pGLFR$GMXQWRGHO6HUYLFLRGH&DUGLRORJtDGHO+RVSLWDO8QLYHUVLWDULRGH*UDQ&DQDULD'U1HJUtQ
,QYHVWLJDGRU HQ HO iUHD GH OD HVDOXG DSOLFDGD DO iUHD GH OD
FDUGLRORJtD
DQWRQLRJDUFLDTXLQWDQD#JPDLOFRP
La trazabilidad de la salud.
Joaquín García Guajardo
Antonio García Quintana
El trabajo en equipo, pieza fundamental del
Hospital del Futuro.
Madrid Network
²6H HQWLHQGH FRPR WUD]DELOLGDG DTXHOORVSURFHGLPLHQWRVSUHHVWDEOHFLGRV
\ DXWRVX½FLHQWHV TXH SHUPLWHQ
FRQRFHUHOKLVWyULFRODXELFDFLyQ
\ODWUD\HFWRULDGHXQSURGXFWRR
lote de productos a lo largo de la
FDGHQDGHVXPLQLVWURVHQXQPRPHQWRGDGRDWUDYpVGHXQDVKHUUDPLHQWDVGHWHUPLQDGDV³
2WURWpUPLQRDSURpiado es: «seguiPLHQWR GHO SURGXFWR¨ R WDPELpQ
VHSXHGHXWLOL]DU§UDVWUHRGHSURGXFWR¨7LHQHDSOLFDFLyQHQ
GLYHUVDVLQGXVWULDV\iUHDVVHKDQLPSXOVDGRHOFRQFHSWRGH
WUD]DELOLGDGSDUWLFXODUPHQWHHQSDtVHVFRQPD\RUGHVDUUROORHQORVTXHVHKDQSXEOLFDGRQRUPDWLYDVHVSHFt½FDV
/DWUD]DELOLGDGHVDSOLFDGDSRUUD]RQHVUHODFLRQDGDVFRQPHMRUDVGHQHJRFLRODVTXHMXVWL½FDQVXSUHVHQFLDPD\RUH½FLHQFLDHQSURFHVRVSURGXFWLYRVPHQRUHVFRVWHVDQWHIDOORV
PHMRUVHUYLFLRDFOLHQWHVHWF(QHVWHiPELWRFDEHPHQFLRQDU
VHFWRUHVFRPRORVGHDXWRPRFLyQDHURQiXWLFDGLVWULEXFLyQ
ORJtVWLFDHOHFWUyQLFDGHFRQVXPRHWF
&XDQGRXQVLVWHPDGHWUD]DELOLGDGHVWiVRSRUWDGRVREUHXQD
LQIUDHVWUXFWXUDEDVDHQODVWHFQRORJtDVGHODLQIRUPDFLyQ\
ODVFRPXQLFDFLRQHV7,&ODWUD]DELOLGDGSXHGHEULQGDULPSRUWDQWHVXWLOLGDGHVDORVGLIHUHQWHVDFWRUHVGHXQDFDGHQD
GHYDORUFRPRVHUJHVWLyQH½FLHQWHGHODORJtVWLFD\GHOVXPLQLVWUR\DXPHQWRGHODSURGXFWLYLGDG
FLDGHVLVWHPDVGHFRQWLQXLGDGGHFXLGDGRVHQODFRPXQLGDG
7HQHPRVWHFQRORJtDVTXHQRVSXHGHQD\XGDUHQHVHVHJXLPLHQWRLGHQWL½FDFLyQ\JXLDGRGHODVDOXGGHORVFLXGDGDQRV
SHURHOSUREOHPDQRHVWHFQROyJLFRSXURVLQRRUJDQL]DWLYR
6HGHEHFHQWUDUODDWHQFLyQHQHOFLXGDGDQR\²WUD]DUOR³HV
GHFLUVHJXLUVXVDOXG
6HLPSRQHQRUJDQL]DFLRQHV6XSUDKRVSLWDODULDVHLQWHJUDGDV
&RRUGLQDFLyQHQWUHQLYHOHVDVLVWHQFLDOHVVDQLWDULRV\VRFLDOHV
(VXQQXHYRPRGHORTXHWHQGUiTXHEDVDUVHHQQXHYRVPpWRGRVGH,QIRUPDFLyQELGLUHFFLRQDOFRQHOFLXGDGDQR6DOXG
5HGHV6RFLDOHV&RQWDFW&HQWHUV6HJXLPLHQWR\$VLVWHQFLD
SRUSURFHVRV&HQWURVGH$OWD5HVROXFLyQ$WHQFLyQ\+RVSLWDOL]DFLyQ'RPLFLOLDULD7HOHPHGLFLQDHWF
/DWDUHDQRHVIiFLOSHURODDOWHUQDWLYDGHVHJXLUFRQHOPRGHORDFWXDOHVWDFRQGHQDGDDOIUDFDVR/DFRODERUDFLyQPXOWLGLVFLSOLQDUVHLPSRQH\VXUJLUiXQQXHYRSURIHVLRQDOVDQLWDULRFRQVXLQVWUXPHQWRGHLQIRUPDFLyQLQFRUSRUDGRHQGRQGH
GLVSRQGUiGHWRGDVODVKHUUDPLHQWDVLQIRUPDWLYDV\GHJHVWLyQDVXDOFDQFHSDUDXQDPD\RUIDFLOLGDGGHJHVWLyQGHOD
VDOXGGHORVFLXGDGDQRVGHVXHQWRUQR
-RDTXtQ *DUFtD *XDMDUGR &RPSOHMR 0HGLFR7HFQROyJLFR GH
1DYDUUD 3URIHVRU GH ,QJHQLHUtD 0pGLFD HQ OD 8QLYHUVLGDG
3~EOLFDGH1DYDUUD
MRDTXLQJDUFLD#XQDYDUUDHV
(Q VDOXG QR VH KD HPSOHDGR FRPR VHULD QHFHVDULR HO FRQFHSWRGHVHJXLPLHQWRGHODSHUVRQD\VXVDOXG6LTXHVRPRV
H[SHUWRVHQFXLGDGRVVREUHWRGRGHHQIHUPRVDJXGRVHQORV
+RVSLWDOHV
([LVWHIDOWDGHFRRUGLQDFLyQGHORVVHUYLFLRV\SURJUDPDV
(QWUHHVWUXFWXUDVVRFLDOHV\VDQLWDULDV
(QGLVSRVLWLYRVKRVSLWDODULRV\H[WUDKRVSLWDODULRV
(VWDIUDJPHQWDFLyQSXHGHSURYRFDU
8QGLVFXUULUSRUODUHGDVLVWHQFLDOVLQVHQWLGRQLREMHWLYRD
ODUJRSOD]R
6XPDGHLQWHUYHQFLRQHVGHVFRRUGLQDGDVHQWUHVt
)HQyPHQRVFRPRODSXHUWDJLUDWRULDRHO5DGDU
/DVRUJDQL]DFLRQHVGHVDOXGWLHQHQTXHJDUDQWL]DUODH[LVWHQ
El hospital del futuro: las ideas de los expertos
'H HQWUDGD UHVXOWD LQHOXGLEOH VHxDODU
TXHVyORVHSXHGHLGHQWL½FDUVXIXWXUR
HQHOFDPLQRGHODPHMRUDFRQWLQXD
DVLVWHQFLDO HQ OD JHVWLyQ H½FLHQWH GH VXV UHFXUVRV OR TXH LQFOX\H
LQWHQWDUODUHGXFFLyQRDOPHQRV
OD HVWDELOL]DFLyQ GHO FRVWH GH OD
DWHQFLyQ D ODV QHFHVLGDGHV GH ORV
SDFLHQWHV\HQORTXHFRUUHVSRQGH
D VX FDSDFLWDFLyQ SDUD JHVWLRQDU HO
FDPELR RUJDQL]DFLRQDO LGHQWL½FDWLYR
GH OR TXH SDUHFH TXH UHVXOWD ½QDOPHQWH HO HVFHQDULR TXH VH HVWi FRQVROLGDQGRFRPRGH½QLWRULRGHXQDQXHYD
pSRFDOOHQDGHLQFHUWLGXPEUHV\DPHQD]DV
SRUWDQWRWDPELpQGHRSRUWXQLGDGHV
6t FUHR TXH GHEHUi HVSHFLDOL]DUVH D QLYHO
DVLVWHQFLDO\HQHOVHQRGHODLQVWLWXFLyQGHOD
TXHIRUPHSDUWHORTXHVLJQL½FDTXHVXPLVLyQGHEHUtDHVWDEOHFHUVHWHQLHQGRHQFXHQWD
ODFDSDFLGDGJOREDOGHUHVSXHVWDGHOVLVWHPDVDQLWDULRRGHODLQVWLWXFLyQSULYDGDDODTXHSHUWHQH]FDFRQREMHWR
GHJDUDQWL]DUODFRQWLQXLGDGHQHOSURFHVRGHSUHVWDFLyQGHO
VHUYLFLRHVGHFLUODFDOLGDGGHODSUHVWDFLyQ\ODJHVWLyQH½FLHQWHGHORVUHFXUVRV(QHOPLVPRVHQWLGRFRRUGLQDGRFRQ
HOVLVWHPDVRFLDOFRQREMHWRGHSUHYHQLUFRPSOLFDFLRQHVHQOD
HYROXFLyQGHODHQIHUPHGDGGHORVSDFLHQWHVDGLVWDQFLDHQVX
GRPLFLOLRKDELWXDODVtFRPRHQODLGHDGHJDUDQWL]DUHOFXPSOLPLHQWRGHODVUHFRPHQGDFLRQHVTXHHOPLVPRUHFLEDUHVSHFWR
GHOVHJXLPLHQWR\FRQWUROGHVXSURFHVRGHVDOXGSRUSDUWHGH
RWURVLQWHUYLQLHQWHVVDQLWDULRVFXLGDGRUHVRIDPLOLDUHV
3URFHGHDQRWDUTXHFRPRSDUWHLQWUtQVHFDGHODVRFLHGDGFLYLO
DODTXHSHUWHQHFH\SRUVXJUDGRGHFDSDFLWDFLyQGHEHUiHVWDEOHFHU\QRUPDOL]DUHQVXVSODQHVODVSROtWLFDVGHLQYHVWLJDFLyQ\GHGHVDUUROORGHQXHYRVSURGXFWRVHQFRODERUDFLyQFRQ
RWURV KRVSLWDOHV \ RWURV FHQWURV VDQLWDULRV R VRFLRVDQLWDULRV
ODVXQLYHUVLGDGHV\FRQODVHPSUHVDVGHOVHFWRU
1RPHUHVLVWRDGHMDUFRQVWDQFLDQRSRUTXHQRKD\DVLGRVX½FLHQWHPHQWHHQIDWL]DGRVLQRPDVELHQDH[SHQVDVGHOR²GLVFXWLGRHQYR]EDMD³UHVSHFWRGHODH½FDFLDGHOSODQWHDPLHQWR
XQDFRVDHVORTXHVHGLFHTXHKD\TXHKDFHU\RWUDPX\GLVWLQWDORTXHUHDOPHQWHVHKDFH\HOSRUTXpTXHHOKRVSLWDO
GHOIXWXUR\GHOSUHVHQWHVLQGXGDGHEHUtDVHUJHVWLRQDGRGH
PDQHUDGHVFHQWUDOL]DGDSDUWLFXODUL]DGDHQODE~VTXHGDGHVX
GLVWLQWLYRGHPDUFD\SUHSDUDGRSDUDFRPSHWLUDIHFWDGR\VRPHWLGRDOSURFHVRGHGLVHxR\GHVDUUROORGHXQDDXWpQWLFDGL-
El papel del nuevo gerente.
UHFFLyQSDUWLFLSDWLYDSRUREMHWLYRVEDMRHOSDWUyQPHWRGROyJLFR
GHODSODQL½FDFLyQHVWUDWpJLFD\FRQWURODGRHQHOGHVSOLHJXHGH
ORVSODQHVGHORVREMHWLYRV\GHVXVGHVYLDFLRQHVSRUXQVLVWHPDGHJHVWLyQGHFDOLGDGLQFOX\HQWH\H½FD],62()40-RLQW
&RPLVVLyQWRGRVHOORVVLIXHUDQHFHVDULRRFXDOTXLHURWURTXH
GHPXHVWUHTXHDSRUWDYDORUDxDGLGRORTXHVLJQL½FDDGHPiV
TXHGHEHVHUYLUSDUDPHMRUDUODSHUFHSFLyQTXHORVFLXGDGDQRV
WLHQHQGHORVVHUYLFLRVLQFOX\HQGRODFDOLGDGSHUFLELGD\OD
DFFHVLELOLGDGDORVPLVPRV
6LQGXGDSUHSRVLFLRQDGRGHVGH\D\SRVLFLRQDGRDFRUWRSOD]R
SDUDLQFOXLUHQVXGHVDUUROORRUJDQL]DWLYRODRSFLyQGHODVQXHYDVWHFQRORJtDV(QWLHPSRUHDO\D~QDVXPLHQGRTXHQXHVWUR
SDtVVHHVWiDGDSWDQGRUD]RQDEOHPHQWHDOSURFHVRGHSHQHWUDFLyQGHODV7,&HQQXHVWURVKRVSLWDOHVVHSXHGHFRQVWDWDU
XQUHWUDVRTXHSXGLHUDGHEHUVHDSUREOHPDVGH½QDQFLDFLyQ
DXQTXH WDPELpQ D FLHUWRV GHVDMXVWHV HQWUH HO SURGXFWR TXH
H[LVWHHQHOPHUFDGR\HOFRPSUDGRUHOKRVSLWDORODLQVWLWXFLyQ
DODTXHSHUWHQHFHTXHHVWDEOHFHXQRVUHTXLVLWRVTXHDYHFHV
QRFXPSOHHOIDEULFDQWH(QWRGRFDVRVyORSURFHGHDYDQ]DUHO
ODLPSODQWDFLyQGHODVRSFLRQHV7,&KLVWRULDFOtQLFDGLJLWDOOD
SUHVFULSFLyQ HOHFWUyQLFD OD WHOHPHGLFLQD OD XWLOL]DFLyQ GH OD
PRQLWRUL]DFLyQGRPLFLOLDULDSDUDHOVHJXLPLHQWRGHSDFLHQWHV
FUyQLFRVODUHFHWDHOHFWUyQLFDHWF\HVWDEOHFHUHOLQHYLWDEOH
FDPELRHQODRUJDQL]DFLyQDVLVWHQFLDOTXHVHGHULYHRTXHUHVXOWHQHFHVDULRSDUDKDFHUOR
4XLVLHUD VHxDODU ½QDOPHQWH TXH HO KRVSLWDO GHO IXWXUR GHEH
WUDEDMDUHQODVRVWHQLELOLGDGUHVSHFWRGHOFRQVXPRHQHUJpWLFR\DVLPLVPRGHEHPRVWUDUVHDELHUWRDODDGDSWDFLyQGHVXV
LQIUDHVWUXFWXUDVDORVQXHYRVVLVWHPDVGHHQHUJtDVUHQRYDEOHV
QRFRQWDPLQDQWHVORTXHHVWDVDOWXUDV\DQDOL]DQGRDPtQLPRV
HOFRQWH[WRJHQHUDO\ODHYROXFLyQGHOSUHFLRGHODVPDWHULDV
SULPDVSDUHFHHYLGHQWH
0RGRDOGR*DUULGR*HUHQWHGHO+RVSLWDOGHOD)XHQIUtDHQ
0DGULG
JHQFLDKOII#VDOXGPDGULGRUJ
César Gómez Derch
Modoaldo Garrido
El hospital del futuro.
Madrid Network
$QDGLHQRVOODPDODDWHQFLyQFyPRHOPXQGRFDPELD\HYROXFLRQDFyPRQXHVWURVKLMRVFUHFHQHQXQHQWRUQRWUHPHQGDPHQWHFDPELDQWHFyPRHOVHUKXPDQRVH
HQIUHQWDFRQVWDQWHPHQWHDQXHYDVHQIHUPHGDGHV\QXHYDVDPHQD]DV¡3RU
TXp QRV FDXVD LQTXLHWXG SODQWHDUQRV
TXHRUJDQL]DFLRQHVWDQFRPSOHMDV\DSDVLRQDQWHVFRPRORVFHQWURV+RVSLWDODULRV
GHEDQHYROXFLRQDU\FDPELDUGHPRGHOR
RUJDQL]DWLYRFRQHOILQGHGDUPD\RU\PHMRU
UHVSXHVWDQRVyORDODUHDOLGDGIXWXUD
VLQR OR TXH HV PiV LPSRUWDQWH D OD
UHDOLGDGDFWXDO"
(OIDPRVR\QRSRFRGHIHQGLGR5'GHGH$EULOSRUHOTXH
VHDSUREDEDHO5HJODPHQWRVREUH(VWUXFWXUD2UJDQL]DWLYD\)XQFLRQDPLHQWRGHORV+RVSLWDOHVJHVWLRQDGRVSRUHO,QVWLWXWR1DFLRQDOGHOD
6DOXGVLJXHVLHQGRHQQXPHURVRVFDVRVODSLHGUDDQJXODUGHODRUJDQL]DFLyQGHORV+RVSLWDOHVWUDGLFLRQDOHVORFXDOFXDQGRPHQRVGHQRWD
FLHUWRLQPRYLOLVPREDVWHODPXHVWUDGHTXHPDQWHQJDVXYLJHQFLDWRGD
YH]TXHHO,QVWLWXWR1DFLRQDOGHOD6DOXGKDGHVDSDUHFLGR
(VWD HVWUXFWXUD EDVDGD IXQGDPHQWDOPHQWH HQ XQD FRQFHSFLyQ GH
²7HRUtD&OiVLFD³VLW~DDO(TXLSR'LUHFWLYRFRPRHOFHQWURGHODRUJDQL]DFLyQHQGRQGHHOUHVWRGHORVSURIHVLRQDOHVGHEtDQRUJDQL]DUVHHQ
IXQFLyQGHVXVGLUHFWULFHVWRGRVHOORVGLULJLGRVSRU²(O*HUHQWH³
3XHVELHQKR\HQGtDHVWDFRQFHSFLyQGHELHUDHVWDUVXSHUDGDQRGHELpQGRVHFRQFHELUXQDRUJDQL]DFLyQ+RVSLWDODULDFRPRXQDRUJDQL]DFLyQ
SLUDPLGDOHQGRQGHQRH[LVWLHUDXQIiFLODFFHVRDODLQIRUPDFLyQFRPSDUWLGD\HQGRQGHODGHFLVLyQGHSHQGLHUDGHXQVRORyUJDQRGHGHFLVLyQ
(VWDVRUJDQL]DFLRQHVGHELHUDQVHUODVXPDGHXQWRGRFRQODDSRUWDFLyQGHOPD\RUQ~PHURGHSURIHVLRQDOHVGHELHUDQFRPSRQHUVHGH
VXEVLVWHPDVIXQFLRQDOHViUHDVGHODRUJDQL]DFLyQLQWHUUHODFLRQDGRV
GHIRUPDGLQiPLFD\WRGRVHOORVFRRUGLQDGRVSRUXQDSRWHQWHHVWUXFWXUDGHVRSRUWHGHODRUJDQL]DFLyQ
(QODDFWXDOLGDGH[LVWHQLQLFLDWLYDVHQFDPLQDGDVDFRQWDUFDGDGtDPiV
FRQORVSURIHVLRQDOHVODFUHDFLyQGHLQVWLWXWRVODVXQLGDGHVGHJHVWLyQ
GHFOtQLFDVHWFSHURHQWRGRVORVFDVRVQRGHMDQGHVHULQLFLDWLYDVTXH
HQODPD\RUtDGHORVFDVRVREHGHFHQDUHDOLGDGHVSXQWXDOHVGHFHQWURV
HVSHFtILFRV\GHHQWRUQRVPX\VLJQLILFDGRV
2UJDQL]DFLRQHVFRQHVWHWLSRGHHVWUXFWXUDPDWULFLDOGHIXQFLRQDPLHQWR
HQFXHQWUDQXQDJUDQIDFLOLGDGDODKRUDGHODWRPDGHGHFLVLRQHV\VRQ
WUHPHQGDPHQWHSRWHQWHVDODKRUDGHHPSUHQGHUUHWRVWDQLPSRUWDQWHVFRPRSXHGHVHUHOHQIUHQWDUHOHQWRUQRHFRQyPLFRDFWXDO
5HVXOWDXQJUDQHVIXHU]RFRQUHVXOWDGRVVHJXUDPHQWHFXHVWLRQDEOHV
HOFRQWUROSXQWXDOGHOSUHVXSXHVWRODLQFRUSRUDFLyQGHQXHYDVWHFQRORJtDV\WpFQLFDVFOtQLFDVODPHMRUDGHODFDOLGDGHWFGHELGRHQHOPD\RU
Q~PHURGHFLUFXQVWDQFLDVDVLWXDFLRQHVFR\XQWXUDOHVODRUJDQL]DFLyQ
PDWULFLDOSHUPLWH\WUDEDMDGLDULDPHQWHHQXQDFRQFLHQFLDVLVWHPiWLFD
GHHVWRVXRWURVREMHWLYRVLQYROXFUDQGR\YLQFXODQGRDORVSURIHVLRQDOHV
HQODWRPDGHGHFLVLRQHV
(O*HUHQWHGHEHDEDQGRQDUVXSDSHOGHFRQWURODGRU\FDPELDUORSRU
HOGHIDFLOLWDGRU\VRSRUWHGHMDQGROLEUHDFFLyQDFDGDVXEVLVWHPDGH
ODRUJDQL]DFLyQHVWDEOHFLHQGRSUHYLDPHQWHFRQFDGDXQRGHHOORVODV
UHJODVGHOMXHJRUHJODVTXHGHEHQVHUSDFWDGDV\DFHSWDGDVUHVSRQVDELOL]DQGRDODVSDUWHVDVXFXPSOLPLHQWR\GHVDUUROORDVtFRPRDXQD
YDORUDFLyQILQDOGHUHVXOWDGRV\UHVSRQVDELOLGDGHV
(VWRVVXEVLVWHPDVGHEHQHVWDUFRRUGLQDGRVDWUDYpVGHXQUHVSRQVDEOHIRUPDGR\FRQFRQRFLPLHQWRSDUDHOORTXHVHDFDSD]GHOLGHUDUXQ
SUR\HFWRDVtFRPRDVXPLUODUHVSRQVDELOLGDGGHVXFXPSOLPLHQWROD
'LUHFFLyQHVWDREOLJDGDDEXVFDUHVWRVOtGHUHVGHQWURGHODRUJDQL]DFLyQ
SRVLELOLWDQGRVXGHVDUUROOR\IRUPDFLyQGHEHQVHUVHOHFFLRQDGRVLQGHSHQGLHQWHPHQWHGHODDFWXDOUHODFLyQMHUiUTXLFD\GHEHQWHQHUGRWHVGH
GLUHFFLyQ\JHVWLyQGHHTXLSRVFRQKDELOLGDGHVGHFRPXQLFDFLyQ
(QHVWHVHQWLGRFDEUtDGHVWDFDUTXHHVWHQXHYRSDSHOGHORV*HUHQWHV
SODQWHDXQDYLVLyQGHOiPELWR*HUHQFLDOPXFKRPiVGHILQLGD\GHSODQLILFDFLyQFRPSDUWLHQGRODUHVSRQVDELOLGDG\SRUORWDQWRGHODHMHFXFLyQ
SURFHVRV\SUR\HFWRVFRQORVOtGHUHVJHVWRUHVGHOFHQWUR
/RVTXHGLULJLPRVRUJDQL]DFLRQHVWDQDSDVLRQDQWHVFRPRORVFHQWURV
+RVSLWDODULRVGHEHPRVVHUFRQVFLHQWHVGHVXFRQWLQXDHYROXFLyQ\SRU
ORWDQWRGHVXFDPELRFRQWLQXRGHEHPRVWHQHUODYLVLyQGHLQQRYDUGLDULDPHQWHHQORVSURFHVRVRUJDQL]DWLYRVLJXDOTXHODFLHQFLDPpGLFDOD
LQGXVWULDRODWHFQRORJtDQRVSODQWHDGLDULDPHQWHQXHYDVVROXFLRQHV\
QXHYDVSRVLELOLGDGHVGHWUDWDPLHQWRRGLDJQyVWLFR
'HEHPRVYLYLUHVWDFRQFHQWUDFLyQGHFRQRFLPLHQWRHLQQRYDFLyQFRQWLQXDTXHVRQQXHVWUDVRUJDQL]DFLRQHVIUXWRGHODH[FHOHQWHIRUPDFLyQ
GHQXHVWURVSURIHVLRQDOHVFRPRXQDJUDQIRUWDOH]D\XQDHQRUPHRSRUWXQLGDGTXHGHEHPRVVHUFDSDFHVGHPRGXODUFRQHOILQORJUDULPSODQWDUHVWUXFWXUDVRUJDQL]DWLYDVTXHSRVLELOLWHQXQDDWHQFLyQFDGDYH]PiV
HILFLHQWH\FHUFDQDDORVFLXGDGDQRV
'HWRGRVHVFRQRFLGRODGLILFXOWDGGHXQFDPELRRUJDQL]DWLYRPi[LPH
FXDQGRQRVHQIUHQWDPRVDRUJDQL]DFLRQHVWDQHVSHFLDOL]DGDVFRQWDQWD
FRQFHQWUDFLyQGHFRQRFLPLHQWRFRQJUDQLQHUFLDGHOSDVDGRWDQJUDQGHVHQGLPHQVLyQ\FRQWDQWDVHQVLELOLGDGVRFLDOWRGRHOORGHQWURGHXQ
HQWRUQRS~EOLFRRSULYDGRFRQVXVYHQWDMDVHLQFRQYHQLHQWHVSHURHVWRV
FRQGLFLRQDQWHVQRQRVGHEHQVHUYLUGH²H[FXVD³GHEHPRVVHUFDSDFHV
SRUHOFRQWUDULRGHLGHQWLILFDUWRGDVODVSRWHQFLDOLGDGHVGHOVLVWHPD\
FRPRUHVSRQVDEOHVGHORVFHQWURVFUHDUORVFOLPDVQHFHVDULRVSDUDVX
GHVDUUROOR
<HVSHFLDOPHQWHQRGHEHPRVFDHUHQODDXWRFRPSODFHQFLDKDFHPRV
PXFKDVFRVDV\ODVKDFHPRVELHQFDGDYH]PHMRUSHURHOORVyORQRV
GHEHYDOHUFRPRSDODQFDGHVXSHUDFLyQVHJXURTXHVLWRGRVORVVDQLWDULRVDQDOL]DPRVWRGRQXHVWURTXHKDFHUGLDULRHQFRQWUDPRVXQUHVTXLFLRSRUSHTXHxRTXHHVWHVHDTXHSRGtDPRVKDEHUDILQDGRSXHVELHQ
XQDYH]PiVHO*HUHQWHGHEHHVWDUSUHSDUDGRSDUDLGHQWLILFDUWRGRV
HVWRVUHVTXLFLRV\DWUDYpVGHXQDRUJDQL]DFLyQiJLO\GLQiPLFDFUHDUORV
VXILFLHQWHVPHFDQLVPRVSDUDTXHFDGDGtDH[LVWDQPHQRVUHVTXLFLRV
&pVDU*yPH]'HUFKHV'LUHFWRU*HUHQWHGHO+RVSLWDO6HYHUR2FKRDGH
/HJDQpV0DGULG
JHQFLDKVYR#VDOXGPDGULGRUJ
El hospital del futuro: las ideas de los expertos
6LQGXGDDOJXQDODDOWDWHFQRORJtD\
ODV WHFQRORJtDV GH OD LQIRUPDFLyQ \
FRPXQLFDFLyQ YDQ D UHSUHVHQWDU
DOJXQRVGHORVHMHVVREUHORVTXH
VHDUWLFXODUiQORVKRVSLWDOHVHQHO
IXWXURDPHGLRSOD]R/RDQWHULRU
HVWDUiXQLGRDGRVDVSHFWRVEiVLFRVFRPRVRQ
(O FDPELR HQ OD RULHQWDFLyQ IXQFLRQDOGHORVKRVSLWDOHVORV
FXDOHVGLULJLUiQVX
DFWLYLGDG FDGD
YH] FRQ PiV LQWHQVLGDG KDFLD
ORV SDFLHQWHV
DPEXODWRULRVORVWUDWDPLHQWRVHQKRVSLWDOGHGtDODLPSRUWDQFLDFUHFLHQWHGHODFLUXJtDDPEXODWRULD\ODDOWDUHVROXFLyQHQOD
DWHQFLyQDORVSDFLHQWHVMXQWRFRQXQDPD\RUSUHVHQFLDHQORV
KRVSLWDOHVGHODVQHFHVLGDGHVGHDWHQFLyQTXHSUHVHQWDQORV
SDFLHQWHVFUtWLFRV
&DPELRHQHOWLSRGHSDFLHQWHVDDWHQGHUGHVGHORVKRVSLWDOHV
FDGDYH]PiVRFXSDUiQXQOXJDUSUHHPLQHQWHHQODVQHFHVLGDGHVGHDWHQFLyQDSUHVWDUGHVGHORVKRVSLWDOHVORVSDFLHQWHV
FUyQLFRVSDUDORVFXDOHVKDEUiTXHGHVDUUROODUHVWUDWHJLDVTXH
FRPSDWLELOLFHQHODOWRFRVWHTXHJHQHUDQFRQODQHFHVLGDGGH
JDUDQWL]DUVXDWHQFLyQQRQHFHVDULDPHQWHDQLYHOKRVSLWDODULR
SDUDORFXDOHOXVRGHKHUUDPLHQWDVGHFRPXQLFDFLyQDGHFXDGDVSXHGHSRVLELOLWDUVXDWHQFLyQHQHOPDUFRGRPLFLOLDULRGHVGHHOSURSLRFHQWUR
'HDKtTXHTXL]iVXQRGHORVSULPHURVUHWRVDVROXFLRQDUVHD
HOGHORJUDUXQDFRQMXQFLyQHQWUHODVQHFHVLGDGHVGHDWHQFLyQ
GHORVSDFLHQWHVODWHFQRORJtDDXVDU\ODLPSRUWDQFLDGHKDFHUVXXVRH½FLHQWH\DTXHFDGDYH]\FRQPD\RULQWHQVLGDG
HOXVRGHUHFXUVRVVDQLWDULRVGHEHUiUHVSRQGHUGHVXXWLOLGDG
DQWHODVRFLHGDG(QORTXHVHUH½HUHDODVIRUPDVGHJHVWLyQ
ODVIyUPXODVEDVDGDVHQODDXWRUHVSRQVDELOL]DFLyQSRUSDUWHGH
ORVSURIHVLRQDOHVGHOXVRGHORVUHFXUVRVFRQVWLWXLUiQXQDGH
ODVEDVHVGHODUDFLRQDOL]DFLyQGHOJDVWR/DDSDULFLyQGHQXHYDVWHFQRORJtDVODPHGLFLQDSHUVRQDOL]DGD\ORVQXHYRVWUDWDPLHQWRV\SRVLELOLGDGHVGLDJQyVWLFDV\WHUDSpXWLFDVKDUiQTXH
HOSURIHVLRQDOVDQLWDULRVHDUHVSRQVDEOHGHODHOHFFLyQGHORV
UHFXUVRVDGHFXDGRVDODVQHFHVLGDGHVGHOSDFLHQWHGHDFXHUGR
DODVGLVSRQLELOLGDGHVSUHVXSXHVWDULDV3RURWURODGRODVRUJDQL]DFLRQHVKRVSLWDODULDVFDGDYH]FHQWUDUiQGHPDQHUDPiVIRFDOL]DGDVXDWHQFLyQ\HVSHFLDOL]DFLyQKDFLDORVFXLGDGRVGHVDOXGGHMDQGRHQPDQRVGHWHUFHURVWRGDVDTXHOODVQHFHVLGDGHV
“UCI sin paredes” en el hospital del futuro.
TXHXQKRVSLWDOJHQHUDFRFLQDVPDQWHQLPLHQWRHVWHULOL]DFLyQ
ODYDQGHUtD ODV FXDOHV VHUiQ JHVWLRQDGDV GHVGH HPSUHVDV
HVSHFLDOL]DGDV
3HURSRUHQFLPDGHWRGRDKRUD\VLHPSUHODRULHQWDFLyQGHORV
KRVSLWDOHV GHO IXWXUR LUi HQFDPLQDGD D ORJUDU OD VDWLVIDFFLyQ
GHODSREODFLyQDWHQGLGDDGHFXiQGRVHDODVH[SHFWDWLYDVGHOD
VRFLHGDG\ORJUDQGRPHMRUDVGHODDWHQFLyQHQWpUPLQRVGHFDOLGDG\VHJXULGDG
0DULR*RQ]iOH]*HUHQWHGHO+RVSLWDO8QLYHUVLWDULR&HQWUDOGH
$VWXULDV+8&$
PDULRJOH]J#VHVSDSULQFDVWHV
Jackie Gubbioli
Mario González
El hospital del futuro.
Madrid Network
/D PRGL½FDFLyQ GH OD SLUiPLGH
SREODFLRQDO IUXWR GHO DXPHQWR
GH OD HVSHUDQ]D GH YLGD \ HO
GHVFHQVR GH OD QDWDOLGDG
KDFH SHQVDU HQ XQ LQFUHPHQWRGHODHGDGGHORV
SDFLHQWHV VXVFHSWLEOHV
de recibir cuidados
FUtWLFRV HQ HO +RVSLWDO
GHO IXWXUR (Q GH½QLWLYD VH DWHQGHUiQ SDFLHQWHVPiVPD\RUHV
FRQ SOXULSDWRORJtDV
PiV FRPSOHMDV \ TXH
FRQVXPLUiQ SURJUHVLYDPHQWHPiVUHFXUVRV
/DDGDSWDFLyQDHVWDVLWXDFLyQQHFHVLWDUiGHXQDPHMRUDDQLYHOGHODLQQRYDFLyQWHFQROyJLFDODJHVWLyQGHSDFLHQWHVFUtWLFRV\HOWUDEDMRHQHTXLSR/RVKRVSLWDOHVGHEHUiQPRGL½FDUVH
HQHOVHQWLGRGHUHGXFLUODViUHDVGHKRVSLWDOL]DFLyQTXHVH
YHUiQFRPSHQVDGDVFRQXQLQFUHPHQWRGHODDWHQFLyQSULPDULDODPHGLFLQDDPEXODWRULDODFLUXJtDVLQLQJUHVR\ODDWHQFLyQGRPLFLOLDULDDOWLHPSRTXHVHGHVWLQDUiQPiVUHFXUVRV
DO HQWRUQR GHO SDFLHQWH FUtWLFDPHQWH HQIHUPR TXH QHFHVLWH
REOLJDWRULDPHQWHGHXQDPHGLFLQDKRVSLWDODULD
(Q HVWH VHQWLGR HVWiQ DSDUHFLHQGR QXHYDV QHFHVLGDGHV GH
PRQLWRUL]DFLyQIXHUDGHODViUHDVHVSHFt½FDVGHFXLGDGRVLQWHQVLYRVGHVWLQDGDVDXQQXHYRJUXSRGHSDFLHQWHVGHPHQRU
JUDYHGDGSHURTXHSXHGHQQHFHVLWDUFXLGDGRVFUtWLFRVDOPi[LPRQLYHOHQDOJ~QPRPHQWRGHVXKRVSLWDOL]DFLyQ/DVWDUHDV
GHYLJLODQFLD\VHJXLPLHQWRPRQLWRUL]DFLyQ²PDQXDOHV³QRVRQ
VX½FLHQWHVSDUDHVWRVQXHYRVSDFLHQWHV&RPRGDWRRULHQWDWLYRHQQXHVWURVGtDVVyORHOGHODVFDPDVGHXQ+RVSLWDO
VXHOHQ HVWDU HTXLSDGDV FRQ XQ PRQLWRU $~Q DVt DOFDQ]DU HO
REMHWLYRGHYLJLODQFLDGHHVWRVSDFLHQWHVQRHV~QLFDPHQWHXQ
SUREOHPD FXDQWLWDWLYR VH WUDWD GH PRGL½FDU OD REWHQFLyQ HO
SURFHVDPLHQWR\ODLQWHUSUHWDFLyQGHORVGDWRVGHPDQHUDTXH
XQDPRQLWRUL]DFLyQ²LQWHOLJHQWH³GHWHFWHGHPDQHUDSUHFR]ORV
FDPELRVHQODVLWXDFLyQFOtQLFDGHXQSDFLHQWHFRQFUHWR
$SUR[LPDUPiVODLQYHVWLJDFLyQEiVLFDDODFOtQLFD\DSRVWDU
GHPDQHUDGHFLGLGDSRUODVQXHYDVWHFQRORJtDVHVWDEOHFLHQGRSURWRFRORVGHDFWXDFLyQ\KDFLHQGRXQDFRUUHFWDJHVWLyQ
GHOFDPELRVRQDOJXQDVGHODVFODYHVGHOp[LWRSDUDHO+RVSLWDOGHOIXWXUR(O(XURSHDQ5HVXVFLWDWLRQ&RXQFLO(5&SUHVHQWDHOOHPD²SUHYHQWLRQLQVWHDGRIUHVXVFLWDWLRQ³SDUDHVWDEOHFHUTXHHOWUDWDPLHQWRWHPSUDQR\HIHFWLYRGHSDFLHQWHV
VHULDPHQWHHQIHUPRVSUHYLHQHGHIRUPDHIHFWLYDPXHUWHV
SDUDGDVFDUGLDFDVHLQJUHVRVXUJHQWHVHQ8&,/RVSURWRFRORVGH²(DUO\:DUQLQJ6FRULQJ³(:6DVtFRPRORV(TXLSRV
GH 5HVSXHVWD 5iSLGD 557 XQ JUXSR GH HVSHFLDOLVWDV HQ
FXLGDGRVFUtWLFRVTXHLQWHUYLHQHQWDQSURQWRXQSDFLHQWHTXH
HVWiIXHUDGHOD8&,ORUHTXLHUHSHUPLWHQODIiFLOLGHQWL½FDFLyQ\WUDWDPLHQWRGHHVWHWLSRGHSDFLHQWHV
(Q HVWH iPELWR VH HVWi GHVDUUROODQGR HO SULPHU VLVWHPD
GH PRQLWRUL]DFLyQ H[SHUWR SDUD SODQWDV GH KRVSLWDOL]DFLyQ
TXH SHUPLWH HQYLDU ODV FRQVWDQWHV YLWDOHV GH ORV SDFLHQWHV
GH IRUPD VHQFLOOD PHGLDQWH XQ VLVWHPD GH PRQLWRUL]DFLyQ
VLQ FDEOHV D XQD HVWDFLyQ TXH UHFRJH WDPELpQ HO UHVWR GH
LQIRUPDFLyQGLVSRQLEOHSDUDFDGDSDFLHQWH/DHVWDFLyQ3&
UHDOL]DXQDQiOLVLVGHDFXHUGRFRQORVSURWRFRORVHVWLSXODGRVSDUDFDGDiUHD(QFDVRGHTXHVHFRQ½UPHODFRQGLFLyQ
GHGHWHULRURGHXQSDFLHQWHVHDFWLYDQXQDVHULHGHDYLVRV\
PHFDQLVPRVFRQREMHWRGHHQYLDUORVPHQVDMHVQHFHVDULRV
SDUDWUDWDUHOSDFLHQWHORDQWHVSRVLEOH
-DFNLH*XEELROL5HVSRQVDEOHGH6LVWHPDVGH0RQLWRUL]DFLyQ
GH3DFLHQWHVGH3KLOLSV&XLGDGRGHOD6DOXG
MDFTXHOLQHJXEELROL#SKLOLSVFRP
([LVWHQ QXPHURVDV HYLGHQFLDV GH OD H[LVWHQFLD GH VHxDOHV
FODUDVGHGHWHULRURGHORVSDFLHQWHVTXHQRVLHPSUHVHGHWHFWDQDWLHPSR/RVVLVWHPDVTXHSHUPLWHQLGHQWL½FDUHVDV
VHxDOHV \ IDFLOLWDU OD LQWHUYHQFLyQ WHPSUDQD DVHJXUDQ HO
²FRQWLQXXP³ DVLVWHQFLDO SRQLHQGR pQIDVLV HQ OD VHJXULGDG
FOtQLFDGHORVSDFLHQWHV\UHGXFLHQGRDOPLVPRWLHPSRORV
HIHFWRVDGYHUVRV\ORVFRVWHVGHULYDGRVGHVXDWHQFLyQ
El hospital del futuro: las ideas de los expertos
/D WHOHPHGLFLQD R HVDOXG ´QR
WLHQHYXHOWDDWUiVµQRVHSXHGH SDUDU /RV JHVWRUHV UHVSRQVDEOHV \D VHDQ GH XQ
QLYHO PDFUR &RQVHMHUtD GH
&RPXQLGDG$XWyQRPDR
GHXQQLYHOPHVR+RVSLWDOHV *HUHQFLDV GH
$WHQFLyQ3ULPDULDHQXQ
ÆUHDGH6DOXG QR GHEHUtDQ KDFHUVH OD SUHJXQWD
GHVL´HVWRGHODWHOHPHGLFLQDYDRQRDLPSODQWDUVHµ
,QGHSHQGLHQWHPHQWH GH OR
TXHHOORVSLHQVHQRGHMHQGH
SHQVDU OD WHOHPHGLFLQD YD D
TXHGDUVH \ ´FXEULUOR WRGRµ /D
SUHJXQWDTXHHQHVWRVPRPHQWRV GHEHUtDQ KDFHUVH HV ¡PH
LQFRUSRUR\R\PLRUJDQL]DFLyQ
HQXQJUDGRTXHLPSOLTXHXQDFLHUWDLQQRYDFLyQXQDFLHUWD
SDUWLFLSDFLyQ HQ HO SURFHVR GH LQVHUFLyQLPSODQWDFLyQ GH
HVRV QXHYRV VHUYLFLRV DVLVWHQFLDOHV R PH UHWUDLJR \ GHMR
TXHRWURVORKDJDQ"\FXDQGRGHQWURGHXQRVDxRVHVWpQ
PiV R PHQRV FRQ½JXUDGRV SRU DFFLRQHV SUR\HFWRV GH
LQYHVWLJDFLyQ H LQQRYDFLyQ HVWXGLRV H[SHULPHQWDOHV LPSODQWDFLRQHV FRQWURODGDV LPSODQWDFLRQHV H[WHQGLGDV KHFKDVIXHUDGHPLRUJDQL]DFLyQHQHOH[WUDQMHURRHQRWUDV
]RQDVGH(VSDxDPHDSXQWR³(VHHVHOWLSRGHSUHJXQWD
TXHXQJHVWRUUHVSRQVDEOHSXHGH\GHEHKDFHUVHHQHVWRV
PRPHQWRV
/DVGRVVRQIRUPDOPHQWHFRUUHFWDVHLQWHOHFWXDOPHQWHKRQHVWDVSHURREYLDPHQWHXQDDFWLWXGSURDFWLYDWHUPLQDUiVLHQGR
PiV ´UHQWDEOHµ SDUD OD RUJDQL]DFLyQ SRUTXH DVHJXUDUi SDUD
pVWDXQPHMRUSRVLFLRQDPLHQWRHQXQIXWXURDFRUWR\PHGLR
SOD]RHQORVGRVDVSHFWRVHVWUDWpJLFRVGHPD\RUWUDVFHQGHQFLDHQODDVLVWHQFLDVDQLWDULDGHOIXWXUR
3RWHQFLDFLyQGHOSDFLHQWH>0RQW@/RVSDFLHQWHVDVXPLUiQ
XQDPD\RUUHVSRQVDELOLGDGGHVXSURSLDVDOXG\VXDWHQFLyQ
VDQLWDULDHVWDQGRPXFKRPiVLPSOLFDGRVHQODWRPDGHGHFLVLRQHVLQFOX\HQGRRSFLRQHVHQODVIRUPDVGHWUDWDPLHQWR\
DVHJXUDPLHQWRGHVXDVLVWHQFLD8WLOL]DUiQHOORVPLVPRVIXHQWHVGHFRQRFLPLHQWR\KHUUDPLHQWDVDVHVRUHVGHSDFLHQWHV
SDUDD\XGDUOHVFRQHVWDVGHFLVLRQHV$VRFLDFLRQHVGHSDFLHQWHVFRQVXPLGRUHVGHVHPSHxDUiQXQSDSHOPXFKRPiVIXHUWH
HQHOFRQWUROGHFDOLGDG\DFRQVHMDUiQDORVSDFLHQWHV7DPELpQ
D\XGDUiQDFDQDOL]DUHOYROXQWDULDGRORFDO
([WHUQDOL]DFLyQGHODDVLVWHQFLDKDFLDHOGRPLFLOLR>/DQG@
8QDPD\RUSURSRUFLyQGHODVDOXG\ORVVHUYLFLRVGHDWHQFLyQVH
OLEUDUiQHQHOKRJDURHQORVFHQWURVGHVDOXG
/RVPHFDQLVPRVPiVLGHQWL½FDGRVHQODOLWHUDWXUDFRQODLPSOHPHQWDFLyQGHDPERVDVSHFWRVVRQODVVLJXLHQWHVDFWLYLGDGHVFODYH
&RPXQLFDFLyQFRQSURIHVLRQDOHVVDQLWDULRV\FXLGDGRUHV
$FFHVRDOD,QIRUPDFLyQGHVDOXG
3URFHVRGH(GXFDFLyQHQVDOXGDOIDEHWL]DFLyQHQVDOXG
$\XGDDOD7RPDGHGHFLVLRQHV
6RSRUWHDO$XWRFXLGDGR\
6RSRUWHDVHUYLFLRVLQWHJUDGRVGH$WHQFLyQD&UyQLFRV
/DVKHUUDPLHQWDV7,&PiVXWLOL]DGDVHQVXLPSODQWDFLyQSHUWHQHFHQDODVVLJXLHQWHVFDWHJRUtDV
3URGXFWRUHVGH,QIRUPDFLyQSHMSXEOLFDFLRQHVZHE
6HUYLFLRVGHFRPXQLFDFLyQWHOHIyQLFDSHMFHQWURVGHOODPDGDV
6HUYLFLRVGHFRPXQLFDFLyQGHGDWRVSHMFRUUHRHOHFWUyQLFR
SDFLHQWHPpGLFRPHQVDMHUtDGH606SRUWDOGHVDOXGRULHQWDGRDSDFLHQWHSRUWDOGHVDOXGDGPLQLVWUDWLYR\JHVWLyQGH
VHUYLFLRV KHUUDPLHQWDV SDUD FRPXQLGDGHV YLUWXDOHV VLWLRV
ZHE SDUD VRSRUWH GH FRPXQLGDGHV GH SDFLHQWHV JUXSRV GH
DXWRD\XGD HWF VLVWHPDV 7,& PyYLOHV SDUD FRPXQLFDFLyQ
SDFLHQWHVWDIIHQDVLVWHQFLDGRPLFLOLDULD
6HUYLFLRV\DSOLFDFLRQHVEDVDGDVHQ7,&HVSHFt½FDVGHDVLVWHQFLDVDQLWDULDSHM5HJLVWURGHVDOXGSHUVRQDOH3UHVFULSFLyQH&LWDFLyQ
3ODWDIRUPDVGHVDOXGSHUVRQDOSHM+HUUDPLHQWDVGHDXWRFXLGDGRH$WHQFLyQDFUyQLFRVHWF
(VREYLRTXHODJUDQPD\RUtDGHHVWRVPHFDQLVPRV\HVWDVKHUUDPLHQWDVHVWiQIXHUWHPHQWHDVRFLDGRVDORTXHHQWHQGHPRV
KR\HQGtDSRU7HOHPHGLFLQDRH6DOXG\SXHGHD½UPDUVHTXH
WRGDRUJDQL]DFLyQTXHH[SHULPHQWHXQFLHUWR´URGDMHµHQODLQVHUFLyQGHQXHYRVVHUYLFLRVDVLVWHQFLDOHVEDVDGRVHQWHOHPHGLFLQDRVWHQWDUiXQFRPSRQHQWHLQQRYDGRUHQVXHVWUXFWXUD\
HVWDUiHQPHMRUHVFRQGLFLRQHVGHDIURQWDUORVLQHYLWDEOHVFDPELRVTXHVHSURGXFLUiQHQHOPRGHORGHSURYLVLyQ
&DUORV +HUQiQGH] 6DOYDGRU ,QYHVWLJDGRU HQ HO ,QVWLWXWR
&DUORV,,,
FKVDOYDGRU#LVFLLLHV
El hospital y su compromiso ético, social y ambiental:
transparencia y comunicación.
RIcardo Herranz Quintana
Carlos Hernández Salvador
Actitud de los gestores ante la telemedicina.
Madrid Network
1XHVWUDV ,QVWLWXFLRQHV KRVSLWDODULDVVHHQFXHQWUDQFDGD
YH] PiV WRWDOPHQWH LQWHJUDGDV HQ HO WHMLGR VRFLDO
TXHODVFRQWLHQH\DTXLHQ
VLUYHQ (VWD LQWHJUDFLyQ
UHSUHVHQWD XQD HQRUPH
YHQWDMD D OD KRUD GH VX
DFHSWDFLyQ \ YDORUDFLyQ
VRFLDO DVt FRPR HQ OD
LPSOLFDFLyQ GH ORV FLXGDGDQRV HQ VX JHVWLyQ \
DGHFXDGD XWLOL]DFLyQ GH ORV
GLVSRVLWLYRV\VHUYLFLRVKRVSLWDODULRV RIHUWDGRV
3RUFRQWUDQXHVWUDV
,QVWLWXFLRQHV GHEHQ
UHDOL]DU XQ HVIXHU]R
VXSOHPHQWDULR SRU
DSRUWDUDODVRFLHGDGORVVHUYLFLRVGHFDOLGDGTXHGHPDQGD
SHUR WDPELpQ XQRV YDORUHV pWLFRV VRFLDOHV \ DPELHQWDOHV
DFRUGHVFRQORVTXHGLFKDVRFLHGDGVHH[LJHDVtPLVPD
$XPHQWR GH OD WUDQVSDUHQFLD \ GH OD FRQFLHQFLD VRFLDO
H[SUHVDGDV HQ 0HPRULDV DFHSWDGDV LQWHUQDFLRQDOPHQWH
FRPROD0HPRULD*5,TXHSHUPLWHDQDOL]DUSRUORVJUXSRV
GH LQWHUpV OD HYROXFLyQ GH OD RUJDQL]DFLyQ \ FRPSDUDUVH
FRQRWUDVHQPDWHULDDPELHQWDOVRFLDO\HQUHVXOWDGRVGH
HPSUHVD
6LVWHPDVGHJHVWLyQDPELHQWDOFRPR,62TXHSHUPLWHQHVWDEOHFHUGHIRUPDFRQWLQXDPHMRUDVHQHODSURYHFKDPLHQWRHQHUJpWLFRGLVPLQXFLyQGHUHVLGXRV\SUHVHUYDFLyQGHODPELHQWHHQWUHRWURV
2WURV VLVWHPDV GH JHVWLyQ pWLFD \ UHVSRQVDELOLGDG VRFLDO LQWHJUDEOHV HQ ORV VLVWHPDV GH JHVWLyQ WLSR ,62 RDFWXDOPHQWHHQIDVHGHGHVDUUROORHLPSODQWDFLyQ
5LFDUGR+HUUDQ]4XLQWDQD/LFHQFLDGRHQ&LHQFLDV(FRQyPLFDV
\(PSUHVDULDOHV'LUHFWRU*HUHQWHGHO+RVSLWDO8QLYHUVLWDULRGH
*HWDIH
JHQFLDKXJI#VDOXGPDGULGRUJ
/D JHVWLyQ pWLFD \ VRFLDOPHQWH UHVSRQVDEOH SDVD SRU HO
FRPSRUWDPLHQWRWUDQVSDUHQWHFRQORVJUXSRVGHLQWHUpVGH
IRUPDTXHSXHGDQFRQRFHUORVDVSHFWRVHFRQyPLFRVVRFLDOHV\DPELHQWDOHVIXQGDPHQWDOHVGHODRUJDQL]DFLyQ\FyPR
HYROXFLRQDQ D OR ODUJR GHO WLHPSR GHQWUR GHO SURFHVR GH
PHMRUDFRQWLQXD'HELGRDODVGLIHUHQWHVFDUDFWHUtVWLFDVGH
HVWRVJUXSRVGHLQWHUpVORVFRPSURPLVRV\REMHWLYRVKDQ
GHVHUFODUDPHQWHLGHQWL½FDEOHV\HQWHQGLEOHVDODYH]TXH
ORV GRFXPHQWRV TXH ORV VRSRUWHQ GHEHUiQ VHU IiFLOPHQWH
DQDOL]DEOHV \ FRQ LQGLFDGRUHV FRPSDUDEOHV D OR ODUJR GHO
WLHPSR
/RV KRVSLWDOHV GHEHUiQ DGRSWDU ODV HVWUDWHJLDV GH UHVSRQVDELOLGDG VRFLDO TXH PHMRU VH DGDSWHQ D ORV FULWHULRV
\ YDORUHV GH OD VRFLHGDG HQ TXH VH DVLHQWDQ \ H[SRQHU OD
LQIRUPDFLyQDOUHVSHFWRFRQODFODULGDG\WUDQVSDUHQFLDH[LJLEOHVSRUODFLXGDGDQtD\ORVJUXSRVGHLQWHUpVDTXLHQYDQ
GLULJLGDV
6L ELHQ HVWD FXHVWLyQ HYROXFLRQDUi FRPR HYROXFLRQDQ WRGRV ORV SDUiPHWURV GH FRPSRUWDPLHQWR pWLFR \ VRFLDO HQ
OD DFWXDOLGDG HVWDV HVWUDWHJLDV GH UHVSRQVDELOLGDG VRFLDO
FRUSRUDWLYDVHSODVPDQSULQFLSDOPHQWHHQ
El hospital del futuro: las ideas de los expertos
(OIXWXURHVKR\VHKDFHGtD
DGtD\HQORTXHVHUH½HUH
D OD 6DOXG WDQWR GHVGH
HO SXQWR GH YLVWD LQGLYLGXDO FLXGDGDQR D FLXGDGDQRFRPRHOFROHFWLYR ORV DYDQFHV GH OD
FLHQFLD \ OD WHFQRORJtD
HQWRGRORUHODWLYRDFDOLGDGGHYLGDVHUHFLEHQ
FRQ OD PD\RU HVSHUDQ]D
HVSHFLDOPHQWHSDUDDTXHOODV SHUVRQDV TXH VH
YHQ DIHFWDGDV GH
DOJ~QPDO
7RGRV VDEHPRV
TXH HV FRQVWDQWH HO DXPHQWR GH OD HVSHUDQ]D GH YLGD DVt
FRPRHOGHODFURQLFLGDGTXHFRQOOHYDODORQJHYLGDGODFXDO
SUREDEOHPHQWHVHDDVLQWyWLFDFRQORVFRQRFLPLHQWRVDFWXDOHV 7DPELpQ VDEHPRV TXH ODV H[SHULHQFLDV HQ XQRV VHFWRUHVGHODFLHQFLDVHSXHGHQ\GHEHQGHWUDVODGDUDRWURV
/DVLPXODFLyQWDQH[WHQGLGDHQODLQGXVWULDDHURQiXWLFDVH
GHEHGHOOHYDUGHIRUPDPDVLYDDODFLUXJtDDSR\iQGRVHHQ
WpFQLFDVGHSURFHVRGHLPDJHQ/DSURGXFFLyQ²MXVWLQWLPH³
GHODLQGXVWULDGHODXWRPyYLOGRQGHORVSURFHVRVFRQYHUJHQ
HQHOWLHPSRDODJHVWLyQKRVSLWDODULD/DHVSHFLDOL]DFLyQ
GHORVVHUYLFLRVORVFRQFHSWRVGHPDQWHQLPLHQWRWDPELpQ
SXHGHQVHUREMHWRGHUH¾H[LyQ¡3RUTXpVHOOHQDQORVKRVSLWDOHVGHHPHUJHQFLDV"¡HVQHFHVDULRFHQWUDOL]DUWRGRHQ
XQKRVSLWDO"¡HVTXHXQ+RVSLWDOHVXQWDOOHU"RVHSDUHFH
PiVDXQJUDQFHQWURGHSURGXFFLyQH,'
/DVFRPXQLFDFLRQHVODURERWL]DFLyQHOPDQHMRGHLPiJHQHVHQ'ODUHDOLGDGDXPHQWDGDODKRORJUDItDRIUHFHQSRVLELOLGDGHVGHGHVFHQWUDOL]DFLyQKRVSLWDODULDOOHYDQGRODV
VROXFLRQHVGRQGHVHHQFXHQWUHODSHUVRQD\QRODSHUVRQD
HQEXVFDGHODVVROXFLRQHV
(O KRVSLWDO FRPR FHQWUR Pi[LPR GH SURGXFFLyQ GH 6DOXG
GHEHGHVHUVXVWLWXLGRSRUXQFRQMXQWRGHFHQWURVHVSHFLDOL]DGRVPiVOLJHURVWDQWRGHVGHHOSXQWRGHYLVWDHVWUDWpJLFRSRUODSUR[LPLGDGGHORVVHUYLFLRVFRPRHOHFRQyPLFR
PDV IiFLOHV GH FRQWURODU \ HQ GH½QLWLYD PiV SUy[LPRV DO
FLXGDGDQR
(O FRQFHSWR GH VDOXG OOHYDGR DO LQGLYLGXR D WUDYpV GH OD
WHFQRORJtDVDOXGFRPRFRQFHSWRYLWDOGHEHGHWUDQVIRUPDU
ORVVHUYLFLRVVDQLWDULRV\KDFHUORVVRVWHQLEOHVHQXQPXQGR
TXH GHPDQGDUi FDGD GtD PD\RU DWHQFLyQ HVSHFLDOPHQWH
SRUODVSHUVRQDVPD\RUHV
$PD\RUSUHYHQFLyQPHQRUKRVSLWDOL]DFLyQ\HVWDQRGHEH
RIUHFHUVHHQXQHGL½FRGHWHUPLQDGRVLQRHQHOOXJDUGRQGH VH HQFXHQWUH HO FLXGDGDQR VH VX FDVD UHVLGHQFLD GH
PD\RUHVROXJDUHVGHUHFUHRRWUDEDMR/DKRVSLWDOL]DFLyQ
GRPLFLOLDULDEDVDGDHQXWLOL]DFLyQPDVLYDGHODVFRPXQLFDFLRQHVVHGHEHGHIRPHQWDU
4XL]iVHVWHVHDXQSXQWRGHYLVWDGHXQDSHUVRQDTXHKDYLYLGRORV~OWLPRVDxRVFRODERUDQGRGHVGHODDSOLFDFLyQGH
ODVWHFQRORJtDVGHODLQIRUPDFLyQ\FRPXQLFDFLyQ7,&VHQ
ODPHMRUDGHORVVHUYLFLRVGH6DOXG\DSR\iQGRVHVLHPSUH
HQODLQQRYDFLyQ\HQODWHFQRORJtD*UDFLDVHQJUDQSDUWH
DODLQQRYDFLyQWHFQROyJLFDVHKDFDPELDGRHOFRQFHSWREiVLFRGHTXHHOREMHWLYRGHOD6DOXGHVODSHUVRQDFRPRWDO\
QRHODWDFDUODHQIHUPHGDGGHTXHHOLQGLYLGXRHVHOGXHxR
GHVX6DOXG\SRUWDQWRGHVXKLVWRULDFOtQLFD\QRHOKRVSLWDO
\TXHHVWHHVVRODPHQWHXQFHQWURGHDOWDHVSHFLDOL]DFLyQ
FDSD]GHUHVROYHUSUREOHPDVJUDYHVHLQYHVWLJDUSDUDGHVFXEULUQXHYRVFDPLQRVHQODODERUGLDULDSDUDODPHMRUGH
ODFDOLGDGGHYLGD
7RGRHVWRGHQWURGHXQSODQJHQHUDOGRQGHKDQGHFRQYHUJHUORVREMHWLYRVGHOD6DOXGGHODSREODFLyQFRQODVRVWHQLELOLGDG OD FRQWHQFLyQ GH ORV FRVWHV HFRQyPLFRV HO UHVSHWRDOPHGLRDPELHQWHODFDSDFLGDGIRUPDWLYDTXHWHQJDQ
FRPR½QFRQVHJXLUXQFLXGDGDQRPHMRUDWHQGLGRLQWHJUDGR
\VDWLVIHFKRFRQHOGHVWLQRGHODDSOLFDFLyQGHVXFRQWULEXFLyQDOVRVWHQLPLHQWRGHOHVWDGR
(ODYDQFHGHODKXPDQLGDGKDLGRVLHPSUHGHWHUPLQDGRSRU
HOXVRGHODWHFQRORJtD(QHVWRV~OWLPRVDxRVODHQRUPH
SRWHQFLDOLGDGGHORV7,&VQRVOOHYDQDPRGHORVQXHYRVTXH
VHGHEHQGHDVXPLU'HVFHQWUDOL]DUSDUDFRQWURODUOOHJDU
DQWHV\PHMRUKDFHUFDGDGtDPiVKLQFDSLpHQORVVHUYLFLRV
\ODFDOLGDGGHORVPLVPRV/RLPSRUWDQWHVRQORVVHUYLFLRV
\QRORVHGL½FLRVGRQGHVHRIUHFHQ
5DIDHO/DPDV'LUHFWRU*HUHQWHGHO&OXVWHU6DOXG\%LHQHVWDU
0DGULG1HWZRUN
UDIDHOODPDV#PDGULGQHWZRUNRUJ
Abriendo puertas en el hospital: la gestión de
crónicos.
Santiago Led
Rafael Lamas
El hospital del futuro.
Madrid Network
/DDOWDSUHYDOHQFLDGHHQIHUPHGDGHV
FUyQLFDVFRQVHFXHQFLDGHXQDSLUiPLGH SREODFLRQDO FODUDPHQWH
LQYHUWLGD XQD SDUWLFLSDFLyQ DFWLYD\SRVLWLYDGHOSDFLHQWHHQ
VXV SURFHVRV DVLVWHQFLDOHV
\ OD SUiFWLFD GH HVWLORV GH
YLGD VDOXGDEOHV R ZHOOQHVV
GHPDQGDQXQDQXHYD6DQLGDG
FRPSOHWDPHQWH GLIHUHQWH D OD
TXHVHKDYHQLGRSUDFWLFDQGRHQ
ODV~OWLPDVGpFDGDV
/DV 7,& \ SDUWLFXODUPHQWH
ORV VHUYLFLRV H6DOXG
RULHQWDGRV DO
VHJXLPLHQWR
UHPRWR GH OD
6DOXGGHODV
S H U V R Q D V
MXHJDQ XQ
SDSHO IXQGDPHQWDO HQ ORV PRGHORV DVLVWHQFLDOHV GHO IXWXUR
&RQRFHUHOHVWDGRELRPpGLFRGHOSDFLHQWHHQVXHQWRUQRKDELWXDOGHODYLGDGLDULD\RIUHFHUWDQWRDOPpGLFRGH$WHQFLyQ
3ULPDULDFRPRDO(VSHFLDOLVWDODLQIRUPDFLyQGLDJQyVWLFDGH
LQWHUpVSHUPLWHQGLEXMDUXQHVFHQDULRGHKRVSLWDOVLQEDUUHUDV\YLUWXDOPHQWHVLWXDGRHQHOHQWRUQRGHOSDFLHQWH
(QHVWRVHVFHQDULRVHOSDFLHQWHHVWiURGHDGRGHP~OWLSOHV
DJHQWHV DXWyQRPRV TXH IRUPDQGR UHGHV DGKRF \D VHDQ
%$1 %RG\ $UHD 1HWZRUN 3$1 3HUVRQDO $UHD 1HWZRUN
\R +$1 +RPH $UHD 1HWZRUN DGTXLHUHQ OD LQIRUPDFLyQ
GHLQWHUpVGHVGHEiVFXODVRWHQVLyPHWURVSRUWiWLOHVKDVWD
PRQLWRUHV(&*OOHYDEOHVGLVSRVLWLYRVLPSODQWDEOHV\GHV½EULODGRUHVDXWRPiWLFRVLPSODQWDEOHVSDVDQGRSRUVHQVRUHV
DPELHQWDOHV GH WHPSHUDWXUD KXPHGDG SRVLFLyQ HWF 8Q
PDQDJHU FHUFDQR HQ IRUPD GH 7HOpIRQR 0yYLO 6PDUWSKRQHSRUHMHPSORUHFRJHGLFKDLQIRUPDFLyQ\ODUHWUDQVPLWH
DO+RVSLWDOGHUHIHUHQFLDSDUDVXLQFRUSRUDFLyQDOD+LVWRULD
&OtQLFD (OHFWUyQLFD GHO SDFLHQWH 7RGDV ODV FRPXQLFDFLRQHV
GHO VHUYLFLR HVWiQ EDVDGDV HQ WHFQRORJtDV LQDOiPEULFDV
RIUHFLHQGR DO SDFLHQWH QLYHOHV GH FRPRGLGDG \ PRYLOLGDG
QXQFDFRQVHJXLGRV
UHVFRQVROLGDGRVFRPR%OXHWRRWKŠR=LJ%HHŠFRQSHU½OHV
HVSHFt½FRV SDUD GLVSRVLWLYRV PpGLFRV +HDOWK 'HYLFH 3UR½OH \ +HDOWKFDUH 3UR½OH \ DOWR JUDGR GH SHQHWUDFLyQ HQ HO
PHUFDGR(QXQLQWHQWRSRUJOREDOL]DUORVVHUYLFLRVH6DOXG
FRQFHSWRVFRPR´,QWHUQHWGHODV&RVDVµSXHGHQDSOLFDUVHD
ORV LQQXPHUDEOHV DJHQWHV GH PRQLWRUL]DFLyQ PHGLDQWH OD
WHFQRORJtD/RZ3$1GRWiQGROHVGHFRPXQLFDFLyQ,3\DFFHVRJOREDODWUDYpVGHODVLQIUDHVWUXFWXUDVGHUHGHVDFWXDOHV
$VLPLVPR WDPELpQ VH XWLOL]DUiQ HVWiQGDUHV GHVDUUROODGRV
GH IRUPD HVSHFt½FD SDUD ORV UHTXLVLWRV GH 5HGHV GH ÆUHD
&RUSRUDOR%$1FRPR(QGH½QLWLYDTXHQRVHVXIULUiGHHVFDVH]GHSRVLELOLGDGHVWHFQROyJLFDVSDUDHOGHVDUUROORGHHVWHWLSRGH6HUYLFLRV
3RU RWUD SDUWH ODV LQIUDHVWUXFWXUDV GH WHOHIRQtD PyYLO *
\ * FRQ DOWD FDSDFLGDG SHUPLWHQ QR VROR OD FRPXQLFDFLyQ
HQWUHHOPDQDJHU\HO+RVSLWDOVLQRDGHPiVVHUYLFLRVGHYDORU DxDGLGR FRPR YLGHRFRQIHUHQFLD SDUD UHDOL]DU FRQVXOWDV
R UHFLELU LQGLFDFLRQHV GHO SHUVRQDO VDQLWDULR (V GHFLU XQD
FRPXQLFDFLyQ VLPpWULFD HQWUH HO XVXDULR \ ODV RUJDQL]DFLRQHVVDQLWDULDV
(QGH½QLWLYDORV+RVSLWDOHVGHOIXWXUR\GHOSUHVHQWHGHEHUiQDEULUVXVSXHUWDVGHIRUPDTXHOD*HVWLyQGH(QIHUPHGDGHV&UyQLFDV\GHRWUDVSDWRORJtDVVHUHDOLFHYLUWXDOPHQWHHQHOHQWRUQRYLWDOGHFDGDSDFLHQWHPHGLDQWHORVVHUYLFLRV
GHH6DOXGGHPRQLWRUL]DFLyQUHPRWD\HOXVRGHLQQXPHUDEOHV DJHQWHV R GLVSRVLWLYRV PpGLFRV SHUVRQDOHV GRWDGRV
GH FRPXQLFDFLyQ LQDOiPEULFD OD TXH VHD SDUD HQYLDU OD
LQIRUPDFLyQ DGTXLULGD DO SHUVRQDO VDQLWDULR D WUDYpV GH XQ
PDQDJHU LPSOHPHQWDGR SULQFLSDOPHQWH HQ XQ GLVSRVLWLYR
LQWHOLJHQWHGHWHOHIRQtDPyYLO6PDUW3KRQH
6DQWLDJR /HG ,QYHVWLJDGRU \ GHVDUUROODGRU GH 6HUYLFLRV GH
H6DOXGGHO*UXSRGH,QJHQLHUtD%LRPpGLFDGHOD8QLYHUVLGDG
3~EOLFDGH1DYDUUD
VDQWLDJROHG#XQDYDUUDHV
3RUXQDSDUWHORVDJHQWHVXWLOL]DQWHFQRORJtDVLQDOiPEULFDV
GHFRUWRDOFDQFH\PX\EDMRFRQVXPRGHVWDFDQGRHVWiQGD
Algunas consideraciones sobre el futuro de los
hospitales.
Interoperabilidad en los Sistemas de Información
Sanitaria.
El futuro de los hospitales es difícil de predecir por su heteroJHQHLGDGGHWRGRWLSR\ODGLVSDULGDGGHSROtWLFDVLQYROXFUDGDV
6LQHPEDUJRFUHRTXHSRGHPRVLQWXLUHOFDPLQRTXHVHJXLUiQ
DFRUWRSOD]R(VWHGHSHQGHGHYDULRVIDFWRUHVGHORVTXHPXFKRVQRVRQHVWULFWDPHQWHVDQLWDULRV(QWUHRWURV/DHYROXFLyQVRFLRHFRQyPLFD\FXOWXUDOGHVXHQWRUQR(OGHVDUUROOR
GH ODV WHFQRORJtDV HQ JHQHUDO \ GH XWLOL]DFLyQ DVLVWHQFLDO HQ
SDUWLFXODU/RVDYDQFHVHQPRGHORVGHJHVWLyQWDQWRPDFURV
FRPRPLFURVKDFLDODUHODFLyQySWLPDGHHVWUXFWXUDV\SURIHVLRQDOHVHQODDWHQFLyQLQWHJUDOSDFLHQWH
/RVFDPELRVFXOWXUDOHV\GHFRQGXFWDGHODSREODFLyQJHQHUDOWHQGUiQXQLPSDFWRHQODHYROXFLyQKRVSLWDODULD(OHQYHMHFLPLHQWRSURJUHVLYRGHODSREODFLyQSUHVHQWDXQLPSRUWDQWH
SUREOHPD \D TXH ORV KRVSLWDOHV GLVHxDGRV LQLFLDOPHQWH SDUD
XQDDWHQFLyQHVSHFLDOL]DGDTXLU~UJLFDGLDJQRVWLFDGHDJXGRV
VRSRUWDQHQODDFWXDOLGDGXQSRUFHQWDMHGHSDFLHQWHVPD\RUHV
RPX\PD\RUHVFRQSOXULSDWRORJtDV2WURDVSHFWRVRFLRVDQLWDULRLPSRUWDQWHHVVXYLDELOLGDGHFRQyPLFD\ODDGRSFLyQGHXQD
DWHQFLyQLQWHJUDOEDVDGDHQHOSDFLHQWH
(OKRVSLWDOGHOIXWXURHQXQVHQWLGRTXHVXSHUDVXDFHSFLyQ
DFWXDOODVWHFQRORJtDVLQFUHPHQWDUDQORVGLDJQyVWLFRVSUHGLFWLYRVSUHYHQWLYRVFXUDWLYRV\UHKDELOLWDGRUHVDVtFRPRWpFQLFDVTXLU~UJLFDVQRLQYDVLYDV\RWUDVTXHHQPXFKRVFDVRVVXVWLWXLUiQDOJXQDVGHODVLQWHUYHQFLRQHVTXLU~UJLFDVDFWXDOHV/D
LQFRUSRUDFLyQGHODV7,&VDOKRVSLWDODODSREODFLyQJHQHUDO
\DORVSURIHVLRQDOHVVDQLWDULRVGHFDPELDUDIRUPDVGHRSHUDU
LQFUHPHQWDUDODLQIRUPDFLyQGHSDFLHQWHV\SURIHVLRQDOHVDVt
FRPRSHUPLWLUiQXHYDVIRUPDVGHFRPXQLFDFLyQ\DVLVWHQFLD
/DKLVWRULDFOtQLFDSHUVRQDOHQXQD²VPDUWFDUG³FRQOHFWRUHV
H[WHQGLGRVVHUiXQDGHODVUHYROXFLRQHVYHQLGHUDVHQORVIXWXURV HVFHQDULRV DVLVWHQFLDOHV /D WHOHPHGLFLQD KDUi SRVLEOH
XQPD\RUSURWDJRQLVPRGHOSDFLHQWHODDGKHUHQFLDDOWUDWDPLHQWR\XQDPHMRULQWHUUHODFLyQHQWUHHOKRVSLWDOODPHGLFLQD
H[WUDKRVSLWDODULD\HOVHJXLPLHQWRHQODFDVDTXHKDUiPiV
IDFWLEOH HO DXWRFRQWURO GRPLFLOLDULR GHO SDFLHQWH DSDUHFLHQGR
QXHYDVHPSUHVDVGHVHUYLFLRVHQHVWHHVFHQDULR
/D JHVWLyQ GHO KRVSLWDO HVWUXFWXUD WLHQGH D DGRSWDU HO PRGHOR GH QHJRFLRHPSUHVD HQ HO VHFWRU VHUYLFLRV 6H WLHQGH D
XQ PRGHOR KtEULGR HQWUH KRVSLWDO S~EOLFR FHUUDGR \ SULYDGR
DELHUWRLQWHJUDQGRHQXQWHUULWRULRODDWHQFLyQKRVSLWDODULD
SULPDULD\GRPLFLOLDULD0iVLPSRUWDQWH\GLItFLOVHUiHOFDPELR
HQODJHVWLyQSDUDXQDDWHQFLyQLQWHJUDODOSDFLHQWH6HUiQHFHVDULRDJUXSDUDHVWRVSURIHVLRQDOHVVHJ~QSURFHVRV\QRSRU
HVSHFLDOLGDGHVVHUYLFLRVDLVODGRVTXHLQWHJUHQYDULDVHVSHFLDOLGDGHV PHGLFDVHQIHUPHUtD \ RWUDV QHFHVDULDV HQ XQLGDGHV
IXQFLRQDOHVLQWHUGLVFLSOLQDULDV(VWDVXQLGDGHVQRGLVWLQJXLUiQ
HQWHDWHQFLyQKRVSLWDODULDRH[WUDKRVSLWDODULDQLSULYDGDRSXEOLFD6HUiQODVUHVSRQVDEOHVGHODDWHQFLyQ\VHJXLPLHQWRDO
SDFLHQWH HQ HO HVSDFLRWLHPSR DGHFXDGR FRQ ODV WHFQRORJtDV
DGHFXDGDV/D,',VHLQFRUSRUDUiDOKRVSLWDOHQUHODFLyQFRQ
OD XQLYHUVLGDGHPSUHVD \ WHQGUi XQ SOXV GH FRPSHQVDFLyQ
FRPRODGRFHQFLD
'U-0iUTXH]0RQWHV&DUGLyORJR+RVSLWDODULR([VXEGLUHFWRU
*HQHUDOGH(YDOXDFLyQ6DQLWDULD\7HFQRORJtDH,QYHVWLJDFLyQ
6DQLWDULD0ž6DQLGDG\&RQVXPR
PDUTXH]PM#ZDQDGRRHV
(O GHVDUUROOR GH 6LVWHPDV &HQWUDOL]DGRV GH ,QIRUPDFLyQ 6DQLWDULD &HQWUDO ,QIRUPDWLRQ 6\VWHPV &,6 UHVXOWDGHYLWDOLPSRUWDQFLDSDUDHO
GHVSOLHJXH GH QXHYRV 6HUYLFLRV
GH H6DOXG TXH SURSLFLHQ WDQWR OD
PHMRUDFRPRODVRVWHQLELOLGDGGH
OD 6DQLGDG WDO \ FRPR OD FRQRFHPRV KR\ HQ GtD $FWXDOPHQWH
H[LVWHQHQHOPHUFDGRQXPHURVRV
6HUYLFLRVGHH6DOXGORVFXDOHVJHVWLRQDQ JUDQ FDQWLGDG GH LQIRUPDFLyQ
ELRPpGLFD6LHVWRV6HUYLFLRVQRLQWHU
RSHUDQHQWUHVtQRVHUHPRVFDSDFHV
GHREWHQHUWRGRHOYDORUDxDGLGRGHO
FRQRFLPLHQWR TXH SRVLEOHPHQWH VH
HVWp JHQHUDQGR SRU OD LPSODQWDFLyQ
GHGLFKRV6HUYLFLRV/DWHQGHQFLDHQ
ORV~OWLPRVDxRVKDVLGRODJHQHUDFLyQGHLVODVHLVODVGHLQIRUPDFLyQPpGLFDWUDGLFLRQDOPHQWHFRUUHODFLRQDGDVFRQODVGLIHUHQWHVHVSHFLDOLGDGHVPpGLFDVTXHWtPLGDPHQWHLQWHUDFW~DQ
FRQORV6LVWHPDVGH,QIRUPDFLyQ&OtQLFDGHORV+RVSLWDOHV$IRUWXQDGDPHQWHHQHOiPELWRGH6DOXGTXHPiVDQFKRGHEDQGD
GHPDQGD OD LPDJHQ PpGLFD GLDJQRVWLFD VH KD OOHJDGR D XQ
FRQVHQVRLPSXHVWRSRUHOXVXDULRSDUDODDGRSFLyQGHOHVWiQGDU',&20FRQHO½QGHTXHODVLVODVGHLQIRUPDFLyQLQIUDHVWUXFWXUDVPpGLFDVGHJUDQFDODGR5HVRQDQFLDV7$&(QGRVFRSLRVHWF\QRWDQJUDQGH5HWLQRJUDIRV1R0LGULiWLFRVHWF
SXHGDQLQWHUDFWXDUHQWUHVtDWUDYpVGHO3$&6GHIRUPDTXHOD
JHVWLyQGHGLFKDLPDJHQPpGLFDVHKDFHKR\HQGtDGHPDQHUD
iJLO\~WLO$VLPLVPRHOGHVDUUROORGH6LVWHPDVGH,QIRUPDFLyQ
SDUDODLPSOHPHQWDFLyQGHOD+LVWRULD&OtQLFD(OHFWUyQLFDWDPELpQSDUHFHHVWDUPDGXUR\GHKHFKRHVPiVODH[FHSFLyQTXH
ODQRUPDHO+RVSLWDOTXHQRGLVSRQJDGHXQDKHUUDPLHQWDGHQRPLQDGDFRPRWDO$GHPiVWDPSRFRHVH[FHSFLRQDOHOHQFRQWUDU6HUYLFLRVGH6DOXGTXHGLVSRQJDQRGLJDQTXHGLVSRQHQGH
6HUYLFLRVGHH6DOXGSDUDOD+RVSLWDOL]DFLyQD'RPLFLOLRRSDUD
OD0RQLWRUL]DFLyQD'RPLFLOLR(VPiVQRKDFHIDOWDVDOLUVHGHO
+RVSLWDOSDUDYHUODJUDQFDQWLGDGGHGDWRVPpGLFRV7HQVLyQ
$UWHULDO7HPSHUDWXUD*HVWLyQGH)DUPDFLD$QiOLVLV%LRTXtPLFRVHWFTXHVHJHQHUDQGLDULDPHQWH\TXHRVHTXHGDQHQ
SDSHORHQXQDQXHYDLVODGHLQIRUPDFLyQ¡4XpSRGHPRVKDFHU
FRQWDQWDLQIRUPDFLyQGLVSHUVD"5HDOPHQWHVHHVWiKDFLHQGR
WRGRORTXHVHSXHGHFRQHOODSDUDJHQHUDUFRQRFLPLHQWRSHUR©
HOFLXGDGDQRVHJXUDPHQWHQRVHVWiSLGLHQGRPiVGLVPLQXFLyQ
GHHUURUHVGXSOLFLGDGGHSUXHEDVPpGLFDVXELTXLGDGGHODLQ-
IRUPDFLyQ PpGLFD SHUVRQDO +LVWRULD &OtQLFD
3HUVRQDOHWF¡4XpVHGHEHUtDKDFHUDQWHVGHJHQHUDUWDQWDLQIRUPDFLyQPpGLFD
GHLQWHUpV"/DUHVSXHVWDUHVXOWDVHQFLOOD
GLVHxDUSODWDIRUPDVGHJHVWLyQGHLQIRUPDFLyQ PpGLFD TXH VHDQ LQWHURSHUDEOHV
3DUDHOORHVPDQGDWRULRHOXVRGHHVWiQGDUHVDGRSWDGRVHQHOiPELWRLQWHUQDFLRQDO \ FRQ OD PDGXUH] VX½FLHQWH SDUD TXH
HOGHVSOLHJXHGHHVWRV6HUYLFLRVGHH6DOXG
UHVXOWHVRVWHQLEOH
(OSULPHUSDVR\DHVWiGDGRWDO\FRPRKHPRVFRPHQWDGRFRQODDGRSFLyQGH',&20
SDUDODJHVWLyQGHLPDJHQPpGLFDGLDJQyVWLFD$FWXDOPHQWHEDViQGRVHHQVXSRSXODULGDG\UREXVWH]WDPELpQVHHVWiXWLOL]DQGRGLFKRHVWiQGDUSDUDODJHVWLyQGHLQIRUPDFLyQ
PpGLFDTXHQRHVH[DFWDPHQWHLPDJHQFRPR(&*
HWF(OVHJXQGRSDVRVHUtDODDGRSFLyQGHXQHVWiQGDUSDUDHOGHVDUUROORGHXQD+LVWRULD&OtQLFD(OHFWUyQLFDTXHSXGLHUDLQWHUFDPELDULQIRUPDFLyQFRQ
RWUDVSODWDIRUPDVFRQLGpQWLFRVREMHWLYRV3RU~OWLPRDXQTXHQRHQ~OWLPROXJDUSUHYLRDOGHVSOLHJXHGH6HUYLFLRVGH6DOXGSDUDOD*HVWLyQGH&UyQLFRV+RVSLWDOL]DFLyQD'RPLFLOLR\RWURV6HUYLFLRV
GH0RQLWRUL]DFLyQVHGHEHUtDOOHJDUDXQFRQVHQVR
HQODDGRSFLyQGHXQHVWiQGDUSDUDODLQWHURSHUDELOLGDGGHGLVSRVLWLYRVPpGLFRVFRQHO½QGHOOHJDU
DODQVLDGR3OXJ3OD\HQHVWHWLSRGHSODWDIRUPDV
(OXVXDULRJDQDUtDHQFRQIRUWHO6HUYLFLRGHH6DOXG
QR GHSHQGHUtD GHO KDUGZDUH \ VHJXUDPHQWH ORV
SUHFLRVEDMDUtDQFRQODFRQVLJXLHQWH6RVWHQLELOLGDG
GHO6LVWHPD(QGH½QLWLYDSRVLEOHPHQWHVHSRGUtD
VHJXLUORVSDVRVGHORV6HUYLFLRVGH7HOHIRQtD0yYLO
GXUDQWHOD~OWLPDGpFDGDHQFXDQWRDXELFXLGDG\
FRVWHVHUH½HUH2WUDFRVDGLIHUHQWHHVTXHHVWHPRVFRQWHQWRVFRQGLFKRV6HUYLFLRV
Javier Redondo
(Q OD GpFDGD GH ORV ORV
KRVSLWDOHV S~EOLFRV + JHQHUDOHV R 8QLYHUVLWDULRV
HUDQ HVFDVRV \ FRH[LVWtDQ
FRQRWUDV²FOtQLFDV²GHOD
LJOHVLDREHQH½FHQFLD/D
SDWRORJtD SULQFLSDO HUD
ODLQIHFFLRVD\ODVFRQGLFLRQHVGHODDWHQFLyQ
D ORV SDFLHQWHV GHQWUR
GHWRGRVHOORVHUDGH½FLHQWH&RQODWXEHUFXORVLVROD
OHSUDDSDUHFLHURQ²VDQDWRULRV³FRQ
FDPDV SDUD SDFLHQWHV
FUyQLFRV DWHQGLGRV SRU
XQD FRPXQLGDG GH
PRQMDVHQIHUPHUDV R
HQIHUPHUDV \ QR PiV
GHPpGLFRVTXHHQJHQHUDOYLYtDQHQHOFHQWUR/DVH[SORUDFLRQHVHVSHFLDOHVRODFLUXJtDVHDWHQGtDDGHPDQGD(Q
ODGpFDGDGHORVVHFRQVWUX\HQSRUODVHJXULGDGVRFLDO
PXFKDV²5HVLGHQFLDV³FRQXQREMHWLYRSUHIHUHQWHHQODFLUXJtD
\HOFLUXMDQRMHIHGHXQDHVSHFLDOLGDGLQFOXtDHQWUHVXHTXLSR
DORVFOtQLFRVFRUUHVSRQGLHQWHV/DDSDULFLyQGHORV0,5\XQD
QXHYD½ORVRItDHVWUXFWXUD+RVSLWDODULDTXHQDFHHQOD&OtQLFD
GHOD&RQFHSFLyQ3URI-LPpQH]'tD]\SRVWHULRUPHQWHHQOD
&OtQLFD3XHUWDGH+LHUUR3URI6HJRYLDGH$UDQDMXQWRDQXHYDVH[SHULHQFLDVHQHO+GH1DYDUUDFDPELDQODRUJDQL]DFLyQ
GHOKRVSLWDOSHURQRWDQWRVXVREMHWLYRV
M. Martínez de Espronceda
Madrid Network
Joaquín Márquez Montes
El hospital del futuro: las ideas de los expertos
0LJXHO0DUWtQH]GH(VSURQFHGD\-DYLHU5HGRQGR
,QYHVWLJDGRUHV\GHVDUUROODGRUHVGH6HUYLFLRVGH
H6DOXGGHO*UXSRGH,QJHQLHUtD%LRPpGLFDGHOD
8QLYHUVLGDG3~EOLFDGH1DYDUUD
PLJXHOPDUWLQH]GHHVSURQFHGD#XQDYDUUDHV
MDYLHUUHGRQGR#XQDYDUUDHV
El hospital del futuro: las ideas de los expertos
/RV KRVSLWDOHV WRGRV JUDQGHV R
SHTXHxRV VRQ LQVWLWXFLRQHV
GHGLFDGDV SULPRUGLDOPHQWH
D OD SURGXFFLyQ GH DVLVWHQFLD VDQLWDULD TXH HQ
QXHVWURSDtVVHUHDOL]DFRQ
XQQLYHOGHFDOLGDGTXHSRGHPRV FDOL½FDU GH EXHQR
R PX\ EXHQR 6HFXQGDULDPHQWH DOJXQRV GH HOORV WLHQHQ FDSDFLGDG SDUD HMHUFHU OD
GRFHQFLD \R OD LQYHVWLJDFLyQ
$QWH OD OyJLFD OLPLWDFLyQ HQ OD
FDQWLGDG GH ½QDQFLDFLyQ GLVSRQLEOHVHUHTXLHUHXQDLPSRUWDQWH
\FRVWRVDDGPLQLVWUDFLyQGHUHFXUVRV \ SHUVRQDO (VWH FLFOR SURGXFFLyQDGPLQLVWUDFLyQ VH YH DIHFWDGR
SRUORTXHHOQHRNH\QHVVLDQR:LOOLDP
%DXPROGLDJQRVWLFyFRPRODHQIHUPHGDGGHORVFRVWHV(VWRHVFDGDYH]KD\TXHSDJDUPD\RUHV
VDODULRV SRU XQRV VHUYLFLRV TXH QR PHMRUDQ OD SURGXFWLYLGDG
DOPLVPRULWPRTXHORKDQKHFKRRWURVVHFWRUHVSURGXFWLYRV
(OUHWRGHOKRVSLWDOGHOIXWXURHVHOGHFRQYHUWLUVHHQDOJR
PiV TXH XQ FHQWUR GH SURGXFFLyQDGPLQLVWUDFLyQ GH DVLVWHQFLD VDQLWDULD HQIRFDGR KDFLD OD H½FLHQFLD \ OD VHJXULGDG3RUTXHVLHVDHVODSULQFLSDO\~QLFDPHWDHOGHVWLQR
HVHOIUDFDVR&RQHOREMHWLYRGHPHMRUDUVXIXQFLRQDPLHQWR
\ RIUHFHU PD\RU SURGXFWLYLGDG FRQ XQ PHMRU VHUYLFLR D ORV
FLXGDGDQRVHQHOKRVSLWDOGHOIXWXURGHEHPRVFRPELQDUOD
FRQVROLGDFLyQ\SURJUHVRGHOFRQRFLPLHQWRGHORVSURFHVRV
HQPDUFKD\GHODWHFQRORJtDFRQRFLGDFRQFDPELRVGLVUXSWLYRVTXHJHQHUHQORUHDOPHQWHQXHYRHQODDVLVWHQFLDVDQLWDULD3RUWDQWRWHQHPRVTXHVHUFDSDFHVTXHHPSUHQGHU\
GHVSXpVLQWHJUDUODLQQRYDFLyQJHQHUDGDGHQWURGHOVLVWHPD
GHSURGXFFLyQ3RUWDQWRPHDWUHYRDSURSRQHUWUHViUHDV
SULRULWDULDV3URPRFLyQGHODFUHDWLYLGDGFRPRLQFHQWLYR
SDUDPHMRUDUODSURGXFWLYLGDGPHGLDQWHODUHLQJHQLHUtDGH
SURFHVRV\ODPHMRUJHVWLyQGHUHFXUVRVKXPDQRV&UHDFLyQGHUHGHVVRFLDOHVTXHPHMRUHQODFRPXQLFDFLyQLQWHUQD
\H[WHUQD7,&VSDUDODJHVWLyQFOtQLFD²HQQXEH³(QXQ
KRVSLWDORULHQWDGRDODPHMRUDFRQWLQXDOD²PDQRGHREUD³
GHEHUtDFRQYHUWLUVHHQ²FHUHEURVGHREUD³FRQXQDJHVWLyQ
FRPSOHWDPHQWHGLVWLQWDDODKDELWXDOHQQXHVWURVDFWXDOHV
FHQWURV VDQLWDULRV )UHQWH D ODV UXWLQDV \ ORV SURFHVRV GH
EDVH FLHQWt½FD GRPLQDQWHV HQ OD DFWXDOLGDG KD\ TXH SURPRYHU HO GLVHxR \ OD FUHDWLYLGDG HQ WRGRV ORV QLYHOHV SDUD
FRQVHJXLUDSURYHFKDUHOWDOHQWRGHORVSURIHVLRQDOHVGHOD
LQVWLWXFLyQ DVt FRPR SDUD DWUDHU IXWXUDV JHQHUDFLRQHV GH
PHQWHVEULOODQWHVTXHIDFLOLWHQHOWULXQIRFRUSRUDWLYRDPHGLR\ODUJRSOD]R/DSURPRFLyQGHODFUHDWLYLGDG\HOLQJHQLR
MXQWRFRQVXUHFRQRFLPLHQWRHVXQRGHORVPiVSRWHQWHVLQFHQWLYRVGHODSURIHVLRQDOLGDGPX\SRUHQFLPDGHORVGLUHFWD\HVWULFWDPHQWHPRQHWDULRV
+HDOLQJ VWDUWV ZLWK FRPPXQLFDWLRQ $FHSWDQGR OD SUHPLVD
GHTXHUHVXOWDGLItFLOPHMRUDUORVUHVXOWDGRVGHVDOXGRIUHFLGRVSRUQXHVWUDVLQVWLWXFLRQHVVDQLWDULDVXQRGHORVSUREOHPDVHVHQFLDOHVTXHVHGHEHQUHVROYHUHQORVFHQWURVVDQLWDULRVGHOIXWXURSDUDPHMRUDUODFDOLGDGSHUFLELGDWDQWR
SRUORVFLXGDGDQRVFRPRSRUORVSURIHVLRQDOHVHVHOGHOD
FRPXQLFDFLyQLQWHUQD\H[WHUQD<FRQODVWHFQRORJtDVGLVSRQLEOHVHQODDFWXDOLGDGODLQQRYDFLyQHQFRPXQLFDFLyQQR
GHEHUtDKDFHUVHHTXLYDOHQWHDXQFRVWHHFRQyPLFRGHVPHVXUDGR VLQR TXH PiV ELHQ UHTXLHUH XQ OLGHUD]JR IRUPDO H
LQIRUPDOEDVDGR\HQIRFDGRHQODSURPRFLyQGHXQDFXOWXUD
GHWUDQVSDUHQFLD
)LQDOPHQWHODXWLOL]DFLyQGHODV7,&VGHEHGHMDUGHSHUVHJXLU OD ²VROXFLyQ ½QDO³ FHQWUDGD HQ SODWDIRUPDV WUDQVYHUVDOHVTXHSUHWHQGDQVHUYLUSDUDWRGDVODVQHFHVLGDGHV6H
GHEHUtD IDYRUHFHU OD FUHDFLyQ GH KHUUDPLHQWDV ²DG KRF³
GLVHxDGDVHVSHFt½FDPHQWHSRUORVTXHUHFRJHQDFXPXODQ
\ SUHFLVDQ GH OD LQIRUPDFLyQ SDUD OD DWHQFLyQ GH ORV SDFLHQWHV XWLOL]DQGR OR TXH KR\ FRQRFHPRV FRPR ²,QWHUQHW
2SHUDWLQJ6\VWHP³2ORTXHHVORPLVPRHQODDFWXDOLGDG
FDUHFH GH VHQWLGR SRVHHU WRGD OD LQIRUPDFLyQ QHFHVDULD
SDUD OD DVLVWHQFLD DO SDFLHQWH HQ XQ ~QLFR VLWLR ItVLFDPHQWH ORFDOL]DGR \ JHVWLRQDGD SRU XQ VHUYLFLR FHQWUDOL]DGR \D
TXHVXFUHFLPLHQWRVHUtDH[SRQHQFLDOHLPSRVLEOHGHDVXPLU
/DSRVLELOLGDGXVDUPRWRUHVGHLQWHJUDFLyQTXHUHFRMDQORV
GDWRVQHFHVDULRVGHOVLWLRGRQGHVHJHQHUDQHQOD²QXEH³
VLQ QHFHVLGDG GH YROFDU WRGD OD LQIRUPDFLyQ QRV RIUHFHUi
YHUVDWLOLGDG PD\RU UREXVWH] \ SRU VX SXHVWR PHMRUDV HQ
ODSURGXFWLYLGDG\ODH½FLHQFLDGHODSUHVWDFLyQGHVHUYLFLRV
VDQLWDULRV(YLGHQWHPHQWHQRHVHVSHUDEOHTXHFXDOTXLHUD
GHHVWDVDFFLRQHVULQGDQEHQH½FLRVDFRUWRSOD]R/DLQQRYDFLyQVXHOHWUDHUXQSHUtRGRGHODWHQFLDGHHQWUH\DxRV
6LQHPEDUJRDXQTXHFRQWLQ~DVLHQGRQHFHVDULRLQYHUWLUGLQHURSDUDJHQHUDU&RQRFLPLHQWRFDGDYH]HVPiVLPSHULRVRXWLOL]DUHO&RQRFLPLHQWRDOPDFHQDGRHQODVLQVWLWXFLRQHV
SDUDJHQHUDUGLQHUR2PiVJHQpULFDPHQWHYDORU
-XOLR0D\RO+RVSLWDO&OtQLFR6DQ&DUORV
MPD\ROKFVF#VDOXGPDGULGRUJ
Innovación: la cuarta dimensión del hospital del
futuro.
José Luis Monteagudo
Julio Mayol
Innovación en los hospitales del futuro.
Madrid Network
El futuro de los hospitales pasa
SRU LQFRUSRUDU OD LQQRYDFLyQ
FRPRXQDQXHYDGLPHQVLyQ
GH VX DFWLYLGDG MXQWR FRQ
OD DVLVWHQFLD OD GRFHQFLD
\ OD LQYHVWLJDFLyQ /D LQQRYDFLyQ QR HV VyOR LQYHQFLyQRLQFRUSRUDFLyQ
GH QXHYDV WHFQRORJtDV
R FDPELRV HQ ODV RUJDQL]DFLRQHV \ ORV SURFHVRV
6HUH½HUHDODFUHDFLyQGH
YDORU (O SURSLR PRGHOR GH
LQQRYDFLyQ KD HYROXFLRQDGR\\DQRVHWUDWD VLPSOHPHQWH GH
WUDVODGDUGHIRUPD
OLQHDOORVUHVXOWDGRV
GHOD,'KDFLDHOPHUFDGR+R\GtDVHHVWiSRQLHQGRHOpQIDVLVHQODLQQRYDFLyQ²DELHUWD³H²LPSXOVDGDSRUORVXVXDULRV³
FRQHVSHFLDOLQWHUpVKDFLDORVVHUYLFLRV\HOVHFWRUS~EOLFR
FUHDUXQSXHQWHHQWUHODLQQRYDFLyQVRFLDOODLQQRYDFLyQS~EOLFDODLQQRYDFLyQVDQLWDULD\ODLQQRYDFLyQWHFQROyJLFDHQ
HOVHFWRU
/DLQQRYDFLyQ²DELHUWD³LPSOLFDDEULUFDXFHVDODFRODERUDFLyQLQWHUQD\H[WHUQDSDUDDSURYHFKDUHOSRWHQFLDOGHFRPSDUWLUFRQRFLPLHQWRVHLGHDVQXHYDV3RURWUDSDUWHJUDFLDV
DOGHVDUUROORGHODV7HFQRORJtDVGHOD,QIRUPDFLyQ\ODV&RPXQLFDFLRQHV7,&HOSDSHOGHORVXVXDULRV\VXFDSDFLGDG
LQQRYDGRUDVHKDKHFKRFDGDYH]PiVUHOHYDQWHHQODVDFWLYLGDGHVUHODFLRQDGDVFRQVHUYLFLRVLQWHQVLYRVHQFRQRFLPLHQWR(QODQXHYDYLVLyQHOXVXDULR\ODVFRPXQLGDGHVGHXVXDULRVFRPRORVKRVSLWDOHVVHFRQVLGHUDQDFWRUHVSDUWtFLSHV
GHODJHQHUDFLyQGHLQQRYDFLyQHQODFRSURGXFFLyQ\PHMRUD
GHORVVHUYLFLRVS~EOLFRV
-RVp /XLV 0RQWHDJXGR -HIH GH OD 8QLGDG GH ,QYHVWLJDFLyQ
HQ7HOHPHGLFLQD\H6DOXGGHO,QVWLWXWRGH6DOXG&DUORV,,,
$XQTXHKR\GtDODFLHQFLDODWHFQRORJtDODHFRQRPtDODLQYHVWLJDFLyQ\HOFRQRFLPLHQWRVHKD\DQJOREDOL]DGRORVIRFRV
GHLQQRYDFLyQEURWDQHQHFRVLVWHPDVORFDOHV/RVKRVSLWDOHV
UH~QHQFDUDFWHUtVWLFDVLGyQHDVSDUDSURSLFLDUHVRVHQWRUQRV
HQFRODERUDFLyQFRQODLQGXVWULD\ODLQLFLDWLYDSDUDODLQQRYDFLyQDELHUWDLPSXOVDGDSRUORVXVXDULRVGLULJLGDDVHUYLFLRV
S~EOLFRV&LHUWDPHQWHH[LVWHQUHWRVQRWDEOHVSDUDVXDFWLYDFLyQ\GHVDUUROORHIHFWLYR¡&yPRFUHDUXQDLQIUDHVWUXFWXUD
TXHDWUDLJDHOWDOHQWRODFUHDWLYLGDG\ODLQYHUVLyQ"¡&yPR
EDODQFHDU XQ HQWRUQR DELHUWR D ODV LGHDV \ OD FRODERUDFLyQ
FRQXQFRQWUROGHODGLUHFFLyQGHOSURFHVRKDFLDORVREMHWLYRV
VRFLDOHVHLQVWLWXFLRQDOHVSURSLRVGHVXQDWXUDOH]DGHVHUYLFLRS~EOLFR"
(OIXWXURGHODLQQRYDFLyQHQORVKRVSLWDOHVHVWiSRUHVFULELU
(OKHFKRGHTXHHOp[LWRQRHVWpJDUDQWL]DGRQRHVXQDUJXPHQWRSDUDQRLQWHQWDUOR
MOP#LVFLLLHV
(O VHFWRU VDQLWDULR HV XQ SURWRWLSR GH ²LQGXVWULD³ GH VHUYLFLRV LQWHQVLYRV HQ FRQRFLPLHQWR (O KRVSLWDO HV XQ JUDQ
QRGRGHUHGHVLQWHUFRQHFWDGDVGHSHUVRQDV\UHFXUVRVTXH
SURYHHQVHUYLFLRVFRPSOHMRVHVSHFLDOL]DGRV\GHDOWRYDORU
SDUDODVRFLHGDG(OKRVSLWDOWDPELpQVHSXHGHFRQVLGHUDUXQ
²XVXDULR³RPHMRUXQD²FRPXQLGDGGHXVXDULRV³&RQYHUWLU
DOKRVSLWDOHQPRWRUGHODLQQRYDFLyQLPSOLFDGHVDUUROODUXQD
HVWUDWHJLD SDUD OD LQQRYDFLyQ EDVDGD HQ HO FDSLWDO LQWHOHFWXDOGHFRQRFLPLHQWR\HQHOFDSLWDOVRFLDOXWLOL]DQGRODV7,&
/D LQQRYDFLyQ SUHVHQWD P~OWLSOHV IDFHWDV SHUR OR HVHQFLDO
UDGLFDHQODREWHQFLyQFRPXQLFDFLyQWUDQVIRUPDFLyQ\XVR
GHOFRQRFLPLHQWRGLULJLGRVDODFUHDFLyQGHYDORU6HWUDWDGH
El hospital del futuro: las ideas de los expertos
(O +RVSLWDO GH ORV SUy[LPRVDxRVWHQGUiTXHFRQWHPSODU OD LQFRUSRUDFLyQ
GH WHFQRORJtDV H½FLHQWHV
TXH LQWHJUHQ OD SUiFWLFD
FOtQLFD FRPR XQR GH VXV
SLODUHV EiVLFRV MXQWR FRQ
XQ LQWHQVR DSR\R D OD LQYHVWLJDFLyQ GH DOWR QLYHO
\ D XQ FRQFLHQ]XGR SURJUDPD GH IRUPDFLyQ GH
SURIHVLRQDOHV
(Q HVWH WHUFHU HStJUDIH
HV PX\ LPSRUWDQWH XQD
DSXHVWD ½UPH SRU SDUWH
GHO+RVSLWDOSXHVWRTXHODUHIRUPDGHODIRUPDFLyQHVSHFLDOL]DGDTXHHVWiHQPDUFKHUHTXLHUHGHVXLPSOLFDFLyQ
/DSXEOLFDFLyQHQHODxRGHOD/H\GH2UGHQDFLyQGHODV
3URIHVLRQHV6DQLWDULDV/236VXSXVRXQVDOWRFXDOLWDWLYRLPSRUWDQWHDODYH]TXHVHQWyODVEDVHVSDUDXQPHMRUGHVDUUROOR
GHORVDVSHFWRVIRUPDWLYRVGHORVSURIHVLRQDOHVVDQLWDULRV(Q
HOOD\HQHODSDUWDGRGH(VWUXFWXUDGHODV(VSHFLDOLGDGHVVH
VHxDODH[SOtFLWDPHQWHTXHODVHVSHFLDOLGDGHVHQ&LHQFLDVGH
OD6DOXGVHDJUXSDUiQFXDQGRSURFHGDDWHQGLHQGRDFULWHULRV
GHWURQFDOLGDG
(VSUHFLVDPHQWHHVWHPDQGDWRHOTXHPRWLYDKDFHUHVWDVUH¾H[LRQHV(VHYLGHQWHTXHHODYDQFHHQHOFRQRFLPLHQWRFLHQWt½FR\WHFQROyJLFRHQHOiPELWRGHODPHGLFLQDKDFHQHFHVDULR
XQDHVSHFLDOL]DFLyQGHOSURIHVLRQDOPpGLFRSHURWDPSRFRHV
PHQRVFLHUWRTXHHVHFRQRFLPLHQWRSXHGHWHQHUSDUFHODVFRPXQHV\GHVRODSDPLHQWRHQWUHODVGLVWLQWDVHVSHFLDOLGDGHV
3RURWURODGRDFWXDOPHQWHODHVSHFLDOL]DFLyQGLULJHDOSURIHVLRQDOKDFLDXQFDPLQRTXHOHREOLJDDSHUPDQHFHUHQpOGXUDQWH
WRGRHOWLHPSRTXHHOODGXUDHQRWUDVSDODEUDVHOHVSHFLDOLVWD
PpGLFR VLHPSUH KD GH FRQWLQXDU FRQ OD HVSHFLDOLGDG TXH HQ
VXPRPHQWRHOLJLyVLQSRGHURSWDUDPHQRVTXHFRPLHQFHGH
QXHYRDRWUDSRUODTXHHQXQGHWHUPLQDGRPRPHQWRWHQJD
SUHIHUHQFLDVXSRQHHQGH½QLWLYDXQDVLWXDFLyQGHULJLGH]TXH
WLHQHHOVLVWHPD0,5\FX\DYXHOWDDWUiVSDVDSRUFRPHQ]DU
GHVGHHOLQLFLRHQRWUDQXHYDHVSHFLDOLGDG7DPELpQHVQHFHVDULRVHxDODUTXHQRWRGDVODVHVSHFLDOLGDGHVH[LVWHQWHVDGtDGH
KR\QHFHVLWDQLQWHJUDUVHHQWURQFRVHVSHFt½FRV
3UHFLVDPHQWHHVWDUHIRUPDWUDWDGHFRUUHJLUHVWDVLWXDFLyQHQ
HOVHQWLGRGHTXHSXHGDGH½QLUVHXQSHULRGRIRUPDWLYRFRP~Q
D YDULDV HVSHFLDOLGDGHV TXH OD /236 HVWDEOHFH DO PHQRV HQ
GRVDxRV\GHVGHHVHSHULRGRRWURQFRHOSURIHVLRQDOSXHGH
HOHJLUHOUHVWRGHVXIRUPDFLyQSDUDODREWHQFLyQGHXQWtWXOR
GHHVSHFLDOLVWDSHURTXHVLGHVHDFDPELDUGHHVSHFLDOLGDGDO
½QDOL]DUODIRUPDFLyQQRQHFHVLWDFRPHQ]DUGHQXHYRVLQRTXH
SXHGHKDFHUORDSDUWLUGHOSHULRGRIRUPDWLYRFRP~QHVWDHV
ODHVHQFLDGHODWURQFDOLGDGSRGHUIRUPDUDOPpGLFRHQPiV
GHXQDHVSHFLDOLGDGGHOPLVPRWURQFRVLQWHQHUTXHFDGDYH]
SDUWLUGHVGHHOSULQFLSLR
7RGR OR DQWHULRU KDFH SRU XQD SDUWH PHQRV UtJLGR DO VLVWHPD IRUPDWLYR DGHPiV SHUPLWH XQ KRUL]RQWH PiV DPSOLR D
ODKRUDGHSRGHUGHFDQWDUVHSRUXQDXRWUDHVSHFLDOLGDGGHO
WURQFR\DGHPiVHQVLWXDFLRQHVSXQWXDOHVGHQHFHVLGDGHVGH
GHWHUPLQDGRVHVSHFLDOLVWDVODFRQYHUVLyQHVPiVVHQFLOODTXH
IXHUDGHOFRQFHSWRGHWURQFDOLGDG3RUVXSXHVWRTXHWDPELpQ
SUHVHQWDGL½FXOWDGHVFRPRSXHGHVHUTXHODGHFLVLyQGHIRUPDFLyQHQHVSHFLDOLGDGHVGHXQWURQFRH[FOX\HDODVTXHQR
SHUWHQH]FDQDOPLVPR\DGHPiVSXHGHDxDGLUFRPSOHMLGDGD
ODKRUDGHGH½QLUFRQSUHFLVLyQORVSHULRGRVIRUPDWLYRVGHQWUR
GHOPLVPRWURQFR
(OORYDDVXSRQHUXQQXHYRHQIRTXHHQODRUJDQL]DFLyQGHODV
DFWXDOHV XQLGDGHV GRFHQWHV KRVSLWDODULDV TXH GHEHUiQ UHVSRQGHUDQXHYRVUHTXLVLWRVJHQHUDOHVGHDFUHGLWDFLyQ\DQXHYRVSURJUDPDVIRUPDWLYRV
3RGUtDPRVSRUWDQWRGHFLUTXHHQWUHORVREMHWLYRVTXHOOHYDQD
GHVDUUROODUHVWHQXHYRDVSHFWRHVWiQDGHPiVGHIDYRUHFHUOD
HODVWLFLGDGHQODRIHUWDGHODVGLYHUVDVHVSHFLDOLGDGHVPHMRUDU
HOSURFHVRGHIRUPDFLyQHVSHFLDOL]DGD\ODFRPSHWHQFLD½QDO
GHORVHVSHFLDOLVWDVVDQLWDULRVORTXHVXSRQHXQDPSOLRFDPELRFXOWXUDOTXHYDDSHUPLWLUDERUGDUORVSUREOHPDVGHVDOXG
GHXQDPDQHUDPiVLQWHJUDO\SRVLELOLWDUWUDEDMDUGHODIRUPD
PiVDGHFXDGDSDUDSRGHUSURSRUFLRQDUXQDDWHQFLyQVDQLWDULD RULHQWDGD D OD UHVROXFLyQ GH ORV SURFHVRV FRQ HO HQIRTXH
PXOWLSURIHVLRQDO\PXOWLGLVFLSOLQDUTXHHOHVWDGRDFWXDOGHOD
FLHQFLDUHTXLHUH
$OIRQVR0RUHQR-HIHGHO6HUYLFLRGH)DUPDFRORJtD&OtQLFD
GHO+RVSLWDO&OtQLFR6DQ&DUORVGH0DGULG
DPRUHQRJKFVF#VDOXGPDGULGRUJ
El hospital del futuro.
Ignacio Para
Alfonso Moreno
La nueva formación especializada y el Hospital
del futuro.
Madrid Network
Los hospitales del futuro
KDQGHWHQHUDXWRQRPtDGH
JHVWLyQ FRQ SUHVXSXHVWR \ FRQWDELOLGDG SURSLRV
FRQ EDODQFH GH VLWXDFLyQ
\ FXHQWD GH UHVXOWDGRV \
FRQ SHUVRQDOLGDG MXUtGLFD
SURSLD VXMHWR D GHUHFKR
SULYDGR \ FRQ XQ &RQVHMR
GH$GPLQLVWUDFLyQLQGHSHQGLHQWHPHQWH GH TXH pVWH VHD
XQ KRVSLWDO GH SURSLHGDG S~EOLFDRSULYDGD&RQOLEHUWDG
GHDFFLyQ\DTXLHQVH
OHPHGLUiFRQMXQWDPHQWH SRU VXV UHVXOWDGRV HQ VDOXG
\SRUVXFXHQWDGH
UHVXOWDGRV
(OKRVSLWDOS~EOLFRRSULYDGRGHOIXWXURGHVDUUROODUiVXDFWLYLGDGHQXQPDUFRGHFRPSHWLWLYLGDGSRUORTXHGHEHUiOOHYDUXQDJHVWLyQH½FD]\H½FLHQWHRULHQWDGDDODPD[LPL]DFLyQGHODFDOLGDG\DODVRVWHQLELOLGDGHFRQyPLFDFHQWUDGD
HQVXQHJRFLRTXHHVODVDOXGGHORVSDFLHQWHVH[WHUQDOL]DQGRORTXHHVDMHQRDOQHJRFLRPLGLpQGRVHPHGLDQWHEHQFKPDUNLQJGHVXJHVWLyQ\DSOLFDQGRODVPHMRUHVIyUPXODV
GHJHVWLyQGHORVUHFXUVRVKXPDQRVDSOLFDQGRWpFQLFDVGH
JHVWLyQSRUFRPSHWHQFLDVLQFHQWLYRVSRUUHVXOWDGRVHQVDOXG HQ VDWLVIDFFLyQ GHO FOLHQWH \ HFRQyPLFRV RIUHFLHQGR D
pVWRVYLVLELOLGDGGHIRUPDFLyQ\FDUUHUDOLGHUD]JR\FRPSURPLVR)LGHOL]DFLyQ\REWHQLHQGR½QDOPHQWHHTXLSRVDOLQHDGRVFRQOD,QVWLWXFLyQ
/RV KRVSLWDOHV GHO IXWXUR VHUiQ FHQWURV GH H[SHUWRV \ GH
DOWDWHFQRORJtD\UHVROXFLyQRUJDQL]DGRVSRUSURFHVRVDVLVWHQFLDOHV\QRSRUHVSHFLDOLGDGHVPpGLFDV/RVKRVSLWDOHV
FRPSHWLUiQHQWUHVtSRUDWUDHUVHDOPD\RUQ~PHURGHSDFLHQWHV R HYLWDU TXH VH YD\DQ D RWURV FHQWURV 3RU HOOR VH
HVSHFLDOL]DUiQHQWpFQLFDVPX\GHWHUPLQDGDVRHQHOWUDWDPLHQWRGHHQIHUPHGDGHVGHDOWDFRPSOHMLGDGWUDWDQGRGH
FXEULUQLFKRVGHPHUFDGRHQORVTXHFRQWDUFRQVLWXDFLRQHV
GH SUHYDOHQFLD $GHPiV HVWi VXUJLHQGR XQD QXHYD FODVH
PpGLFD GH VXSHUHVSHFLDOLVWDV HQ WpFQLFDV WUDWDPLHQWRV \
WHUDSpXWLFDV FRPR HQ UHFRQVWUXFFLyQ GH PLHPEURV \ WHMLGRV R UHSDUDFLyQ PLHPEURV FRPR OD PDQR HO SLH OD FDGHUDHOKRPEURRHQWpFQLFDVTXLU~UJLFDVHQGRVFySLFDVR
UREyWLFDVHWF
/RVPpGLFRVVHUiQHQPD\RURPHQRUJUDGRVXSHUHVSHFLDOLVWDV HVSHFLDOLVWDV UHVSRQVDEOHV GH SURFHVRV R PpGLFRV
GHFDEHFHUDUHVSRQVDEOHVGHOFRQMXQWRGHSURFHVRVGHXQ
SDFLHQWH
(VWRV KRVSLWDOHV JR]DUiQ GH DOWD WHFQRORJtD GH PDWHULD GH
FRPXQLFDFLyQ \ VLVWHPDV GH LQIRUPDFLyQ TXH LQWHJUDUi DO
FRQMXQWRGHWHFQRORJtDVVDQLWDULDVHOHFWURPpGLFDV\GHRWUD
QDWXUDOH]DGHOKRVSLWDO(VWDUiFRPXQLFDGRFRQHOFRQMXQWR
GHGLVSRVLWLYRVDVLVWHQFLDOHVGHODUHGDVLVWHQFLDOHQODTXH
VHLQWHJUHH[LVWHQWHVHQVXiUHDGHVDOXG\FRQHOUHVWRGH
KRVSLWDOHV HVSHFLDOPHQWH GH ORV GH UHIHUHQFLD SDUD WpFQLFDV SUXHEDV R WUDWDPLHQWRV QR GLVSRQLEOHV HQ VX KRVSLWDO
DVtFRPRFRQORVFHQWURVGHFXLGDGRVSDOLDWLYRVRGHUHFXSHUDFLyQ\FRQORVFHQWURVUHVLGHQFLDOHVJHURQWROyJLFRVRGH
GLVFDSDFLWDGRV
/DUHVSRQVDELOLGDGVREUHODVDOXGGHOFLXGDGDQRODWHQGUiHO
PpGLFRGHFDEHFHUDTXHVHUiHOIUXWRGHXQDWUDQVIRUPDFLyQ
PX\LPSRUWDQWHGHORVDFWXDOHVPpGLFRVGHSULPDULD(VWH
VHUiHOUHVSRQVDEOHGHOFRQWUROGHODVDOXGGHOFLXGDGDQRD
WUDYpVGHOD+LVWRULDGH6DOXGHOHFWUyQLFDVLHQGRHOSURSLR
FLXGDGDQRHOUHVSRQVDEOHGHVXFXLGDGR
/RVKRVSLWDOHVFDGDYH]PHMRUDUiQPiVVXVVLVWHPDVLQIRUPDFLRQDOHVWDQWRSDUDVXXVRLQWHUQRFRPRFHQWUDOGHFRQWURO\KHUUDPLHQWDGHJHVWLyQLQIRUPDQGRVREUHODDFWLYLGDG
HQGHVDUUROOR\GHVDUUROODGD\DOHUWDQGRVREUHSUREOHPDVR
GHVYLDFLRQHVVREUHORVUHTXHULPLHQWRVGHFDOLGDG\GHVRVWHQLELOLGDGUHTXHULGRV,JXDOPHQWHHVWRVVLVWHPDVLQIRUPDFLRQDOHV RIUHFHUiQ D OD VRFLHGDG $GPLQLVWUDFLyQ 3~EOLFD
½QDQFLDGRUHVDVHJXUDGRUHV\SDFLHQWHVLQIRUPDFLyQVREUH
VX DFWLYLGDG VHUYLFLRV FDSDFLGDGHV \ UHVXOWDGRV HQ VDOXG
SRU ORV TXH VH FRQWURODUi VX DFWLYLGDG \ JUDGR GH VDWLVIDFFLyQGHORVVHUYLFLRVUHTXHULGRVSRUHO)LQDQFLDGRUS~EOLFRR
SULYDGR\SRUORVTXHVHJXLDUiQORVSDFLHQWHVDODKRUDGH
HOHJLUPpGLFR\FHQWUR
,JQDFLR3DUD(FRQRPLVWDGLSORPDGRSRUHO,(6(\SRUOD(2,
3UHVLGHQWH GH OD )XQGDFLyQ %DPEHUJ KD VLGR 'LUHFWRU GH
6DQLGDGHQYDULDVFRPSDxtDVFRPR0LFURVRIW%HDULQJ3RLQW
$UWKXU$QGHUVHQH,QGUD
LJQDFLRSDUD#IXQGDFLRQEDPEHUJRUJ
El hospital del futuro: las ideas de los expertos
(Q HO IXWXUR SUy[LPR ORV KRVSLWDOHV
GHEHUiQ DGHPiV GH HVWUXFWXUDU
REOLJDGRV FDPELRV RUJDQL]DWLYRV
DGDSWiQGRVHDODVHVWUXFWXUDVHPSUHVDULDOHV PRGHUQDV UHFRQVLGHUDU HO QXHYR PHUFDGR ODERUDO
HQ TXH KDEUiQ GH GHVDUUROODU
VX ODERU < HQ HVWH PHUFDGR PH
JXVWDUtD VHxDODU DOJXQDV FDUDFWHUtVWLFDV PX\ GH½QLGDV HQ HO FRUWR \
PHGLRSOD]R
(Q SULPHU OXJDU DGTXLULUiQ HVSHFLDO SURWDJRQLVPR ORV ²VHQLRUV³ FRQ WRGDV VXV
YHQWDMDV H LQFRQYHQLHQWHV (O KRVSLWDO HQ HO IXWXUR DOJXQR
\DHQODDFWXDOLGDGWHQGUiTXHUHVROYHUVXVQHFHVLGDGHVFRQ
XQDIXHU]DODERUDOHQYHMHFLGD(VHYLGHQWHTXHQRH[LVWHXQ
UHHPSOD]RGHPpGLFRV\HQJUDQPHGLGDGHHQIHUPHUtDHQ
ODV SUy[LPDV JHQHUDFLRQHV \ TXH FDGD YH] PiV KDEUi TXH
WUDEDMDU PiV DxRV FRQ XQ LPSDUDEOH HQYHMHFLPLHQWR GH OD
SREODFLyQ
(Q VHJXQGR OXJDU FRQYLYLUiQ FDGD YH] PiV JHQHUDFLRQHV \
HOOR REOLJDUi D FRQFLOLDU FDGD YH] PiV LQWHUHVHV FXOWXUDV
PRGHORVGHWUDEDMR\ORTXHHVPiVLPSRUWDQWHGHFRPSURPLVR7RGRHOORFRQOOHYDUiXQUHGLVHxRGHORVLWLQHUDULRVSURIHVLRQDOHVFRQPi[LPRUHVSHWRSRUODVVLQJXODULGDGHVSHUVRQDOHVIDPLOLDUHV\VRFLDOHVGHORVSURIHVLRQDOHVGRQGHODV
PHGLGDVGHFRQFLOLDFLyQGHEHUiQWUDQVIRUPDUVHHQPHGLGDV
GHUHWHQFLyQ<HOORQRYDDVHUIiFLOGHFRPSDJLQDUFRQOD
UHVSXHVWDDODSUHVLyQDVLVWHQFLDO(QXQFRQWH[WRGHGHVDFHOHUDFLyQHFRQyPLFDHVIiFLOVXSRQHUTXHORVWUDEDMDGRUHVGH
ODRUJDQL]DFLyQVDQLWDULDFRPSDUWLUiQODVPLVPDVSUHRFXSDFLRQHV 3HUR OR FLHUWR HV TXH UDUDPHQWH HV DVt (Q XQD VLWXDFLyQ FRPR HVWD QR TXHGD RWUD RSFLyQ TXH SURFXUDU SRU
WRGRVORVPpWRGRVSRVLEOHVDXPHQWDUHOFRPSURPLVRGHORV
SURIHVLRQDOHVFRQODRUJDQL]DFLyQ(VWRDVXYH]SXHGHD\XGDUDHVWLPXODUODSURGXFWLYLGDGGHORVPLVPRV\IRPHQWDUHO
GHVHRGHD\XGDUDOKRVSLWDODVXSHUDUORVWLHPSRVGLItFLOHV
)LQDOPHQWHGRVEUHYHVUHVHxDVDFHUFDSRUXQODGRGHOLPSDFWRGHODIHPLQL]DFLyQGHODVSURIHVLRQHVVDQLWDULDV\SRU
RWURGHOPHQRUDSHJRGHORVSURIHVLRQDOHVDVXKRVSLWDO(Q
UHODFLyQDODSUHVHQFLDGHODPXMHUHQHOKRVSLWDOGRQGHVX
IXHUD ODERUDO \D HV DEVROXWDPHQWH PD\RULWDULD HO LPSDFWR VH FHQWUD HQ WRUQR D OR TXH VH KD GDGR HQ OODPDU HVWLOR
WUDQVIRUPDFLRQDOGHOLGHUD]JRIHPHQLQRTXHVHHQIRFDPiV
DODUJRSOD]R\TXHFRQVWUX\HPiVFRQVHQVR\FRODERUDFLyQ
\ TXH VHUi GH½QLWRULRV HQ HO QXHYR HVFHQDULR TXH VH GLEXMDGHOKRVSLWDOHQHOIXWXUR(QFXDQWRDODGLVPLQXFLyQGHO
DSHJRGHORVSURIHVLRQDOHVQRVHQFRQWUDPRVDO½QDOGHODLQFXHVWLRQDEOHSHUGXUDELOLGDGHQHOWUDEDMR\HOORREOLJDUiVLQ
GXGDDUHGH½QLUFDUUHUDVSURIHVLRQDOHVFRQWUDWRVIyUPXODV
GHWUDEDMR9DPRVDDVLVWLUDQXHYRVPRGHORVSURIHVLRQDOHV
GH FRODERUDFLyQ D WLHPSR SDUFLDO FRPSDUWLHQGR DFWLYLGDG
DVLVWHQFLDOLQWHUKRVSLWDOHV©TXHHVWDUiQDOWDPHQWHIDFLOLWDGRVSRUODVQXHYDVWHFQRORJtDV\TXHLQFOXVRSXHGHQOOHJDU
DODSDUDGRMDGHODFRODERUDFLyQHQGHWHUPLQDGDViUHDV\OD
FRPSHWHQFLDHQRWUDV
&pVDU 3DVFXDO )HUQiQGH] 'LUHFWRU *HUHQWH GH OD HPSUHVD
3~EOLFD+RVSLWDOHVGH9DOOHFDV3UHVLGHQWHGHO&RQJUHVR
1DFLRQDOGH+RVSLWDOHV
FHVDUSDVFXDO#VDOXGPDGULGRUJ
El hospital del futuro.
Antonio Pérez Rielo
César Pascual Fernández
Un cambio de perspectiva en torno a los recursos
humanos.
Madrid Network
*HQHUDOPHQWH FXDQGR VH VROLFLWDXQDRSLQLyQVREUHHOKRVSLWDO
GHOIXWXURHQWHQGHPRVTXHQRV
SUHJXQWDQ VREUH HVWUXFWXUD
DUTXLWHFWyQLFD FDPDV TXLUyIDQRV WHFQRORJtD SXQWD GH
DOWRFRVWH\FRPSOHMLGDG\HQ
RFDVLRQHV FyPR RUJDQL]DU
ORVJUDQGHVSURFHVRV
WLJDGRUDGHEHQVHUORVDUJXPHQWRVSDUDODLQFRUSRUDFLyQGH
ORVPHMRUHVSURIHVLRQDOHVVLQTXHVXSURFHGHQFLDVHDXQREVWiFXOR0HSURGXFHXQJUDQPDOHVWDUREVHUYDUFyPRSUHVWLJLRVRVSURIHVLRQDOHVHXURSHRVRHVWDGRXQLGHQVHVGHFDUUHUD
UHFRQRFLGDQRSRGUtDQVHUFDWHGUiWLFRVHQQXHVWUD8QLYHUVLGDGR'LUHFWRUHVGH8QLGDGHVGH*HVWLyQR-HIHVGH6HUYLFLRV
HQDOJXQRVKRVSLWDOHVGHQXHVWURSDtV6LQHPEDUJRHQEDVHD
VXFXUUtFXORVRQFRQWUDWDGRVHQRWURVSDtVHVHXURSHRVFRPR
$OHPDQLDR,QJODWHUUD
$ WtWXOR SHUVRQDO PH JXVWDUtD
SODQWHDU TXH DGHPiV GH HVWUXFWXUD\SURFHVRV¡TXpSDWRORJtDYDDVHUWUDWDGDHQFDGDFHQWUR
VHJ~QXQDSODQL½FDFLyQGHFDUWHUD
GH VHUYLFLRV DGHFXDGD D OD SREODFLyQ"HVQHFHVDULRSHQVDUHQORV
SURIHVLRQDOHV TXH QHFHVLWDPRV
TXp FRQRFLPLHQWRV \ FRPSHWHQFLDV VRQ QHFHVDULRV
SDUDSUHVWDUXQDDVLVWHQFLDDGHFXDGDH½FD]\H½FLHQWH\FRQUHVXOWDGRVDFRUGHVD
ORVTXHH[LJHQORVLQGLFDGRUHVGHFDOLGDG\EXHQDVSUiFWLFDV
(QDOJXQDVFRPXQLGDGHVEXVFDPRVRWUDVIRUPDVGHJHVWLyQ
GLVWLQWDV\TXHHQPXFKRVFDVRVVRQDEVRUELGRVR²FRQWDJLDGRV³SRUORVPRGHORVPiVFOiVLFRV
$ PL HQWHQGHU HO PDUFR EXURFUiWLFR ¡PHQRV IXQFLRQDULR PHQRV HVWDWXWDULR" HV H[FHVLYR SHUR QR SRGHPRV ROYLGDU
TXHODOHJLVODFLyQ\HVWDWXWRVHVWiQKHFKRVSRUSHUVRQDVGHO
FROHFWLYR 7UDEDMDPRV FRQ SHUVRQDO ½MR FRQ XQD HVWDELOLGDG
ODERUDO TXH QR VH GD HQ RWURV iPELWRV \ TXH QR HVWi VXMHWR
DFRPSURPLVRVGHIRUPDFLyQWUDEDMRRUHVXOWDGRV\WDPELpQ
FRQPXFKRVSURIHVLRQDOHVFRQWHPSRUDOLGDGHQHOVHFWRUS~EOLFRWDQDOWDFRPRHQHOVHFWRUSULYDGR\FRQXQDOWRQLYHOGH
LQVDWLVIDFFLyQHQHVWDVLWXDFLyQ3URWHFFLyQ\GHVSURWHFFLyQ
ODSHRUPH]FODSRVLEOH
3UHFLVDPRVXQPDUFRPiV¾H[LEOH/RVDFWXDOHVSURFHVRVGH
VHOHFFLyQ23(ODVEDUUHUDVGHODPRYLOLGDGLQWHUQDHQFRPSDUWLPHQWRVGHPDVLDGRFHUUDGRVORVVLVWHPDVGHEROVDVGH
FRQWUDWDFLyQDMHQRVDODVQHFHVLGDGHVHQHOSXHVWRGHWUDEDMR
ODQHFHVLGDGGHXQDSOD]DHQHOVLVWHPDSDUDRSWDUDGHWHUPLQDGRVSXHVWRVRHOHQGRJiPLFRVLVWHPDXQLYHUVLWDULRSDUD
ODKDELOLWDFLyQGHQXHVWURVFOtQLFRVVRQODVWUHVSDUDHOEXHQ
IXQFLRQDPLHQWR GHO KRVSLWDO GHO IXWXUR 1XHVWUR SURWHFFLRQLVPRQRWLHQHOtPLWHVLQFOXVRUHVHUYDPRVODVSOD]DVDOTXH
SLGHH[FHGHQFLDSDUDGHGLFDUVHDOHMHUFLFLRSULYDGR6LQULHVJR
VLHPSUHKDEUiFRPRGLGDG
(OPDQWHQLPLHQWRGHOSXHVWRGHWUDEDMRGHEHHVWDUGHDFXHUGR
FRQODVQHFHVLGDGHVGHpVWHODVIXQFLRQHVHODSUHQGL]DMH\ORV
UHVXOWDGRVTXHFRQWULEX\DQDOFXPSOLPLHQWRGHORVREMHWLYRV
SRUVXSXHVWRLQFOX\HQGRORVHFRQyPLFRVHQFRPHQGDGRVDO
KRVSLWDO
2WURVDVSHFWRVDGLVFXWLUHQHOKRVSLWDOGHOIXWXURVRQHOPRGHORUHWULEXWLYRODIRUPDFLyQSUH\SRVWJUDGRODWURQFDOLGDG
ODQXHYDVLWXDFLyQGHULYDGDGHORVHVWXGLRVGHJUDGRGHHQIHUPHUtDODIHPLQL]DFLyQGHODVDQLGDGODMRUQDGDODERUDOHQ
HOVHFWRUS~EOLFRODWXUQLFLGDGSHUPLVRV\OLFHQFLDVGtDVGH
OLEUHGLVSRVLFLyQHWF¡KRUDVUHDOHV"ODVFRPSDWLELOLGDGHVDO
PHQRVGH'LUHFWRUHVGHÆUHDGH*HVWLyQ-HIHVGH6HUYLFLRHO
WLHPSRGHXWLOL]DFLyQGHODVLQVWDODFLRQHV\HTXLSDPLHQWRVX
DPRUWL]DFLyQ\DOJXQRVRWURV
$VtSRGUtDPRVWHQHUHOFXDGURFRPSOHWRGHHVWUXFWXUDDGHFXDGDSURFHVRVELHQRUJDQL]DGRV\HTXLSRGLUHFWLYRMXQWRFRQ
SURIHVLRQDOHVQHFHVDULRVVLQHVWH~OWLPRDVSHFWRQXHVWUDYLVLyQGHOKRVSLWDOGHOIXWXURQRVHUtDFRPSOHWD
$QWRQLR3pUH]5LHOR'LUHFWRU*HUHQWH+RVSLWDO5HJLRQDO
8QLYHUVLWDULR&DUORV+D\D0iODJD
DQWRQLRSHUH]ULHORVVSD#MXQWDGHDQGDOXFLDHV
/D FRQWUDWDFLyQ HQ EDVH D SHU½OHV FRPSHWHQFLDOHV FRQRFLPLHQWR\H[SHULHQFLDDFUHGLWDGDVFDSDFLGDGGRFHQWHHLQYHV
El hospital del futuro: las ideas de los expertos
&XDQGR HO UHVXOWDGR GH XQD
XQLGDG SURGXFWLYD VH FRQVWUX\H HQ EDVH D OD VXPD
GH P~OWLSOHV GHFLVLRQHV
LQGLYLGXDOHV HV PXFKR
PiV UHQWDEOH LQFLGLU GLUHFWDPHQWHHQHVWHDPSOLR
DEDQLFR GH GHFLVLRQHV TXH
RUJDQL]DU HVWUXFWXUDV GH
JHVWLyQ FHQWUDOL]DGD (VWH HV
HOFDVRGHOD6DQLGDGHQTXH
FDGD YH] HV PiV HYLGHQWH TXH
SDUD FRQVHJXLU XQD JHVWLyQ H½FLHQWH HV
QHFHVDULD OD FRPplicidad de los proIHVLRQDOHV 3HUR
SDUD LPSOHPHQWDU
XQVLVWHPDGHJHVWLyQSDUWLFLSDWLYDHV
SUHFLVRODFRQYLFFLyQ\YDOHQWtDGHOD'LUHFFLyQ\WDPELpQXQ
HOHYDGRJUDGRGHPDGXUH]LQGLYLGXDO\FROHFWLYDGHPpGLFRV\
HQIHUPHUDV
5HIRUPXODU ODV RUJDQL]DFLRQHV VDQLWDULDV HQ EDVH D 8QLGDGHV
0XOWLGLVFLSOLQDUHVGH3URFHVRVHVXQUHWRQRIiFLOSHURSUREDEOHPHQWHHVXQDGHODVPHMRUHVHVWUDWHJLDVSDUDFRQVHJXLUXQDJHVWLyQiJLO\H½FLHQWHEDVDGDHQODLPSOLFDFLyQGHORVSURIHVLRQDOHV
(OORHVFUXFLDOSDUDJDUDQWL]DUODVRVWHQLELOLGDGGHOVLVWHPDKR\
HQGtDDPHQD]DGRSRUHOLQFUHPHQWRGHFRVWHV\ODUHGXFFLyQGH
LQJUHVRVTXHKDSURSLFLDGRODFULVLVHFRQyPLFR½QDQFLHUD
(VWHWLSRGH8QLGDGHVGHEHQRUJDQL]DUVHDOUHGHGRUGHHQIHUPHGDGHVRJUXSRVGHHQIHUPHGDGHVSUHYDOHQWHVRGHHQIHUPHGDGHVRSURFHVRVFRQHOHYDGRFRQVXPRGHUHFXUVRV3HUR
VyORVRQYLDEOHVVLVHLGHQWL½FDXQFODUROLGHUD]JRHQWUHDOJXQRV
GHORVSURIHVLRQDOHVTXHODVYDQDFRQVWLWXLU
/DV8QLGDGHVGHEHQUHVSRQVDELOL]DUVHGHWHQHUJXtDVGHSUiFWLFD FOtQLFD DFWXDOL]DGDV GH ODV HQIHUPHGDGHV TXH LQFOX\HQ \
TXHODVUHFRPHQGDFLRQHVGHHVWDVJXtDVFRQWHPSOHQGHIRUPD
H[SOtFLWD DVSHFWRV GH FRVWHH½FDFLD \ GH FRVWHRSRUWXQLGDG
FUtWLFRVHQXQVLVWHPDVDQLWDULRS~EOLFRFRQUHFXUVRVOLPLWDGRV
$GHPiVGHEHQLGHQWL½FDUVHORVUHVXOWDGRVGHVDOXGTXHTXLHUHQREWHQHUVH\TXHGHEHUiQPRQLWRUL]DUVHFRPRFXDGHUQRGH
JHVWLyQGHODXQLGDG(VSRUHOORTXHHVLPSUHVFLQGLEOHGLVSRQHU
GHXQDEDVHGHGDWRVVyOLGDTXHLQFOX\DDTXHOORVSDUiPHWURV
FXDQWLWDWLYRVSUHGHWHUPLQDGRVGHODHYROXFLyQGHORVSDFLHQWHV
/DV8QLGDGHVTXHLQFOX\HQHQIHUPHGDGHVTXHSUHFLVDQGHXQ
DOWRFRPSRQHQWHWHFQROyJLFRRGHFRQRFLPLHQWRPX\HVSHFLDOL]DGRSDUDVXUHVROXFLyQGHEHQRUJDQL]DUVHFRQXQDFODUDYLVLyQ
KRVSLWDODULD\DPHQXGRLQFOX\HQGRWDPELpQSURIHVLRQDOHVGH
GLVFLSOLQDV QR HVWULFWDPHQWH VDQLWDULDV FRPR ELRLQJHQLHURV R
ELRLQIRUPiWLFRV3HURODV8QLGDGHVGHHQIHUPHGDGHVPX\SUHYDOHQWHV\HVSHFLDOPHQWHDTXHOODVFRQXQHOHYDGRFRPSRQHQWH
GHFURQLFLGDGGHEHQRUJDQL]DUVHHQFODYHWHUULWRULDO(VGHFLU
DJUXSDFLRQHVGHSURIHVLRQDOHVGHOiPELWRKRVSLWDODULRGHPHGLFLQDIDPLOLDUGHDSR\RGRPLFLOLDULR\GHDVLVWHQFLDVRFLDO<
FRQHOVRSRUWHGHHVWUXFWXUDVOLJHUDVFRPRKRVSLWDOHVGHGtD
GLVSRVLWLYRV GH DOWD UHVROXFLyQ ²FDOO FHQWHUV³ \ HVWUXFWXUDV
GHKRVSLWDOL]DFLyQDVLVWHQFLDGRPLFLOLDULDDSR\DGDVHQKHUUDPLHQWDVGHWHOHDVLVWHQFLDWHOHPRQLWRUL]DFLyQ
3DUDREWHQHUHOPi[LPRUHQGLPLHQWRGHHVWHWLSRGH8QLGDGHV
GH 3URFHVRV VRQ QHFHVDULRV WUHV UHTXLVLWRV (Q SULPHU OXJDU
XQ VLVWHPD GH LQIRUPDFLyQ TXH JDUDQWLFH OD FRPXQLFDFLyQ \
HO FRPSDUWLU GDWRV HQWUH ORV SURIHVLRQDOHV GH WRGRV ORV QLYHOHVDVLVWHQFLDOHVLQFOXLGRVHQOD8QLGDG\DVHDGLVSRQLHQGRGH
XQKLVWRULDFOtQLFDHOHFWUyQLFDFRP~QRFRPRPtQLPRGHXQD
SODWDIRUPDGHLQWHURSHUDELOLGDGTXHFRPXQLTXHGLIHUHQWHVVLVWHPDVGHLQIRUPDFLyQ(QVHJXQGROXJDUGRWDUDOD8QLGDGGH
XQDFXHQWDGHH[SORWDFLyQ<HQWHUFHUOXJDUXQFDPELRHQHO
VLVWHPDGHSDJRTXHSDVHGHODFWXDOSDJRSRUDFWLYLGDGDXQ
VLVWHPDTXHFRPELQHHOFRQFHSWRGHSDJRFDSLWDWLYRFRQHOGH
SDJROLJDGRDUHVXOWDGRVGHVDOXG
-RVHS03LTXpHV'RFWRUHQ0HGLFLQD\'LUHFWRU*HQHUDOGHO
+RVSLWDO&OtQLFGH%DUFHORQD
MPSLTXH#FOLQLFXEHV
Adaptación a la Cronicidad.
Santiago Rabanal
Josep M. Piqué
Unidades de procesos como base fundamental
de la gestión sanitaria.
Madrid Network
8QRGHORVUHVXOWDGRVGHQXHVWUR
6LVWHPD 1DFLRQDO GH 6DOXG HV
OD SURORQJDFLyQ GH OD HVSHUDQ]D GH YLGD HQ ODV ~OWLPDV
GpFDGDV \ FRPR FRQVHFXHQFLDGHHOORHODXPHQWRGHOD
SUHYDOHQFLDGHODVSHUVRQDV
TXH SDGHFHQ HQIHUPHGDGHV FUyQLFDV DFWXDOPHQWH
VXSRQHQ HO GH ODV LQWHUDFFLRQHV FRQ 2VDNLGHW]D \
FRQVXPHQ HO GHO JDVWR
GH PDQHUD TXH OD PD\RUtDGHORVSDFLHQWHV
GH QXHVWUR
VLVWHPD
VDQLWDULR VRQ
FUyQLFRV DIHFWDGRV SRU XQD R PiV SDWRORJtDV 0LHQWUDV
VH GDEDQ HVWRV FDPELRV HQ OD VRFLHGDG QXHVWURV KRVSLWDOHVQRKDQYDULDGRVXHQIRTXHDOSDFLHQWHDJXGRRFUyQLFR
UHDJXGL]DGR SRU WDQWR HQ HVWRV PRPHQWRV VL TXHUHPRV
VHJXLUSUHVWDQGRXQDDVLVWHQFLDGHFDOLGDGQRVYHPRVHQ
OD REOLJDFLyQ GH FRPSOHPHQWDU HVWH HQIRTXH WHQLHQGR HQ
FRQVLGHUDFLyQORVIDFWRUHVTXHVRQLPSRUWDQWHVHQODVLQWHUYHQFLRQHVFRQHQIHUPRVFUyQLFRV
7HQJDQXQVLVWHPDGHVHJXLPLHQWRFRQWLQXRWDQWRYLUWXDO
FRPRSUHVHQFLDO
'LVSRQJDQGHXQSODQGHFRQWUROGHVXHQIHUPHGDGSDFWDGRFRQHOSURIHVLRQDOVDQLWDULR
'LDJQyVWLFR FHQWUDGR HQ HO LQGLYLGXR HQ VX FRQMXQWR LQFOX\HQGRHQWRUQRVRFLDOIUHQWHDGLDJQyVWLFRFHQWUDGRHQ
ODHQIHUPHGDG\VtQWRPDVDJXGRV
0D\RULPSRUWDQFLDGHODVLQWHUYHQFLRQHVSURDFWLYDVSUHYHQWLYDV\UHKDELOLWDGRUDV
5ROPiVLPSRUWDQWH\DFWLYRGHOSDFLHQWH\VXFXLGDGRU
1HFHVLGDGGHFRRUGLQDFLyQLQWHJUDFLyQGHWRGRVORVQLYHOHVGHDWHQFLyQ
6DQWLDJR5DEDQDO'LUHFWRU*HUHQWHGHO+RVSLWDO*DOGDNDR
8VDQVROR
&RPR VH SXHGH IiFLOPHQWH YLVXDOL]DU ORV FDPELRV QHFHVDULRV HQ QXHVWUDV RUJDQL]DFLRQHV SDUD GDU XQD UHVSXHVWD
DGHFXDGDDHVWHUHWRWLHQHQXQDVSHFWRFRP~QVXFRPSOHMLGDGSXHVWRTXHUHTXLHUHQXQJUDQQ~PHURGHLQWHUYHQFLRQHVHQGLYHUVDViUHDVGHDFWLYLGDGVLHQGRQHFHVDULRDFWXDU
VREUHGLIHUHQWHVIDFWRUHV\DJHQWHV3DUDSRGHUOOHYDUDGHODQWHFRQJDUDQWtDVGHp[LWRHVWHFDPELRQHFHVLWDPRVXQD
WUDVIRUPDFLyQSURJUHVLYDHLQWHJUDOGHQXHVWURVLVWHPDGH
SUHVWDFLyQGHDVLVWHQFLDVDQLWDULD
3DUD LPSOHPHQWDU HVWD WUDQVIRUPDFLyQ VH QHFHVLWD XQD
FRPELQDFLyQ GH GLUHFFLyQ HVWUDWpJLFD FRQ FRPSURPLVR FOtQLFR\JHUHQFLDO'HEHPRVWHQHUXQDYLVLyQ\DVSLUDFLRQHV
FRPXQHVTXHGHEHQHVWDUELHQFRPXQLFDGDV\FRPSDUWLGDV
GHPDQHUDTXHWRGRVORVDFWRUHVGHODWUDVIRUPDFLyQVHSDQ
ODPHWDTXHVHTXLHUHDOFDQ]DUDGHPiVGHEHQGDUVHXQDV
UHJODVGHMXHJREiVLFDVFRPSDUWLGDVSRUJHUHQWHV\SURIHVLRQDOHV5HJODVTXHFRQVLVWHQHQXQD½QDQFLDFLyQEDVDGD
HQUHVXOWDGRVTXHSURPXHYDQHOXVRH½FLHQWHGHORVUHFXUVRV\XQDVHOHFFLyQGHODVLQWHUYHQFLRQHVHQIXQFLyQGHFULWHULRVGHHYLGHQFLDFLHQWt½FD
VDQWLDJRUDEDQDOUHWROD]D#RVDNLGHW]DQHW
(VWDVGLIHUHQFLDVHQHOHQIRTXHGHODVLQWHUYHQFLRQHVKDFHQ
TXHHOIHQyPHQRGHODFURQLFLGDGUHTXLHUDXQPRGHORGLIHUHQWHDOWtSLFDPHQWHXWLOL]DGRSDUDORVDJXGRV(QHODFWXDO
PRGHOR RUJDQL]DWLYR HO SDFLHQWH FUyQLFR UHFLEH XQD DWHQFLyQPiVHSLVyGLFDTXHFRQWLQXD\ODFRQVXOWDHVWiQRUPDOPHQWHGHWHUPLQDGDSRUORVSUREOHPDVDJXGRVTXHOHKDQ
VXUJLGR DO SDFLHQWH HVWDPRV DQWH XQ PRGHOR UHDFWLYR GH
DVLVWHQFLD'HEHPRVLUKDFLDXQPRGHORRUJDQL]DWLYRPiV
SURDFWLYRSDUDDVHJXUDUTXHORVSDFLHQWHV
6HDQFDSDFHVGHJHVWLRQDUVXHQIHUPHGDG
5HFLEDQORVFXLGDGRVSDUDHOFRQWUROGHVXHQIHUPHGDG\
ODSUHYHQFLyQGHFRPSOLFDFLRQHV
El hospital del futuro: las ideas de los expertos
/DQHFHVLGDGGHRSWLPL]DUFRVWHV
GHEXVFDUODH½FLHQFLDGHDVHJXUDU OD FDOLGDG GH ORV VHUYLFLRVGHSRWHQFLDUDOPi[LPR
ODV FDSDFLGDGHV \ FRQRFLPLHQWRVGHORVSURIHVLRQDOHV
GHXQKRVSLWDOVRQREMHWLYRV
SHUGXUDEOHV 3RU HOOR HQ HO
IXWXUR LQPHGLDWR GHEHUiQ
EXVFDUVH IyUPXODV \ DFFLRQHV TXH OOHYHQ D OD PHMRUD
HQ VX FRQVHFXFLyQ /D RUJDQL]DFLyQ GH ORV KRVSLWDOHV D
WUDYpV GH OD LQWHJUDFLyQ
KRUL]RQWDOGHDOJXQRVGHVXVVHUYLFLRV SXHGH
FRQVWLWXLUVH
FRPR XQD
I y U P X O D
RUJDQL]DWLYDVXPDPHQWH~WLOHQODFRQVHFXFLyQGHORVPLVPRV 1R WRGRV ORV KRVSLWDOHV SRGUiQ GLVSRQHU GH ODV HVWUXFWXUDVMHUiUTXLFDVGHVHUYLFLRVFOtQLFRVFRPRODVHQWHQGHPRVHQODDFWXDOLGDGVyORGHDTXHOODVTXHSRUYROXPHQ
\FRPSOHMLGDGVHDQVRVWHQLEOHV3RUFRQVLJXLHQWHHVWDIyUPXODDFHUFDORVVHUYLFLRVDORVSDFLHQWHVHYLWDQGRGHVSOD]DPLHQWRV1RHVXQPRGHORDSOLFDEOHDWRGRVORVVHUYLFLRV
SHURVtDDTXHOORVTXHSRUYROXPHQGHDFWLYLGDGGLVSRQHQ
GH SRFRV SURIHVLRQDOHV \ WLHQHQ PXFKDV GL½FXOWDGHV SDUD
SRGHUVHJXLUDGHODQWHRFRQVWLWXLUVH
/DLQWHJUDFLyQGHVHUYLFLRVSDVDSRUODVFRODERUDFLRQHV\
DOLDQ]DVHVWUDWpJLFDVHQWUHGLVWLQWRVKRVSLWDOHVSDUDSUHVWDUXQGHWHUPLQDGRVHUYLFLR$VtHVSRVLEOHTXHXQGHWHUPLQDGRVHUYLFLRFOtQLFRSUHVWHVHUYLFLRVDVLVWHQFLDOHVDRWUR
KRVSLWDOGHVSOD]iQGRVHORVSURIHVLRQDOHVSDUDFXEULUQHFHVLGDGHV\VLQTXHHOKRVSLWDOWHQJD OD QHFHVLGDG GH GHVDUUROODUXQVHUYLFLRMHUDUTXL]DGRSDUDFXEULUODGHPDQGD
DVLVWHQFLDO2ELHQTXHSRUHMHPSORGRVHTXLSRVFRODERUHQ
SDUDFXEULUODVJXDUGLDVWHUULWRULDOHVTXHDQWHVVHFXEUtDQ
SRUVHSDUDGRRELHQXQRGHHOORVQRFXEUtD(OPRGHORGH
LQWHJUDFLyQOOHYDDTXHXQ~QLFRVHUYLFLRFOtQLFRSXHGDDWHQGHUDODGHPDQGDGHPiVGHXQKRVSLWDO\TXHFRQHOORFRQVLJDPiV²HQHV³HQODVSDWRORJtDVDWHQGLGDVSXHGDDFFHGHU
DGRFHQFLD\DWUDEDMRVGHLQYHVWLJDFLyQ\TXHFRQODRUJDQL]DFLyQWUDGLFLRQDOGHXQVHUYLFLRSRUKRVSLWDOQRSRGUtD
$VtORVSURIHVLRQDOHVFRQVLJXHQYHUPiVSDWRORJtDVWHQHU
XQD FDSDFLWDFLyQ \ XQD H[SHULHQFLD PD\RU TXH VL WUDEDMDVHQSRUVHSDUDGR(YLGHQWHPHQWHHOORFRQOOHYDHVIXHU]RV
FRPR HV HO GHVSOD]DPLHQWR HQWUH KRVSLWDOHV R ELHQ TXH
ORVKRVSLWDOHVUHFRQR]FDQFRPRVX\RVDORVSURIHVLRQDOHV
TXH²YLHQHQGHIXHUD³(QUHVXPHQXQD~QLFDRUJDQL]DFLyQ
SDUDYDULRVKRVSLWDOHV
/RV KRVSLWDOHV RUJDQL]DGRV HQ UHG GDUiQ FRPR UHVXOWDGR
XQVLVWHPDPiVRULHQWDGRDORVUHVXOWDGRVGHOSURSLRVLVWHPDTXHDORVGHOFHQWUR/DPLUDGDGHOKRVSLWDO\DQRVHUi
~QLFDPHQWH KDFLD VX WHUULWRULR GH LQ¾XHQFLD QDWXUDO VLQR
WHQGUiXQDPLUDGDPiVDPSOLDKDFLDWRGRVDTXHOORVWHUULWRULRVGRQGHSXHGDPHMRUDUDWUDYpVGHVXVSURIHVLRQDOHV
ORVLQGLFDGRUHVGHVDOXG
-DXPH5DYHQWyV0RQMR*HUHQWHGHO+RVSLWDOGHO0DU/LFHQFLDGRHQ)DUPDFLD'LSORPDGR*HVWLyQ*HUHQFLDO+RVSLWDODULD
\0%$
MUDYHQWRV#KRVSLWDOGHOPDUFDW
¿Y si no les llamásemos hospitales?.
Juan Reig
Jaume Raventós Monjo
Hospitales en red: la integración horizontal.
Madrid Network
(O PXQGR DELHUWR \ JOREDOL]DGRHQHOTXHYLYLPRVQRV
H[LJHKDEODUGHDWHQFLyQ
DODVDOXGHQFXDOTXLHU
VLWLR\HQFXDOTXLHUPRPHQWR /RV HVSDFLRV
FOtQLFRV WUDGLFLRQDOHV
TXH OODPDPRV KRVSLWDOHV WHQGUiQ TXH
WUDQVIRUPDUVH HQ HVSDFLRV PXOWLIXQFLRQDOHV
GH DWHQFLyQ \ FRPSDUWLU
SURWDJRQLVPR FRQ
QXHYRV SXQWRV GH
cuidado: la casa,
ODFRPXQLGDGHVSDFLRV GH OD YLGD
GLDULD FRPR HO
OXJDU GH WUDEDMR
R ORV FHQWURV FRPHUFLDOHV
GHORVGHDWHQFLyQSDUDPHMRUDUODH½FLHQFLD\GLVPLQXLUORV
HUURUHVFRQQXHYDVSRVLELOLGDGHVSDUDWUDWDPLHQWRVDPEXODWRULRVFDGDYH]PHQRVLQYDVLYRV(OIRFRGHODLQQRYDFLyQ
WHFQROyJLFD GHEHUi HVWDU FHQWUDGR HQ ODV SHUVRQDV HQ OD
IDFLOLGDGGHXVRGHORVGLVSRVLWLYRVHQODVDOXGHQPRYLOLGDG
P6DOXGTXHVHUiHOSUy[LPRJUDQPRYLPLHQWRWHFQROyJLFR/RVPRGHORVGHDWHQFLyQLUiQFDPELDQGRGHHSLVyGLFRV
\EDVDGRVHQFOtQLFDVKRVSLWDOHVDPRQLWRUL]DFLyQFRQWLQXD\
WUDWDPLHQWRUHPRWRHQHQWRUQRVLQWHOLJHQWHVFRQKRVSLWDOHV
FOtQLFDVGRPLFLOLRV\RWURVHVSDFLRVDOWDPHQWHWHFQRORJL]DGRV©\GHSHQGLHQWHVGHHVDWHFQRORJtD
7RGRXQDEDQLFRGHQXHYDVRSRUWXQLGDGHVKR\DFRPSDxDGDV
\VRSRUWDGDVSRUODWHFQRORJtD\XQQXHYRHQWRUQRVRFLDOSDUWLFLSDWLYR\DELHUWRTXHQRVSXHGHQD\XGDUHQODWUDQVLFLyQ
KDFLDHVDWUDQVIRUPDFLyQQHFHVDULDHLQHYLWDEOH
-XDQ5HLJ0pGLFR\'LUHFWRUGH&RQVXOWRUHV(XURDPHULFDQRV
$VRFLDGRVFRQH[SHULHQFLDHQ7,&\VDOXG\QXHYDVWHQGHQFLDV
MUHLJU#JPDLOFRP
1XHVWUDVYLGDVFRQHFWDGDVVLHPSUH²RQ³SHUPLWHQ\DQXHYDVSRVLELOLGDGHVGHGLDJQyVWLFRWUDWDPLHQWR\VHJXLPLHQWR
/D SUHVLyQ GH ORV FRVWHV HO URO FDPELDQWH GH OD UHVSRQVDELOLGDGLQGLYLGXDOIUHQWHDULHVJRVGHVDOXGKDFHTXHSRU
HOHFFLyQ R SRU REOLJDFLyQ ORV SDFLHQWHVSHUVRQDV WHQJDQ
TXH LQYROXFUDUVH HQ OD JHVWLyQ GH VX VDOXG \ HOOR FRQOOHYD
FDPELRVHQORVHVSDFLRVGRQGHDKRUDVHSUHVWDODDWHQFLyQ
7HQGUiQVHUFDSDFHVGHPRQLWRUL]DUQXHVWURELHQHVWDUItVLFR VRFLDO \ HPRFLRQDO RIUHFLHQGR QXHYDV RSFLRQHV SDUD OD
JHVWLyQSHUVRQDOL]DGDGHQXHVWUDVDOXGDGDSWDQGR\SHUVRQDOL]DQGRORVUHFXUVRV8QFDPELRTXHQRVRORDIHFWDDODV
KHUUDPLHQWDVVLQRDODYLVLyQVREUHODVDOXG
(O FRQFHSWR GH VDOXG HV FDGD YH] PiV KROtVWLFR \ VX WUDVODFLyQDORVHVSDFLRVGRQGHVHSUHVWHODDWHQFLyQRVHGLVSHQVHQ FXLGDGRV LUUHQXQFLDEOH 7HQGUiQ TXH LQWHJUDUVH \
FRQYLYLUFRQRWUDVSUiFWLFDVGHVDOXGQRWUDGLFLRQDOHVDFXSXQWXUDPDVDMHVQXWULFLyQPHGLWDFLyQELHQHVWDUEHOOH]D
HWFHQHOSURFHVRGHDWHQFLyQ\FXUDFLyQ/RVSURYHHGRUHV
GH VDOXG GHEHUiQ RIUHFHU SURJUDPDV GH VDOXG DWHQFLyQ \
FXLGDGRVSDUDWRGDODYLGDGHPRVWUDQGRVHQVLELOLGDGFRQOD
VRVWHQLELOLGDG\HOEDODQFHHFROyJLFRGHVXVLQVWLWXFLRQHV\
GHVXVDFWXDFLRQHV
(VRVHVSDFLRVGHDWHQFLyQWUDQVIRUPDGRVVHEHQH½FLDUiQGH
VHU HFRVLVWHPDV GH LQQRYDFLyQ LQFOX\HQGR DO VHFWRU WHFQROyJLFRKDFLHQGRpQIDVLVHQODLQYHVWLJDFLyQGHQXHYRVPR
El hospital del futuro: las ideas de los expertos
(OFRQFHSWRGH+RVSLWDOTXHKHPRVYLYLGRKDVWDODIHFKDUHVSRQGtDDXQ
3DUDGLJPD TXH VHQFLOODPHQWH \D QR IXQFLRQD 1R H[LVWH
(VWDED FRQGLFLRQDGR SRU
OD QHFHVLGDG GH OD UHODFLyQ
SUHVHQFLDO PpGLFRSDFLHQWH
atado al locus físico del HosSLWDO \ FRQ XQD LPSRUWDQWH
DVLPHWUtD UHODFLRQDO (VWRV
FRQFHSWRVKDQVLGRODSODFHQWD
HQODTXHOD6DQLGDG\OD0HGLFLQDTXHKHPRVFRQRFLGR
VHKDQGHVDUUROODGR
GHVGH HO FRPLHQ]R
GH OD PHGLFLQD 0RGHUQDDSULQFLSLRVGHO
VLJOR;,;
(OFDPELRGHO3DUDGLJPDKDFLDXQD6DQLGDGHOHFWUyQLFDHQ
OD DFHSFLyQ 0F/XKLDQD GHO WpUPLQR KDFH TXH HO +RVSLWDO
WUDGLFLRQDOVHKD\DYDFLDGRGHFRQWHQLGR
(O+RVSLWDOGHOIXWXUR\DQRHVXQ +RVSLWDO HV RWUD FRVD
'HEH RULHQWDUVH HQ WRUQR D 3URFHVRV SHUR VREUH WRGR D
UHODFLRQHVHQWUHORVGLIHUHQWHVDFWRUHVpVWHHVHOYHUGDGHURPRWLYRGHODREVROHVFHQFLDGHOPRGHORDFWXDOTXHHV
LQFDSD]GHVDWLVIDFHU
$FWXDOPHQWH WHQHPRV PiV XQ FRUVp TXH LPSLGH OD SURJUHVLyQTXHXQYHUGDGHURPRGHORTXHSHUPLWDODVQXHYDV
IXQFLRQDOLGDGHV
(O+RVSLWDOGHOIXWXURGHEHRULHQWDUVHIXQGDPHQWDOPHQWH
HQWRUQRD
8QFRUD]yQHQWUHWHMLGRSRUORVVLVWHPDVGHLQIRUPDFLyQ
GRQGHHOHPSOHRGHODVPiVDYDQ]DGDVKHUUDPLHQWDVWHFQROyJLFDVVHDXQHOHPHQWRIDFLOLWDGRUGHODVLQWHUDFFLRQHV
TXHHQVXVHQRVHGHVDUUROODQDVtFRPREULQGDULQIRUPDFLyQUHOHYDQWHDORVDFWRUHVGHOVLVWHPD
8QD HVWUXFWXUD HQ OD TXH VX QDWXUDOH]D VHD OD LQWHJUDFLyQ GH WRGRV HVWRV DFWRUHV GHO VLVWHPD VDQLWDULR WDQWR
FRPXQLWDULRV FRPR KRVSLWDODULRV GRPLFLOLDULRV \ VRFLR
VDQLWDULRV
/DYHUGDGHUDUD]yQGHVHU\HOYHUGDGHURREMHWLYRGHEHVHU
ODFRRUGLQDFLyQ
8QVHPLOOHURGHFRQRFLPLHQWRHLQQRYDFLyQDVtFRPRXQ
WHUUHQRDERQDGRDSDUWHQDULDGRV\6WDUWVXSVFRQ(PSUHVDVGHO6HFWRU6DOXGFRQXQDUREXVWDYRFDFLyQGH1HJRFLR(PSUHVD HQ XQ FRQWH[WR GH PD\RU SHUPHDELOLGDG GH
GLFKDVSUiFWLFDV
8QDRUJDQL]DFLyQRULHQWDGDDOD$FFHVLELOLGDGGHORVFLXGDGDQRVGRQGHpVDVHDXQRGHORVGULYHUVGHOD(PSUHVD
(Q XQ FRQWH[WR GRQGH HO SDFLHQWH HQ YLUWXG GH XQD UHFHSFLyQGHODLQIRUPDFLyQHQIRUPDWRPXOWLFDQDOVHDFHUFD
FDGDYH]PiVDOQLYHOGHFRQRFLPLHQWRVGHOSURIHVLRQDOODV
UHODFLRQHVPpGLFRSDFLHQWHVHHVWUHFKDQ\ODDVLPHWUtDVH
SLHUGH(VWRHVHVSHFLDOPHQWHLPSRUWDQWHHQODDWHQFLyQD
ODFURQLFLGDG'HEHVHUWDPELpQSRUWDQWRXQFHQWURSURPRWRUGHODIRUPDFLyQGHORVSDFLHQWHVFUyQLFRVGRQGHVH
OHVDGLHVWUDHQHODXWRFXLGDGRHQHOXVRGHOUHVWRGHORV
GLVSRVLWLYRVFRPXQLWDULRV\GHOXVRGHFRPSRUWDPLHQWRV\
WHFQRORJtDVHVSHFLDOPHQWHDTXHOODVORZFRVW&ODUDPHQWHWDQWRORVIHQyPHQRVGH3DUWHQDULDGR\DVRFLDFLRQLVPR
HQVXVGLVWLQWDVIDFHWDVFREUDUiQPD\RUUHOHYDQFLD
3RU~OWLPR²EXWQRWOHDVW³OD²UHDFWXDOL]DFLyQ³GHOHQWRUQR
GHKRVSLWDOL]DFLyQHVRVtGHXQPRGRGLIHUHQWHHQXQ&HQWUR6DQLWDULRGRQGHORSUHVHQFLDOYXHOYHDUHYDORUL]DUVHHQ
XQHQWRUQRDOWDPHQWHSURWRFROL]DGR
$QWRQLR5RLEiV9DOGpV*HUHQWHGHO+RVSLWDO9DOOHGHO1DOyQ
HQ5LDxR
JHUHQFLDJDH#VHVSDSULQFDVWHV
El gran gestor de la información.
Álvaro Sáenz de Viteri
Antonio Roibás Valdés
El hospital del futuro no es un hospital.
Madrid Network
3UHGHFLU HO IXWXUR VLHPSUH
FRQOOHYD XQ JUDGR GH LQFHUWLGXPEUHLPSRUWDQWH
pero de todas las forPDV FRPR HO IXWXUR
FRPLHQ]D KR\ FRQ HO
FRQRFLPLHQWRGHODVLWXDFLyQWHFQROyJLFDDFWXDO \ DOJXQDV LQWXLFLRQHVVtSRGUHPRVDWLVEDU
PXFKRV GH ORV DWULEXWRV
FRQ TXH GHEHUiQ FRQWDU
los hospitales de los
SUy[LPRVDxRV
HQGLH]DxRVVXSDUWLFLSDFLyQSRUFHQWXDOGHO3,%3RUWDQWRHV
QHFHVDULRUHGREODUORVHVIXHU]RVHQJHVWLyQ\HQSUHYHQFLyQD
½QGHKDFHUVRVWHQLEOHHOVLVWHPD
(O PDUFR HQ HO
que se desarroOODUi OD DVLVWHQFLD VDQLWDULD HQ
HO IXWXUR YLHQH
F R Q G L F L R Q D G R
por:
*UDQFHQWURWHFQROyJLFRFRQTXLUyIDQRVLQWHJUDGRV\FRPSOHMRV\PHGLRVLQWHUYHQFLRQLVWDVPX\LPSRUWDQWHVFRQJUDQGHV
iUHDVGH8&,\853$\PHQRUQ~PHURGHFDPDV2WUDFDUDFWHUtVWLFDVHUiODHVSHFLDOL]DFLyQGHORVFHQWURV1RWRGRVHSRGUi
UHDOL]DUHQWRGDVSDUWHVSRUFODUDVUD]RQHVGHFDOLGDG\H½FLHQFLD
1XHYR SDFLHQWH FRQ XQD PD\RU LQIRUPDFLyQ GHPDQGDQGR
DVLVWHQFLDGHFDOLGDGSUHVWDGDFDVLGHIRUPDFXDVLLQPHGLDWD
(OFRQWLQXRDXPHQWRGHODHVSHUDQ]DGHYLGDOOHYDDXQLQFUHPHQWRLPSRUWDQWHGHSDFLHQWHVFRQHQIHUPHGDGHVFUyQLFDV\
SOXULSDWROyJLFDV
1XHYDV WHFQRORJtDV HO DYDQFH WpFQLFR WDQWR HQ HTXLSRV GH
GLDJQyVWLFR FRPR HQ HO iUHD LQWHUYHQFLRQLVWD HVWi KDFLHQGR
FDPELDU HO SODQWHDPLHQWR GHO KRVSLWDO /D FLUXJtD PtQLPDPHQWHLQYDVLYDTXHYDDOOHJDUDOtPLWHVLQVRVSHFKDGRVHVWi
LPSODQWDQGRFDGDGtDPiVODDPEXODWRUL]DFLyQGHORVSURFHVRV
TXLU~UJLFRV UHGXFLHQGR ODQHFHVLGDGGH FDPDV HQ HO VHQWLGR
WUDGLFLRQDO
'HVDUUROORGHODLQIRUPiWLFD\ODFRPXQLFDFLyQ7,&6XPi[LPDH[SUHVLyQYDDFRQVWLWXLUODWDUMHWDLQGLYLGXDOVDQLWDULDTXH
LQFRUSRUDUiHQVXFKLSODOODYHDODKLVWRULDFOtQLFDGHOSDFLHQWHTXHVHUi~QLFDFRPSDUWLGD\DFFHVLEOHGHVGHGRQGHGHED
SUHVWDUVH OD DVLVWHQFLD OD FLWD R HO FRQVHMR GH IRUPD TXH pO
PLVPRVHUiHOSRUWDGRUGHWRGDVXLQIRUPDFLyQ(VWRXQLGRDO
GHVDUUROORGHODWHOHPHGLFLQD\ODWHOHPRQLWRUL]DFLyQYDDFRQVWLWXLUHOYHKtFXORFRQGXFWRUGHODRUJDQL]DFLyQDVLVWHQFLDO
<WRGRHOORHQXQHVFHQDULRGHFRQWLQXDFULVLVSXHVWRGRVHVWRV FRQGLFLRQDQWHV LQFLGHQ HQ XQ LPSUHVLRQDQWH FUHFLPLHQWR
GHOJDVWRVDQLWDULRDOJXQDSUHYLVLRQHVDSXQWDQDTXHVHGREOH
&RQWRGRHOORODFXHVWLyQQRHVVyORDERUGDUHOSUREOHPDGHO
IXWXURKRVSLWDOVLQRGH½QLUFyPRGyQGH\GHTXpIRUPDVHYDQD
SUHVWDUFDGDXQRGHORVVHUYLFLRVDVLVWHQFLDOHV6HYDDSURGXFLU
XQDWUDQVIHUHQFLDGHWHFQRORJtDVDFWXDOPHQWHKRVSLWDODULDVD
RWURVQLYHOHVDVLVWHQFLDOHV\ODVSRVLELOLGDGHVGHLQIRUPDFLyQ\
FRPXQLFDFLyQVHxDODGDVYDQDSHUPLWLUXQDPD\RULQWHJUDFLyQ
GHODDVLVWHQFLDHQWRUQRDOSDFLHQWH
(OKRVSLWDOHQVtPLVPR\GDQGRUHVSXHVWDDORVFRQGLFLRQDQWHV
DQWHULRUHVVHFRQFLEHFRQODVVLJXLHQWHVFDUDFWHUtVWLFDV
*UDQiUHDGHFRQVXOWDVH[WHUQDVGRQGHVHUHVXHOYHGHIRUPD
UiSLGD\H½FD]WRGRVORVGLDJQyVWLFRVGHDWHQFLyQHVSHFLDOL]DGD
SUHYLDPHQWH½OWUDGRVSRURWURVQLYHOHV
(OKRVSLWDOVHYDDFRQVWLWXLUHQHOJUDQJHVWRUGHODLQIRUPDFLyQ\FRQWUROGHORVSDFLHQWHVGHVGHHOVHJXLPLHQWRGHWRGDVODV
WHOHPRQLWRUL]DFLRQHVHODQiOLVLVGHWRGRVORVSDUiPHWURVSURJUDPDFLyQGHFLWDVHWFLQWHJUiQGRORWRGRHQODV++&&~QLFDV
GHPDQHUDTXHHVWDUiDGLVSRVLFLyQGHFDGDQLYHODVLVWHQFLDOOD
LQIRUPDFLyQQHFHVDULDSDUDHODERUGDMHJOREDOGHOSDFLHQWH
'HVGHHOSXQWRGHYLVWDDUTXLWHFWyQLFRHOKRVSLWDOWHQGUiTXH
VHUQHFHVDULDPHQWH¾H[LEOHSDUDSRGHUDOEHUJDUHQHOIXWXUR
QXHYDVQHFHVLGDGHV\WHFQRORJtDV$GHPiVVHUiH½FLHQWHHQOD
XWLOL]DFLyQGHHQHUJtD
7RGR HOOR UHTXHULUi GH XQ DVSHFWR IXQGDPHQWDO TXH HV HO
FDPELRGHODVRUJDQL]DFLRQHVSDUDDGSWDUVHDHVWDQXHYDUHDOLGDGUHDOLGDG/RVUROHVGHORVSURIHVLRQDOHVVHPRGL½FDUiQ\
GHEHUiQWHQGHUDPRGHORVPiV¾H[LEOHVVLHQGRQHFHVDULRTXH
ORV LQFHQWLYRV GH YHUGDG HVWpQ HQ FRQVRQDQFLD FRQ HO YDORU
DxDGLGRDSRUWDGR\ODH½FLHQFLD
ÆOYDUR 6iHQ] GH 9LWHUL 6XEGLUHFWRU GH &RPSUDV 2EUDV \
6HUYLFLRV(VWUDWpJLFRVGH2VDNLGHW]D
DOYDURVDHQ]GHYLWHULEHOOR#RVDNLGHW]DQHW
El hospital del futuro: las ideas de los expertos
6yOR VDELHQGR FyPR HV HO PRGHOR
VDQLWDULRDOTXHSUHWHQGHPRVOOHJDU VHUHPRV FDSDFHV GH GH½QLUORVFDPELRVFRPSURPLVRV
\ SHUSHWXDFLRQHV GHO PRGHOR
DFWXDOTXHWHQHPRV
3DUDHOORWHQGUHPRVHQFXHQWD TXH QLQJ~Q PRGHOR IXQFLRQDUi R FDPELDUi VLQ TXH VXV
SURWDJRQLVWDV FRODERUHQ GLUHFWDPHQWH (Q HVWH VHQWLGR
VyORORVSURIHVLRQDOHVPRWLYDGRV
RLPSOLFDGRVHQHOFDPELRDOFDQ]DUiQ\DxDGLUiQREMHWLYRVPi[LPRV
DOPLVPR
(O SULPHU SODQWHDPLHQWR D UHVROYHUHVFyPRFRQVHJXLUXQDVLQFHUD
PRWLYDFLyQ+D\GRVPpWRGRVSULQFLSDOHVGHUHFRPSHQVDUDORVSURIHVLRQDOHV8QRHVPHGLDQWHHOGLQHUR
que puede estar ligado a resultados
VHJ~Q ORV REMHWLYRV TXH SUHYLDPHQWH
VHKD\DQSDFWDGR+D\TXHSDUWLUGHODEDVHTXHHOSHUVRQDO
VDQLWDULRHVWiPDOSDJDGR\VHOHSLGHXQDUHVSRQVDELOLGDG
TXHQRHVGHOWRGRUHFRQRFLGD(VWDUHFRPSHQVDQRGHEH
GHVHULJXDOSDUDWRGRVGHODPLVPDIRUPDTXHQRWRGRV
WLHQHQ SRU TXp WHQHU ORV PLVPRV REMHWLYRV $~Q DVt HVWD
PHGLGDSRUVtVRODUHVXOWDDODODUJDLQH½FD]\SRURWURODGR
QRHVGHOWRGRDFHSWDGRSRUORVVLQGLFDWRV
(ORWURPpWRGRFRQVLVWHHQHOUHFRQRFLPLHQWRDORVSURIHVLRQDOHV VDQLWDULRV (V IXQGDPHQWDO HO FRPSDUWLU FRQ ORV
SURIHVLRQDOHVMXQWRFRQVXVMHIHVORVYDORUHV\REMHWLYRV
GHODRUJDQL]DFLyQKDFLHQGRSDUWHLPSRUWDQWHSDUDHVWDGH
WRGDVODVVXJHUHQFLDVTXHSXHGDQDSRUWDU\DFHSWiQGRODV
FXDQGRVHDQOyJLFDV(VLPSRUWDQWHDGHPiVSURSRQHUQRUPDVFODUDV\MXVWDVSDUDHODFFHVRDORVSXHVWRVPiVDOWRV
RGHUHVSRQVDELOLGDGHQODRUJDQL]DFLyQQRUPDVTXHWLHQHQTXHVHUFXPSOLGDV\HQHOTXHODWUDQVSDUHQFLDVHDXQR
GH ORV YDORUHV IXQGDPHQWDOHV /D IRUPDFLyQ FRQWLQXDGD
GHEHPRVFRQVLGHUDUODFRPRXQDLQYHUVLyQ\QRXQJDVWR
GDQGRWRGDVODVIDFLOLGDGHVGHODVTXHGLVSRQJDPRVSDUD
VXDFFHVR\DWRGRVORVQLYHOHVGHODRUJDQL]DFLyQ
(OFRQWDFWRFRQORVSDFLHQWHVEDVHGHOVLVWHPDORWLHQHQ
ORVPpGLFRVTXHQRQRVROYLGHPRVTXHSUHVFULEHQORTXH
FRQVXPHQDTXpOORV\TXHFRPSUDXQWHUFHUR3RUHOORQR
GHEHFRQ½DUVHVyORHQVXUHVSRQVDELOLGDGLQGLYLGXDOVLQR
TXHGHEHQVHQWLUVHXQLGRVDODHPSUHVDSDUDGHHVWDIRUPD
FRPSDUWLUVXVREMHWLYRV\WHQHUORVPLVPRVYDORUHV
&RPSDUWLULGHDVFRQORVVXSHULRUHVHVWiPX\ELHQDVXPLU
UHVSRQVDELOLGDGHV\FREUDUHQIXQFLyQGHODVPLVPDVWDPELpQSHURTXL]iVHUtDGHVHDEOHUHFRUGDUVLVWHPiWLFDPHQWHDTXHOORTXHVLHPSUHVHOHVXSRQHDOPpGLFRHQWUHJDHQ
VXSURIHVLyQSHURQRVyORDQLYHOGHFRQRFLPLHQWRVVLQRD
QLYHOGHPi[LPRUHVSHWR\HPSDWtDSDUDFRQVXVFRQJpQHUHV(VWHUHFRUGDWRULRVHJXURTXHFRQWULEX\HDUHRULHQWDU
ORVREMHWLYRVGHODRUJDQL]DFLyQHQODGLUHFFLyQTXHGHEHGH
LU2SWLPL]DUHOVHUYLFLRSUHVWDGRDVXVXVXDULRV
'DGR HVWH SDVR QXHVWUR ~QLFD SUHRFXSDFLyQ VHUi FRQVHJXLUORDOPHQRUFRVWHSRVLEOH
(QULTXH6HUUDQR6DQWRV'LUHFWRU0pGLFRGHO+RVSLWDO8QLYHUVLWDULR9LUJHQGHOD$UUL[DFDGH0XUFLD
HQULTXHVHUUDQR#FDUPHV
Los Hospitales como generadores de valor y
talento multidisciplinar.
Luis Serrano
Enrique Serrano Santos
Motivar para cambiar.
Madrid Network
8QDFHUFDPLHQWRGHOPXQGR
DFDGpPLFRWHFQROyJLFR
DO iPELWR GH OD PHGLFLQD \ VXV SURIHVLRQDOHV
para el desarrollo de
QXHYRV WtWXORV XQLYHUVLWDULRV FRPR HO 0DVWHU
GH ,QJHQLHUtD %LRPpGLFD QRV HVWi SURSRUFLRQDQGR ODV SDXWDV D
seguir para poder desaUUROODU XQD IUXFWtIHUD UHODFLyQ LQYHVWLJDGRUD HQWUH
DPEDV GLVFLSOLQDV \ SRGHU
JHQHUDU WDOHQWR \
YDORUGHGLFKDUHODFLyQ (O PXQGR
XQLYHUVLWDULROOHYD
DxRV DVXPLHQGR
HVH ELQRPLR GRFHQFLDLQYHVWLJDFLyQSHURODPHQWDEOHPHQWHHO+RVSLWDO\VXVSURIHVLRQDOHV
HQJHQHUDOQRHVWiQRUJDQL]DGRV\SUHSDUDGRVSDUDUHDOL]DU
HVDV WDUHDV FRQ p[LWR 5HDOPHQWH OD FDUJD DVLVWHQFLDO D OD
TXHHVWiQVRPHWLGRVGLFKRVSURIHVLRQDOHVQRGHMDORVWLHPSRVQHFHVDULRVSDUDUHDOL]DUXQDDGHFXDGDODERUGHLQYHVWLJDFLyQSDUWLFXODUPHQWHPXOWLGLVFLSOLQDUVLQPHQFLRQDUOD
HVFDVD R FDVL QXOD YDORUDFLyQ HQ OD FDUUHUD SURIHVLRQDO GH
GLFKRVPpULWRVLQYHVWLJDGRUHV¡4XpSRGHPRVKDFHU"
VXMXVWDPHGLGDHVWDGHGLFDFLyQ(OLPSXOVRSROtWLFR\PiV
LPSRUWDQWHHOLPSXOVRVRFLDOSDUDKDFHUGHORV+RVSLWDOHV
FHQWURVGHWDOHQWR\YDORUGRQGHFRRSHUHQGLIHUHQWHVFDPSRV
GHFRQRFLPLHQWRDVDEHUQRVRORPHGLFLQDVLQRWDPELpQ\
IXQGDPHQWDO LQJHQLHUtD HVWDGtVWLFD HFRQRPtD HWF VHUi
IXQGDPHQWDOSDUDHVWHFDPELRGHWHQGHQFLD
0LHQWUDVHVWRQRRFXUUDVHJXLUHPRVKDFLHQGRWRGRDTXHOOR
TXH HVWi HQ QXHVWUDV PDQRV SDUD FRQWLQXDU FRQ QXHVWURV
WUDEDMRV \ SRGHU FRODERUDU HQ HTXLSRV PXOWLGLVFLSOLQDUHV
SHUR©ORTXHVtTXHGDFODURHVTXHQXQFDORKDUHPRVGHXQD
IRUPDH½FLHQWHFRPRORUHDOL]DQHQRWURVSDtVHVGHQXHVWUR
HQWRUQR
/XLV 6HUUDQR 3URIHVRU H ,QYHVWLJDGRU GHO *UXSR GH ,QJHQLHUtD%LRPpGLFDGHOD8QLYHUVLGDG3~EOLFDGH1DYDUUD
OVHUUDQR#XQDYDUUDHV
1XHVWUDFODVHSROtWLFD\HQJHQHUDOQXHVWUD6RFLHGDGGHEH
VHUIRUPDGD\FDSDFLWDGDSDUDHQWHQGHUHOYDORUHVWUDWpJLFR
TXH VXSRQH HO GHVDUUROOR GH OD LQYHVWLJDFLyQ PXOWLGLVFLSOLQDU\ODLQQRYDFLyQHQORV+RVSLWDOHVS~EOLFRV/DVPLUDGDV
FRUWRSODFLVWDV GH DOJXQ#V GH QXHVWU#V GLULJHQWHV VHUiQ
PLQLPL]DGDV SRU ODV H[LJHQFLDV GH XQD 6RFLHGDG IRUPDGD
GHPDQGDQWH GH 6HUYLFLRV GH 6DOXG GH OD Pi[LPD FDOLGDG
LQGHSHQGLHQWHPHQWH GHO OXJDU GH (VSDxD GRQGH UHVLGDPRV(QHVWHVHQWLGRQXHVWURVLQYHVWLJDGRUHV\DYHQJDQGHO
PXQGRGHODPHGLFLQDGHODLQJHQLHUtDGHODHFRQRPtDGHOR
VRFLDOHWF\EDViQGRVHHQHVWDSUHPLVDGHQXHVWURVFOLHQWHVGHEHUiQLQYROXFUDUVHSDUDHVDJHQHUDFLyQGHYDORUGH
VXV FRQRFLPLHQWRV FRQ HO ½Q GH UHYHUWLU HQ OD 6RFLHGDG OR
TXH HVWD OHV KD SUHVWDGR SDUD UHDOL]DU VX ODERU $ FDPELR
HV GH HVSHUDU VX FDUUHUD SURIHVLRQDO ELHQ QXWULGD GH LQYHVWLJDFLyQLQQRYDFLyQYDORUULTXH]DGHEHUiUHFRQRFHUHQ
El hospital del futuro: las ideas de los expertos
(O+RVSLWDOGHO)XWXURQRVHUi
XQ HQWH DLVODGR VLQR TXH
HVWDUi LQWHJUDGR HQ XQD
2UJDQL]DFLyQ 6DQLWDULD
UHVSRQVDEOH GH OD 6DOXGGHXQWHUULWRULR(VWi
RUJDQL]DFLyQ FXEULUi GH
IRUPD FRRUGLQDGD WRGRV
ORViPELWRVDVLVWHQFLDOHV
/D DVLVWHQFLD VH UHDOL]DUi
PHGLDQWH OD JHVWLyQ SRU
SURFHVRV D WUDYpV GH ODV
²UXWDV FOtQLFDV³ HQ ODV TXH
TXHGDUiQ LGHQWL½FDGDV ODV
WDUHDV GH FDGD iPELWR
DVt FRPR ORV FULWHULRV
GH GHULYDFLyQ \
FXDQGR HO
Hospital
debe actuar,
WRGRHOORGLVHxDGRFRQXQDFODUDRULHQWDFLyQDOXVXDULRSHQVDQGRFRPRpO
/DHVWUDWHJLDDVLVWHQFLDOVHHVWDEOHFHUiSULRULWDULDPHQWH
HQGRVGLUHFFLRQHV
'DUUHVSXHVWDDOQXHYRWLSRGHSDFLHQWHVTXHWHQHPRV
&UyQLFRVFRQPXOWLSDWRORJLDV3DUDHOORGLVHxDUiVLVWHPDV
SDUD WHQHUORV LGHQWL½FDGRV FLUFXLWRV SURSLRV GH VHJXLPLHQWR\SURJUDPDVHVSHFt½FRVGHDWHQFLyQ
(Q ODV WHFQRORJtDV \ WUDWDPLHQWRV FRPSOHMRV LQWHQWDU
FRQVHJXLU YtD DOLDQ]DV FRQ RWURV FHQWURV R GH½QLFLyQ GH
iPELWRV JHRJUi½FRV HO VX½FLHQWH Q~PHUR GH FDVRV SDUD
PDQWHQHU XQ EXHQ QLYHO GH H[SHUWH] \ JDUDQWL]DU ORV UHVXOWDGRV
/RV+RVSLWDOHVDLJXDOTXHODVRUJDQL]DFLRQHVVDQLWDULDV
WHQGUiQ PRGHORV GH JHVWLyQ GHVFHQWUDOL]DGRV XQLGDGHV
IXQFLRQDOHVLQVWLWXWRVHWFHVWDVWHQGUiQGHOHJDGDVVX½FLHQWHV FDSDFLGDGHV GH GHFLVLyQ SDUD OD JHVWLyQ VLHQGR
UHVSRQVDEOHVGHORVUHVXOWDGRV\GHOSUHVXSXHVWR/DGLUHFFLyQSRUREMHWLYRV\ODHYDOXDFLyQSRUUHVXOWDGRVVHUiQ
HOHPHQWRV FODYHV SDUD OD FRQWLQXLGDG GH HVWDV XQLGDGHV
DVtFRPRSDUDVXLQFHQWLYDFLyQ
/D ½QDQFLDFLyQ VH UHDOL]DUi HQ EDVH FDSLWDWLYD SDJR SRU
KDELWDQWH\DxRD½QGHIRPHQWDUODH½FLHQFLDHQODXWLOL]DFLyQGHUHFXUVRVDVtFRPRTXHODDFWLYLGDGVHKDJDHQHO
Laboratorio clínico del futuro.
iPELWRPDVHIHFWLYRHYLWiQGRVHDOPLVPRWLHPSRODVUHLWHUDFLRQHVGHSUXHEDV\FRQVXOWDV/DVRUJDQL]DFLRQHVHVWDEOHFHUiQVXVSUHVWDFLRQHVGHWDOPDQHUDTXHFRQWUROHQOD
GHPDQGDQRQHFHVDULDGHDWHQFLyQPDQWHQLHQGRXQHVWDGRGHVDOXGFRUUHFWRHQOD]RQDGHODTXHVRQUHVSRQVDEOHV
(VWD½QDQFLDFLyQQRREVWDQWHSRGUiFRPSOHPHQWDUVHFRQ
SURJUDPDVTXHFXEUDQORVFRVWHVGHSURFHVRVFRPSOHMRV
GH GLDJQyVWLFR R WUDWDPLHQWR \D VHD HQ EDVH D ODV QHFHVLGDGHV HVSHFLDOHV TXH SXGLHUD WHQHU XQD ]RQD R SRUTXH
HVWUDWpJLFDPHQWHVHKD\DSODQL½FDGRFHQWUDOL]DUGHWHUPLQDGRVVHUYLFLRVHQDOJXQRVKRVSLWDOHVH½FDFLDYtDH[SHUWH]H½FLHQFLDHQORVUHFXUVRV/DHVWDQGDUL]DFLyQGHORV
FRVWHVVHUiEiVLFDSDUD½MDUORVLPSRUWHV
/DLQQRYDFLyQVREUHWRGRHQORV+RVSLWDOHVWHUFLDULRVVHUi
XQD HVWUDWHJLD SULRULWDULD VL ELHQ VX LQVWDXUDFLyQ GHEHUi
SDVDUSRUXQDHYDOXDFLyQGHODPLVPDSDUDVXDSUREDFLyQ
&HQWUDO $JHQFLD GH (YDOXDFLyQ R SRU HO SURSLR FHQWUR
GRQGHTXHGDUiFODURODXWLOL]DFLyQUDFLRQDOGHODPLVPDDVt
FRPRVXH½FLHQFLD
/DFDOLGDGVHUiXQDVSHFWRIXQGDPHQWDOWDQWRSDUDODDFUHGLWDFLyQGHORVFHQWURVFRPRSDUDODHYDOXDFLyQGHORVUHVXOWDGRV(VWRV~OWLPRVVHUiQODEDVHWDQWRSDUDODVPHMRUDVHQOD½QDQFLDFLyQFRPRSDUDODFRQ½DQ]DHQHO+RVSLWDO
X 2UJDQL]DFLyQ SDUD SRQHU HQ PDUFKD QXHYRV PRGHORV R
LQQRYDFLRQHV /RV VLVWHPDV GH LQIRUPDFLyQ GHEHUiQ VHU
LQWHJUDOHVHLQWHJUDGRVGHWDOIRUPDTXHSHUPLWDQWRPDU
GHFLVLRQHVVLPXOWiQHDPHQWHVREUHFXDOTXLHUiPELWRWDPELpQORVX½FLHQWHPHQWHDELHUWRV\DPSOLRVSDUDSURIXQGL]DUVLQWUDEDVHQORVDQiOLVLVSDUDODGHFLVLyQFRUUHFWD
3HUH6ROH\%DFK'LUHFWRU*HQHUDOGHO²&RQVRUFL6DQLWDULGHO
0DUHVPH³0DWDUy%DUFHORQD
JHUHQFLD#FVGPHV
Francisco Soriano
Pere Soley Bach
El hospital del futuro.
Madrid Network
$FWXDOPHQWH ORV +RVSLWDOHV
HVSDxROHV HVWiQ LQYROXFUDGRV HQ SURFHVRV HVWUDWpJLFRV SDUD KDFHU IUHQWH
D OD FUHFLHQWH GHPDQGD
DVLVWHQFLDO HQ XQ QXHYR
HQWRUQR VDQLWDULR FDUDFWHUL]DGR SRU HO LPSDFWR
GHQXHYDVHQIHUPHGDGHV
\ WHFQROyJLFDV FDPELRV
GHPRJUi½FRV HVWUXFWXUDOHV
FRPRHOHQYHMHFLPLHQWRGHOD
SREODFLyQXQDPD\RUSUHVLyQ
LQVWLWXFLRQDO\GHORVFLXGDGDQRVSDUDGLVSRQHUGHVHUYLFLRV
VDQLWDULRV PiV H½FLHQWHV \ GH
PD\RU FDOLGDG XQLGR WRGR HOOR
D OD FRQVWDQWH SUHVLyQ SDUD OD
PRGHUDFLyQGHORVFRVWHV
(QHVWHFRQWH[WRORVODERUDWRULRVFOtQLFRVKDQGHELGRGHLUDGDSWDQGRVXIRUPDGHDFWXDFLyQDODVQHFHVLGDGHVUHDOHVGHODFOtQLFDHQWUDQGR
HQXQSURFHVRGHUHLQJHQLHUtDTXHSHUPLWDODDSDULFLyQGHXQLGDGHVPiVRSHUDWLYDVGHPDQHUDTXHSXHGDQFRQYLYLUSRUXQD
SDUWHXQLGDGHVDOWDPHQWHDXWRPDWL]DGDVEDVDGDVHQODDJUXSDFLyQGHDFWLYLGDGHVVREUHODEDVHGHODWHFQRORJtD\QRGHODHVSHFLDOLGDG\SRURWUDODUHRULHQWDFLyQGHORVUHFXUVRVOLEHUDGRVSRU
ODDXWRPDWL]DFLyQFUHDQGRXQLGDGHVGHPD\RUFRQWHQLGRFOtQLFR
(QHVWHFRPSOHMRHVFHQDULRORVSURIHVLRQDOHVGHORVODERUDWRULRV QR SXHGHQ DGHPiV ROYLGDU VX PLVLyQ TXH FRQVLVWLUi
IXQGDPHQWDOPHQWHHQDGHFXDUODWHFQRORJtDQHFHVDULDSDUD
UHDOL]DUODVGHWHUPLQDFLRQHVDQDOtWLFDVSUHFLVDVFRQHO½QGH
VHUYLUGHDSR\RDODFOtQLFDSURSRUFLRQiQGROHLQIRUPDFLyQ½DEOH\~WLOSDUDHOFRUUHFWRGLDJQyVWLFRGHODVHQIHUPHGDGHV
SDUD HOVHJXLPLHQWR HYROXWLYR GH ODV PLVPDV \SDUD HO FRQWUROGHODH½FDFLDGHODWHUDSpXWLFDDSOLFDGD3RUWRGRHOORORV
ODERUDWRULRV GHEHUiQ GHVDUUROODU DFWLYLGDGHV DVLVWHQFLDOHV
DWHQGLHQGRDODVGHPDQGDVGHODFOtQLFDGHIRUPDUiSLGD\D
FRVWHySWLPRDFWLYLGDGHVGRFHQWHVSDUDSURIXQGL]DUHQHOFRQRFLPLHQWRGHODHVSHFLDOLGDG\DFWLYLGDGHVGHLQYHVWLJDFLyQ
SHFLDOLGDGHV GHO ODERUDWRULR FOtQLFR GH IRUPD FRQMXQWD SDUD
DSURYHFKDUVLQHUJLDV\WHFQRORJtD(VWDLQWHJUDFLyQTXHGHEH
UHVSHWDU WRGDV ODV HVSHFLDOLGDGHV WLHQH FRPR REMHWLYR IXQGDPHQWDOODRSWLPL]DFLyQGHWRGRVORVUHFXUVRVGLVSRQLEOHV
/RV 6HUYLFLRV GH WRGRV ORV ODERUDWRULRV FOtQLFRV GHEHQ HVWDU
SHUIHFWDPHQWH FRRUGLQDGRV GH WDO PDQHUD TXH VH FRPSRUWHQFRPRXQODERUDWRULRPXOWLGLVFLSOLQDUTXHLQWHJUDQYDULDV
HVSHFLDOLGDGHV $QiOLVLV &OtQLFRV %LRTXtPLFD +HPDWRORJtD
+HPRWHUDSLD,QPXQRORJtD*HQpWLFD\0LFURELRORJtD
/RV ODERUDWRULRV KDQ HYROXFLRQDGR KDFLD PRGHORV GH DOWD
FRPSOHMLGDGWHFQROyJLFDFDSDFHVGHSURFHVDUXQDPSOLRSDQHOGHGHWHUPLQDFLRQHV\JUDQGHVFDUJDVGHWUDEDMR
/RVPpGLFRVGHORVODERUDWRULRVDFWXDUiQFRPRFRQVXOWRUHV
SDUDSRGHULQWHJUDU\SURGXFLULQIRUPDFLyQFDGDYH]PiVVR½VWLFDGD\QHFHVDULDSDUDODWRPDGHGHFLVLRQHVFOtQLFDVLQWHUYLQLHQGRHQODFRQIHFFLyQGHJXtDVFOtQLFDVHLQWHUDFWXDQGR
FDGDYH]PiVFRQORVGLIHUHQWHVVHUYLFLRVFOtQLFRVSDUDFRQWURODUGHPDQHUDGLUHFWDODGHPDQGD
/DFUHDFLyQGH8QLGDGHVGH*HVWLyQ&OtQLFDIDYRUHFHUiODLPSODQWDFLyQGHSURFHVRVH½FLHQWHV\GHDOWDUHVROXFLyQGHVGH
ODVÆUHDV&OtQLFDV
/RVVLVWHPDVGHLQIRUPDFLyQVXSRQHQXQHOHPHQWRHVWUDWpJLFRSDUDHOIXQFLRQDPLHQWR\ODWRPDGHGHFLVLRQHVHQHOKRVSLWDO7RGDODLQIRUPDFLyQLQWHUQDVHJHQHUD¾X\H\DOPDFHQD
GHIRUPDHOHFWUyQLFDKLVWRULDFOtQLFDSHWLFLRQHVUHVXOWDGRV
LQIRUPHV HWF (O FLUFXLWR HOHFWUyQLFR SURSRUFLRQD XQD JUDQ
¾H[LELOLGDG\SRWHQFLDHQODFRQ½JXUDFLyQGHODVROLFLWXGDQDOtWLFDLQPHGLDWH]SDUDODFRQVXOWDGHUHVXOWDGRV\JUDFLDVDOD
FRQHFWLYLGDGHQWUHVLVWHPDVSHUPLWHGLVSRQHUGHODLQIRUPDFLyQFRQODTXHUHDOL]DUVHJXLPLHQWRV\HYDOXDUODVDFWXDFLRQHV\SURFHVRVGHQWURGHXQFLFORGHPHMRUDFRQWLQXD\E~VTXHGDGHODH[FHOHQFLD
)UDQFLVFR 6RULDQR ;HUHQWH GHO &RPSOHMR +RVSLWDODULR 8QLYHUVLWDULRGH9LJR
IUDQFLVFRVRULDQRSDUHGHV#VHUJDVHV
/D RUJDQL]DFLyQ LQWHUQD GHEH HVWDU EDVDGD HQ 8QLGDGHV GH
*HVWLyQ&OtQLFDGRQGHORVSURIHVLRQDOHVDVXPDQXQFRPSURPLVRFRQORVUHVXOWDGRV\ODPHMRUDFRQWLQXD
/DV QXHYDV WHQGHQFLDV HQ OD RUJDQL]DFLyQ GH ORV ODERUDWRULRV FOtQLFRV GHEHQ HVWUXFWXUDUVH LQWHJUDQGR WRGDV ODV HV
El hospital del futuro: las ideas de los expertos
&RUUHQQXHYRVWLHPSRVHQHO
GHYHQLU GH OD KLVWRULD /D
SDODEUD&5,6,6LPSUHJQD
FXDOTXLHU DQiOLVLV SUHVHQWH \ IXWXUR TXH XQR
lea o escuche sobre el
IXWXUR GH OD VRFLHGDG HQ
TXH QRV GHVHQYROYHPRV
\ ODV DSRUWDFLRQHV HQ HO
VHFWRU6DOXGQRSRGtDQTXHGDUDMHQDV
DHVWHHVFHQDULR
/DVRFLHGDGVHPXHYH 6LHPSUH OR KD
KHFKRHVHOPRWRU
GH FXDOTXLHU GHVDUUROOR SHUR SDUHFH TXH DKRUD HV PiV
HYLGHQWH/DUHGGHUHGHVODLQIRUPDFLyQJOREDO\ODGHVDSDULFLyQGHEDUUHUDVDODFRPXQLFDFLyQKDQDELHUWRORVRMRVD
ORVKDELWDQWHVGHHVWHPXQGR
ODULDVGRQGHVHWUDWDDHVWRV²QXHYRVSDFLHQWHV³GHIRUPD PiV H½FD] \ H½FLHQWH FHQWURV GH VDOXG GRPLFLOLRV
KRVSLWDOHVGHGtDUHVLGHQFLDVGHDQFLDQRVFHQWURVVRFLRJHULiWULFRVHVSDFLRVVRFLRVDQLWDULRVHWF
/DV 7,&µV MXHJDQ XQ SDSHO UHOHYDQWH HQ HO GHVDUUROOR GH
HVWD ²QXHYD KRVSLWDOL]DFLyQ³ FRQ PDUJHQ SDUD OD PHMRUDHQH½FLHQFLDGHOVLVWHPDVDQLWDULR\DSDUHFHQQXHYRV
DFWRUHVSURIHVLRQDOHVHQHOSURFHVRGHSUHVWDFLyQGHVHUYLFLRV²GHVDOXG³DVRFLDGRVDOFUHFLPLHQWRGHODVWHFQRORJtDV
/RVKRVSLWDOHVVHFRQYLHUWHQHQDJHQWHVGHVDOXGDQWHOD
VRFLHGDG\DJUXSDQ\FRRUGLQDQVXVHVIXHU]RVDGDSWDQGR
VXSUHVWDFLyQGHVHUYLFLRVDIRUPDVGH²*HVWLyQ&OtQLFD³
FRQ DJUXSDFLyQ GH VHUYLFLRV \ HVSHFLDOLGDGHV SHQVDQGR
HQODPHMRUVROXFLyQSDUDSDFLHQWHVDIHFWRVGHSDWRORJtDV
SOXULGLVFLSOLQDUHV H LPSOLFDGRV HQ OD VRVWHQLELOLGDG GHO
KRVSLWDOFRPRRUJDQL]DFLyQ
Gestor sanitario versus Líder Facilitador.
Isabel Tovar García
José Francisco Soto Bonel
Un hospital distinto para una sociedad distinta.
Madrid Network
$ YHFHV HVWDPRV WDQ DEVRUWRV HQ HO
WUDEDMR GLDULR TXH SHUGHPRV OD FDSDFLGDGDQDOtWLFDGHPXFKRVGHORV
DFRQWHFLPLHQWRVTXHQRVURGHDQ\
QRQRVSODQWHPRVDOJXQRVFRQFHSWRVTXHSUREDEOHPHQWHKDOOHJDGR
HOPRPHQWRGHUHSODQWHDUVH&RQFHSWRVTXHGHEHUtDPRVGHVJUDQDU
\YHUVLD~QVLJXHQVLUYLHQGRRVRQ
YLHMDV IyUPXODV DQWH QXHYDV pSRFDV
3RUTXH HVWi FODUR TXH HVWD pSRFD TXH
QRVKDWRFDGRYLYLUORV~OWLPRVDxRVHV
QXHYDWRUWXRVDFRPSOLFDGD\DSDVLRQDQWH
+D\TXHSHQVDUHQKRVSLWDOHVDGHFXDGRVDOQXHYRWLSRGH
SDFLHQWHVTXHVHQRVSUHVHQWDQ
+DEODPRV FRQWLQXDPHQWH GH FULVLV \ FRUUHPRV HO ULHVJR GH
FRQYHUWLU OD SDODEUD HQ XQ YRFDEOR PDQLGR XQ WySLFR PiV D
LQFRUSRUDUDQXHVWURVGLVFXUVRV<HVRVHUtDQRVyORXQJUDQ
HUURUVLQRWDPELpQODSpUGLGDGHXQDJUDQRSRUWXQLGDG7RGDV
ODVFULVLVHQFXEUHQJUDQGHVRSRUWXQLGDGHV/DRSRUWXQLGDGGH
DQDOL]DUVLWXDFLRQHVUHFXUVRVHVWUDWHJLDV\IRUPDVGHDFWXDU
/DRSRUWXQLGDGGHSRGHUUHDOL]DUFDPELRVGHWHQGHQFLDRULHQWDQGRQXHVWUDVDFWXDFLRQHVKDFLDODH[FHOHQFLD/DRSRUWXQLGDGGHHOLPLQDUPDORVKiELWRVFRQYHQFLRQDOLVPRVLQH½FLHQWH
DVLJQDFLyQGHUHFXUVRVLQVX½FLHQWHV\WDQWDVRWUDVDFWXDFLRQHVLQFRUUHFWDVTXHFDGDGtDUHSHWLPRVHQQXHVWUDIRUPDGH
GLULJLURUJDQL]DFLRQHV<HVWRORKDFHPRVD~QDVDELHQGDVGH
TXHSRGUtDPRVKDFHUORGHRWUDPDQHUD3RGUtDPRV\VDEUtDPRV\HVRHVORUHDOPHQWHLPSRUWDQWH/RVGLUHFWLYRVVDQLWDULRVDOLJXDOTXHHOUHVWRGHGLUHFWLYRVGHOPXQGRVDEHQVX
R½FLR\VDEHQFyPRGHVHPSHxDUORGHXQDIRUPDFRKHUHQWH
3HURQRVHQFRQWUDPRVFRQGHPDVLDGDVGL½FXOWDGHV\KHPRV
FRPHWLGRHOWUHPHQGRHUURUGHDFHSWDUODVFRPRLPSRQGHUDEOHV 5HLYLQGLFDPRV OLEHUWDG GH DFWXDFLyQ TXHUHPRV TXH VH
QRV FRQVLGHUH ²WpFQLFRV³ KXLPRV GH TXH VH SROLWLFH QXHVWUD
DFWLYLGDG OXFKDPRV SRU SURIHVLRQDOL]DU QXHVWUD ODERU \ KDEODPRVGHWRGRHOORHQP~OWLSOHVIRURV3DUHFHTXHDOUHSHWLU
QXHVWURGLVFXUVRDQWHFROHFWLYRVDMHQRV\HQWUHQRVRWURVPLVPRVSXGLpVHPRVUHD½UPDUQRVHQQXHVWUDVUHLYLQGLFDFLRQHV
3HURHVWiFODURTXH\DKDFHPiVGHDxRVTXHWHQHPRVHO
PLVPRGLVFXUVR\ORVUHVXOWDGRVQRVRQORVTXHHVSHUiEDPRV
3RUHVRDTXtHQQXHVWUR616\DKRUDHQHOFRUD]yQGHHVWD
FULVLVGHQXHVWURUHFLpQHVWUHQDGRVLJOR;;,WHQHPRVHOPDUFRDSURSLDGRSDUDLQWHQWDUGHQXHYRFRQIXHU]DVFRQLOXVLyQ\
FRQHVSHUDQ]DGDUVHQWLGRDHVWDPDUDYLOORVDSURIHVLyQQXHVWUDJHVWLRQDUODDWHQFLyQVDQLWDULD
6HLPSRQHGLVPLQXLUHOSHVRGHODKRVSLWDOL]DFLyQWUDGLFLRQDO\FRQpOHOQ~PHURGHFDPDVFRQHOFRQVLJXLHQWH
DXPHQWRGHODSDUWLFLSDFLyQHQDFWLYLGDGHVH[WUDKRVSLWD-
3HURSDUDHOORGHEHPRVOLEHUDUQRVGHPLHGRVWDE~V\VHUYLOLVPRV\HPSUHQGHUHVWDQXHYDEDWDOODHQODVHJXULGDGGHTXH
HVWDYH]SRGUHPRVWULXQIDU
/D VRFLHGDG KD GHVDUUROODGR LQFOXVR OHJLVODFLyQ SDUD
²HPSRGHUDU³ GHO LQJOpV HPSRZHUPHQW D VXV FLXGDGDQRV TXH VH SUHVHQWDQ DQWH ORV SURIHVLRQDOHV VDQLWDULRV
PpGLFRV IXQGDPHQWDOPHQWH VDELpQGRVH FRQVXPLGRUHVPiVTXHSDFLHQWHV\SRQLHQGRHQFXHVWLyQOD²REHGLHQFLD³ FDUDFWHUtVWLFD GH OD FOiVLFD UHODFLyQ PpGLFR
SDFLHQWHHQODTXHHOHQIHUPRVHHQFXHQWUDIUHQWHDXQD
UHODFLyQ GH DJHQFLD LPSHUIHFWD FRPR JXVWDQ HQ OODPDU
ORVWHyULFRV
6LDHOOROHDxDGLPRVHOHYLGHQWH FDPELR GH YDORUHV TXH
DFRPSDxDDOGHVDUUROORVRFLDOHQORVSDtVHVGHVDUUROODGRVHVWDPRVIUHQWHODQHFHVLGDGGHUHGH½QLUHOURO\OD
RUJDQL]DFLyQGHORVKRVSLWDOHVTXHKDQGHDFRPSDxDUHO
GHYHQLUGHORVDxRVYHQLGHURV
/D FURQLFLGDG OD SOXULSDWRORJtD \ HO HQYHMHFLPLHQWR VRQ
ORV PRWRUHV HVWUDWpJLFRV HQ OD SUHVWDFLyQ GH VHUYLFLRV
VDQLWDULRVTXHVHFRQYLHUWHQHQSDUDGLJPDVSULQFLSDOHV
GHOFDPELRDUHDOL]DUPiVFHUFDQRDXQDUHFUHDFLyQTXH
DXQDUHIRUPD
/DPRWLYDFLyQVHDVRFLDDOVHQWLGRGHSHUWHQHQFLDD,QVWLWXWRV \ 8QLGDGHV GH *HVWLyQ &OtQLFD TXH GHVDUUROODQ \
GHFLGHQ ODV FRQGLFLRQHV UHFXUVRV \ IRUPDV GH DERUGDU
VXVWDUHDVEXVFDQGRODFDOLGDGHQIRUPDGHGLVPLQXFLyQ
HQODYDULDELOLGDGGHODSUiFWLFDFOtQLFD\ODVDWLVIDFFLyQ
FRQMXQWDGHSURIHVLRQDOHV\SDFLHQWHV
5LJRU GHFLVLyQ LPSOLFDFLyQ WUDQVSDUHQFLD HVIXHU]R HYLGHQFLD FRQWLQXLGDG© WpUPLQRV \ YDORUHV TXH MXVWL½FDQ \
DFRPSDxDQHOFDPELRGHVLJORHQXQFRQWH[WRGHRSRUWXQLGDGHVDODOEXUGHOVLJOR;;,
-RVp )UDQFLVFR 6RWR %RQHO 'LUHFWRU *HUHQWH GHO +RVSLWDO
&OtQLFR6DQ&DUORVGH0DGULG\3UHVLGHQWHGHO&OXE*HUWHFK
JHUHQWKFVF#VDOXGPDGULGRUJ
/DJHVWLyQVDQLWDULD\DQRHVHVDODERUGHLPSRQHUHVWUDWHJLDV
SRUTXHDFWXDOPHQWHORVSURIHVLRQDOHVVDQLWDULRVSXHGHQ\GHEHQ
JHVWLRQDUVXDFWLYLGDGHQHOPDUFRFRPSHWHQFLDOGHVXVKDELOLGDGHV(VRVSURIHVLRQDOHVVDQLWDULRV\DDFHSWDQFRPRVXUHVSRQVDELOLGDGHORSWLPL]DUVXVUHVXOWDGRV\VDEHQTXHVLHOORVPLVPRV
QRVHRUJDQL]DQHQDUDVDODH½FLHQFLDFRUUHQHOULHVJRGHVHU
RUJDQL]DGRV SRU RWURV SURIHVLRQDOHV TXH SXHGHQ VDEHU PHQRV
TXHHOORVGHVXVDXWpQWLFDVQHFHVLGDGHV/RVGLUHFWLYRVSRUWDQWRDKRUDVyORGHEHUtDQFRQFHQWUDUVXVHVIXHU]RVHQUHIRU]DUVH
FRPROtGHUHV\VHUIDFLOLWDGRUHVGHOUHVWRGHODRUJDQL]DFLyQ<D
QDGLHGLVFXWHTXHODVRUJDQL]DFLRQHVGHEHQVHU²FRQYHUVDFLRQDOHV³\HVQHFHVDULRKDEODU\HVFXFKDU²FRQ\D³WRGRVORVVHFWRUHV
LPSOLFDGRVD½QGHFRQVHJXLUXQDSODQL½FDFLyQVDQLWDULDySWLPD
+DOOHJDGRHOPRPHQWRGHTXHORVGLUHFWLYRVVDQLWDULRVGHQXQ
SDVRDOIUHQWH\GHMHQORVODPHQWRVDOPDUJHQ\VHHVIXHUFHQHQ
ORJUDUODFXRWDGHUHVSHWR\SURIHVLRQDOL]DFLyQTXHGHVGHKDFH
DxRVUHLYLQGLFDPRV1RHVGLItFLOOOHJDUDOFRQYHQFLPLHQWRGHTXH
HQIUHQWHQRWHQHPRVHQHPLJRVVLQRSHUVRQDVFRQGLIHUHQWHVUHVSRQVDELOLGDGHVTXHWDPELpQHVWiQGHVHRVRVGHKDFHUVXWUDEDMR
ORPHMRUSRVLEOH\SDUDHOORQRVWLHQGHQODPDQR1RVSLGHQD\XGD
SRUTXHQRVQHFHVLWDQWDQWRFRPRQRVRWURVDHOORV
$KRUDODIXQFLyQGLUHFWLYDVHKDDPSOLDGRDP~OWLSOHVFDPSRVGH
DWHQFLyQ<KDEODPRVGH$WHQFLyQ+RVSLWDODULDGH$WHQFLyQ3ULPDULD$WHQFLyQ6RFLR6DQLWDULD6DOXG3~EOLFD\FXDOTXLHURWUD
IXQFLyQ UHDOL]DGD SRU WRGRV DTXHOORV GLUHFWLYRV LPSOLFDGRV HQ
FRQVHJXLUXQDDWHQFLyQVDQLWDULDGHFDOLGDGWDQWRHQOD$WHQFLyQ
6DQLWDULD3~EOLFDFRPRHQOD3ULYDGD<HVIXQGDPHQWDOHMHUFHU
HVDDPSOLWXGGHPLUDVHQWRGRHOWHUULWRULRHVSDxRO1RSRGHPRV
FHUUDUQRVDPRYHUQRVHQHOOtPLWHGHQXHVWUDV&&$$SRUTXHVyOR
DSURYHFKDQGRODVVLQHUJLDVGHWRGRHOSDtVFRQVHJXLUHPRVUHVXOWDGRVySWLPRV(OORFRQOOHYDODJUDQUHVSRQVDELOLGDGGHOHMHUFLFLR
GHPDGXUH]TXHVXSRQHUHODFLRQDUQRVHQWUHQRVRWURVVLQFRQVLGHUDUFRORUHVSROtWLFRVRHVWUDWHJLDVGHJHVWLyQSDUWLGDULDV\ORFDOL]DGDV6yORSHUPLWLHQGRHYDOXDFLRQHVFRQMXQWDV\SHUPLWLHQGR
¾XLUH[SHULHQFLDVGHJHVWLyQFRQVHJXLUHPRVORVPi[LPRVEHQH½FLRV<HVRFRQOOHYDPLUDUGHRWUDIRUPD\KDFLDRWURKRUL]RQWH
7RGRHQHOFRQYHQFLPLHQWRGHODQHFHVLGDGGHFUHDUXQDPDVD
FUtWLFDTXHQRVGHMHSHUFLELUGHIRUPDFODUD\YHUD]DTXHOORTXH
RFXUUHIXHUDGHQXHVWURVGHVSDFKRV6LWHQHPRVODJHQHURVLGDG
QHFHVDULDSDUDTXLWDUQRVHOWUDMHGHERPEHURFRQHOTXHFRQWLQXDPHQWHDSDJDPRVIXHJRVTXHVHGHFODUDQHQQXHVWURHQWRUQR
LQPHGLDWRSURJUHVDUHPRVHQQXHVWUDUHVSRQVDELOLGDGGHSRWHQFLDUXQDJHVWLyQVDQLWDULDGHFDOLGDGFRPSURPHWLGD\H½FLHQWH
,VDEHO7RYDU*DUFtD&RRUGLQDGRUDGH3UR\HFWRV7pFQLFRVHQ6DOXG&RQVHMHUtD6DQLGDG\'HSHQGHQFLD-XQWDGH([WUHPDGXUD
LVDEHOWRYDU#VDOXGMXQWDH[HV
El hospital del futuro: las ideas de los expertos
(VSDxD\(XURSDFDPLQDQKDFLD
VRFLHGDGHV FRQ VLVWHPDV GH
DWHQFLyQ LQWHJUDO D OD SHUVRQD GRQGH ORV VLVWHPDV
GH VDOXG LQFRUSRUDQ SRFR
DSRFRWRGRVORVHOHPHQWRV
UHIHUHQWHVDODFDOLGDGGH
YLGDGHVGHXQDSHUVSHFWLYD
KROtVWLFD /HMRV GH VHU XQD
UpPRUD SDUD HO SURJUHVR
VRQVLVWHPDVPX\GLQiPLFRV
GRQGHHOGHVDUUROORWHFQROyJLFR
\ OD LQQRYDFLyQ VH LQFRUSRUDQ
FRQWLQXDPHQWH 1R ROYLGHPRV TXH UHSUHVHQWDQ DSUR[LP D G D P H Q W H
XQGHO3,%
(XURSHR \ XQ
PHUFDGRGHWUDEDMRGHPLOORQHVGHSURIHVLRQDOHV
6RFLHGDGHV GLQiPLFDV FRQ DOWD GLYHUVLGDG IXQFLRQDO TXH
UHFODPDQ XQD SHUVRQDOL]DFLyQ GH ORV VHUYLFLRV MXQWR DO
FRQYHQFLPLHQWRGHKDFHUORVVLVWHPDVVRVWHQLEOHVGXUDGHURV\VROLGDULRVLPSULPHQDQXHVWUDVIXWXUDVLQVWDODFLRQHV
DVLVWHQFLDOHVXQDVSHFXOLDULGDGHVTXH\DKR\VRQYLVLEOHV
/DV WHFQRORJtDV GH OD VRFLHGDG GH OD LQIRUPDFLyQ VRQ HQ
EXHQDPHGLGDODVUHVSRQVDEOHVGHKDFHUHVWRSRVLEOH(Q
HVWD VRFLHGDG OD DFFHVLELOLGDG HV XQ HOHPHQWR WUDQVYHUVDOPiVTXHSHUPHDUiQRVyORQXHVWUDVUHODFLRQHVFRQHO
PHGLRItVLFR\HOYLUWXDOVLQRODHGXFDFLyQODLQIRUPDFLyQ
HO RFLR \ SRU VXSXHVWR OD DVLVWHQFLD VRFLDO \ VDQLWDULD (O
'LVHxRSDUD7RGRVHVXQHOHPHQWRFXOWXUDOGLIHUHQFLDGRU
/RV KRVSLWDOHV VHUiQ SRGHURVDV HVWUXFWXUDV GLJLWDOHV
PLHQWUDV TXH VXV VHUYLFLRV ItVLFRV VH SUHVWDUiQ GH IRUPD
UDPL½FDGD \ GLVWULEXLGD JHRJUi½FDPHQWH /D LQIRUPDFLyQ
QHFHVDULDHQFDGDDFWRVHUiDFFHVLEOHHQHOOXJDU\PRPHQWRTXHVHUHTXLHUD0iVDOOiGHOUHFLQWRDVLVWHQFLDOODVUHGHVSHUPHDUiQGHPDQHUDQRLQYDVLYDHOiUHDGHYLGDGHO
FLXGDGDQR/RVVHUYLFLRVUHPRWRVPHGLDUiQQXHVWUDVUHODFLRQHVFRQHOVLVWHPDFLWDVHOHFFLRQHVD\XGDVDODWRPD
GHGHFLVLRQHVFRPSDUWLGDVH[SHULHQFLDVGHRWURVXVXDULRV
HWF$WUDYpVGHOD,QWHUQHWGHODV&RVDVORVFHQWURVJXLDUiQ D XVXDULRV \ SURIHVLRQDOHV PHGLDQWH GLVSRVLWLYRV PyYLOHVSHUVRQDOL]DGRVDGDSWDGRVDODIXQFLRQDOLGDG\HVWLOR
GHYLGDGHOLQGLYLGXR<ODH½FLHQFLDIXQFLRQDOGHOVLVWHPD
TXHGDUiJDUDQWL]DGDQRVyORGLJLWDOPHQWHVLQRWDPELpQD
WUDYpVGHODJHQWHSHUVRQDOYLUWXDOTXHDFWXDUiHQGHIHQVD
GHORVLQWHUHVHVUHDOHVGHODSHUVRQDGHVGHGHQWURGHOVLVWHPD \ FRQRFLHQGR GH PDQHUD WUDQVSDUHQWH GDWRV VDQLWDULRV\PHMRUHVHYLGHQFLDVGLVSRQLEOHV
(OUHWRDKRUDHVVXVWLWXLUORVVLVWHPDVSURSLHWDULRVS~EOLFRV\SULYDGRV\GHVDUUROODUDUTXLWHFWyQLFDPHQWHHOQXHYR
HGL½FLRYLUWXDOTXHJLUHHQWRUQRDODSHUVRQD\VXVQHFHVLGDGHVQRDODLQYHUVD
-RVp$9DOYHUGH$OEDFHWH'LUHFWRU*HQHUDOGHO&HQWUR1DFLRQDOGH7HFQRORJtDVGHOD$FFHVLELOLGDG&(17$&
MRVHYDOYHUGH#FHQWDFHV
0iVH½FD]PiVH½FLHQWHPiVHIHFWLYR
Jordi Varela i Pedragosa
José A. Valverde Albacete
Hospitales más virtuales, distribuidos y realmente
accesibles.
Madrid Network
/RV KRVSLWDOHV GHEHUtDQ
PHMRUDU HQ OD OtQHD GH OD
H½FDFLD SDUD HOOR WHQGUtDQ TXH UHRUJDQL]DUVH
sobre la base del proFHVRFOtQLFR\VHGHEHUtDQFHQWUDUPiVHQHO
SDFLHQWH (O REMHWLYR
GHORVKRVSLWDOHV\DQR
GHEHVHUSURGXFLUPXFKR
VLQR SURGXFLU HQ EDVH D
ORV UHTXHULPLHQWRV GHO
SDFLHQWH HQ FDGD
XQR GH VXV HVWDGLRV \ SXHVWR TXH PXFKDV
HQIHUPHGDGHV
KDQ UHGXFLGR
PRUWDOLGDG SDUD
DXPHQWDU HQ PRUELOLGDG VLQ OOHJDU D VDQDU OD HSLGHPLRORJtDGHODGLVFDSDFLGDG\ODGHSHQGHQFLDVHKDGLVSDUDGR
\HOORKDFRQOOHYDGRXQDWHQVLyQFUHFLHQWHHQODGHPDQGD
GHDVLVWHQFLDTXHUHFLEHQORVKRVSLWDOHV0HUH½HURDTXH
SDUDVHUH½FD]HQHOWUDWDPLHQWRGHXQSURFHVRDJXGRVH
UHTXLHUHKDELOLGDGSURIHVLRQDOHVSHFLDOL]DFLyQ\DPHQXGR
WHFQRORJtD SHUR FDVL FRQWUDGLFWRULDPHQWH UHVXOWD PXFKR
PiVFRPSOHMRPHMRUDUODFDOLGDGGHYLGDGHORVSDFLHQWHV
FRQHQIHUPHGDGHVFUyQLFDVRGHJHQHUDWLYDV\DTXHHQHVWRVHSLVRGLRVVHSUHFLVDODLPSOLFDFLyQGHOSURSLRSDFLHQWH
HQ XQ SURFHVR IRUPDWLYR TXH OH D\XGH D FRPSUHQGHU PHMRUTXpOHSDVD\VREUHWRGRVHGHEHHYLWDUTXHHOHQIHUPR
FUyQLFRVHFRQYLHUWDHQXQDGLFWRFRQVXPLGRUGHVHUYLFLRV
VDQLWDULRVLQQHFHVDULRV
GHODDFWLYLGDGTXHUHDOL]DQSRUHOORFUHR\HVSHURTXHQR
WDUGDUHPRVDYHUODFUHDFLyQGHHTXLSRVPXOWLGLVFLSOLQDUHV
TXHHQEDVHDODPHMRUDGHUHVXOWDGRVWUDEDMDUDQLQGLVWLQWDPHQWHHQHOiPELWRGHODDVLVWHQFLDSULPDULDHQHOGRPLFLOLR
GHORVSDFLHQWHV\HQORViPELWRVPiVHVSHFLDOL]DGRVGHORV
KRVSLWDOHV6HJ~QDOJXQRVDXWRUHVFRPRHOPLVPR3RUWHU
HOiPELWRGHOFRQRFLPLHQWRGHODLQQRYDFLyQ\GHODLQYHVWLJDFLyQVHYDDPXGDUGHVGHODVHVSHFLDOLGDGHVDFDGpPLFDV
FRPRODVFRQRFHPRVKR\HQGtDDORVHVSHFLDOLVWDVHQGLULJLUHTXLSRVTXHDFWXDUiQHQGLVWLQWRVQLYHOHVDVLVWHQFLDOHV
\TXHWHQGUiQFRPR~QLFRREMHWLYRODVPHMRUDVHQODFDOLGDG
GHYLGDGHGHWHUPLQDGRVJUXSRVGHSDFLHQWHVFRQHQIHUPHGDGHVFRPSOHMDVRQFROyJLFDVFUyQLFDVRGHJHQHUDWLYDV
-RUGL9DUHODL3HGUDJRVDHV'LUHFWRU*HUHQWHGHO+RVSLWDOGH
6DQW3DXGH%DUFHORQD
MYDUHOD#VDQWSDXFDW
/RVKRVSLWDOHVGHEHUiQVHUPiVH½FLHQWHVHQHOXVRGHUHFXUVRV/RVVHUYLFLRVGLDJQyVWLFRV\WHUDSpXWLFRVVHGHEHUiQ GHVEXURFUDWL]DU +D\ TXH SURPRFLRQDU OD LPSOLFDFLyQ
GHPpGLFRV\HQIHUPHUDVHQVXSURSLDJHVWLyQFOtQLFD\KD\
TXHFODUL½FDUFXiOYDDVHUODEDVHGHODHYDOXDFLyQGHVX
WUDEDMR3HURODFODYHGHOIXWXURGHORVVLVWHPDVVDQLWDULRV
SRUHQFLPDGHODH½FDFLD\GHODH½FLHQFLDHVODHIHFWLYLGDG
1DGDWLHQHVHQWLGRVLORVUHVXOWDGRVFOtQLFRVQRPHMRUDQRVL
ORVREMHWLYRVWHUDSpXWLFRVSDUDXQSDFLHQWHQRHVWiQFODURV
(VWDPRV YLHQGR FRPR 0LFKDHO 3RUWHU HVWi GHVDUUROODQGR
XQ PRGHOR GH FDWDORJDFLyQ GH ORV UHVXOWDGRV GH OD DFWXDFLyQ VDQLWDULD VREUH OD FDOLGDG GH YLGD GH ORV SDFLHQWHV \
FRPRGHVGHPXFKDVPXWXDVS~EOLFDV\SULYDGDVVHOHYDQWDQ
YRFHVDIDYRUGHLQFHQWLYDUDORVPpGLFRVHQIXQFLyQGHOD
FRQVHFXFLyQ GH REMHWLYRV GH VDOXG PiV TXH HQ ODV WDULIDV
El hospital del futuro: las ideas de los expertos
Dr. Eduardo Vigil Martín
El hospital del futuro.
+DEODU GH IXWXUR HQ FXDOTXLHU
WLHPSRIXH\HVXQHMHUFLFLRWHPHUDULR TXH JHQHUDOPHQWH VH
YHDFRPSDxDGRGHXQUHVXOWDGRSRFRSDUHFLGRHQHOPHMRU
de los casos, a la realidad suSXHVWDPHQWHSUHFHGLGD
&UHRTXHORVKRVSLWDOHVGHKR\\ODVSHUVRQDVTXHWUDEDMDPRVHQHOORVGHEHUtDPRVHVWDUPRGL½FDQGRQXHVWUDPHWRGRORJtDGHWUDEDMREDViQGRQRVHQODUHDOLGDGFRWLGLDQDGH
ORV SDFLHQWHV TXH DFXGHQ DO KRVSLWDO \ GH ODV DOWHUQDWLYDV
SRVLEOHV TXH QRV URGHDQ \ TXH \D QRV SHUPLWLUtDQ GDU SDVRV HQ XQD GLUHFFLyQ EDVWDQWH GLIHUHQWH D OD TXH HVWDPRV
VLJXLHQGR
6L DGHPiV HVWH HMHUFLFLR VH
DSOLFD D ORV 6LVWHPDV
6DQLWDULRV \ FRQFUHWDPHQWH D
los Hospitales
FRPROXJDUFRP~Q GRQGH VH
DWLHQGHDSDFLHQWHVFRQSDWRORJtDVTXHVREUHSDVDQHOiPELWR GH OD DWHQFLyQ SULPDULD ODV SRVLELOLGDGHV GH HUURU VH
LQFUHPHQWDQH[SRQHQFLDOPHQWH
<RKDUtDXQDDSXHVWDSRUJDQDUHOIXWXURDQWHVGHTXHHVWH
QRVGHUURWH
6LQHPEDUJRVLVHJXLPRVFRPRPpWRGRODDSOLFDFLyQGH
GHGXFFLRQHV EDVDGDV HQ UHDOLGDGHV DFWXDOHV \ HQ DTXHOODVTXHYLVXDOL]DPRVHQIXWXURVPX\SUy[LPRVRFDVLLQPHGLDWRV SRGUtDPRV OOHJDU D XQD SULPHUD DVHYHUDFLyQ
QRVpFyPRVHUiQORVKRVSLWDOHVGHOIXWXURSHURVtVpTXH
QRVHSDUHFHUiQHQQDGDDORVDFWXDOHV
5HDOLGDGHVFRPRHQYHMHFLPLHQWRODFURQLFLGDGGHSURFHVRV
SDWROyJLFRVTXHKDVWDDKRUDQRVXSHUDQODIDVHDJXGDFRPR
HOFiQFHUODUHDOLGDGFUHFLHQWHGHSDFLHQWHVSOXULSDWROyJLFRVODHOHYDFLyQGHFRVWHVVDQLWDULRV\XQDPHQRUSREODFLyQ
DFWLYD MXQWR D XQD SUHVHQFLD PDVLYD GH WHFQRORJtDV GH OD
LPDJHQ\GHODFRPXQLFDFLyQHQQXHVWUDYLGDFRWLGLDQDQRV
REOLJDQHFHVDULDPHQWHDLQWXLUQXHYDVPHWRGRORJtDVGHWUDEDMRGHORVSURIHVLRQDOHVVDQLWDULRVTXHREOLJDUiQDQXHYRV
GLVHxRV GH KRVSLWDOHV 1R SRGHPRV VHJXLU FRQVWUX\HQGR
KRVSLWDOHVTXHHQORIXQGDPHQWDOVLJXHQSDWURQHV\GLVHxRV
IXQFLRQDOHVGHVLJORVSDVDGRV
0LSUHGLFFLyQVREUHORV+RVSLWDOHVGHO)XWXURHVODGHFHQWURVDELHUWRVTXHIRUPDQSDUWHGHXQDUHGDVLVWHQFLDOFRQ
RWURV FHQWURV GH QLYHOHV GLIHUHQWHV GH FXLGDGRV \ HQ FRQH[LyQFRQSDFLHQWHVHQVXVGRPLFLOLRVRUHVLGHQFLDVGHFXLGDGRVVRFLRVDQLWDULRV&HQWURVFRQPiVDFWLYLGDGGLDJQyVWLFD\GHWUDWDPLHQWRVHVSHFt½FRVTXHGHFXLGDGRV²LQVLWX³\
FRQXQJUDQGHVDUUROORHQWHFQRORJtDVGHODLQIRUPDFLyQ\GH
ODFRPXQLFDFLyQTXHSHUPLWDODDWHQFLyQDSDFLHQWHVHQHQWRUQRVGRPLFLOLDULRVRHQRWURVFHQWURVFRQPHQRUGRWDFLyQ
GHHVSHFLDOLDOLVWDV
'U(GXDUGR9LJLO0DUWtQ+RVSLWDO8QLYHUVLWDULR9LUJHQGHO
5RFtR6HYLOOD
HGXDUGRYLJLOVVSD#MXQWDGHDQGDOXFLDHV
EL HOSPITAL DEL FUTURO: LAS IDEAS DE LOS EXPERTOS. MADRID NETWORK / CLUB GERTECH