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Nuevas formas de comunicar en salud

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Conferencia inaugural del Congreso de la Sociedad Madrileña de Medicina Familiar y Comunitaria (SOMAMFYC). Celebrado en Alcorcón el 23/04/2015

Published in: Health & Medicine
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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m77EgH } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m77EgH } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m77EgH } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m77EgH } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m77EgH } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m77EgH } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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Nuevas formas de comunicar en salud

  1. 1. Nuevas  formas  de   comunicarse  en  salud  
  2. 2. ¿Qué  es  esto?   h"p://www.diabetesforo.com/discussion/7185/funda-­‐bomba-­‐asi-­‐la-­‐hice-­‐/p1  
  3. 3. Greenhalgh  Trisha,  Hinder  Susan,  Stramer  Katja,  Bratan  Tanja,  Russell  Jill.  AdopIon,  non-­‐adopIon,  and   abandonment  of  a  personal  electronic  health  record:  case  study  of  HealthSpace  BMJ  2010;  341  :c5814  
  4. 4. 98%  de  los  cuidados  habituales  de  un  paciente  con   diabetes  los  realiza  el  propio  paciente.     Anderson,  R.  M.,  &  Funnell,  M.  M.  (2010).  PaIent  empowerment:  myths  and  misconcepIons.  PaIent  educaIon  and   counseling,  79(3),  277-­‐282.  
  5. 5. 50%  lo  u@lizan  a  diario*   (*)  Datos  del  Barómetro  del  CIS  marzo  2015  
  6. 6. La  salud  son   conversaciones   Y  ahora  cualquiera  puede  hablar…  
  7. 7. Apoyo  emocional  e  información  
  8. 8. Nadie  quiere   estar  [ni  sen@rse]  solo  
  9. 9. El  uso  de  redes  sociales  y  la  comunicación  online  produce  efectos   posi@vos  en  la  salud  del  paciente  (o  en  su  estado  emocional,  al   menos).  Mejora  autocuidados  y  conocimiento  de  la  patología.   de  Jong  CC,  Ros  WJ,  Schrijvers  G.  The  Effects  on  Health  Behavior  and  Health  Outcomes  of  Internet-­‐Based   Asynchronous  CommunicaIon  Between  Health  Providers  and  PaIents  With  a  Chronic  CondiIon:  A  SystemaIc   Review.  J  Med  Internet  Res  2014;16(1):e19   Merolli,  M.,  Gray,  K.,  &  MarIn-­‐Sanchez,  F.  (2013).  Health  outcomes  and  related  effects  of  using  social  media  in   chronic  disease  management:  A  literature  review  and  analysis  of  affordances.  Journal  of  Biomedical  InformaIcs,   46(6),  957-­‐969.  
  10. 10. Usaría una web recomendada por su médico. 74% 4% 76% Usaría el email para contactar con su médico Le recomendó su médico una web Marin  Torres  V,  Valverde    Aliaga  J,  Sánchez    Miró  I,  Sáenz  del  Cas@llo  Vicente  MI,  Polen@nos  Castro  E,  Garrido  Barral   A.  Internet  como  fuente  de  información  sobre  salud  en  pacientes  de  atención  primaria  y  su  influencia  en  la  relación   médico-­‐paciente.  Atención  primaria;  2013;  45(1)  p.  46-­‐53.    
  11. 11. Badal  Pal  publica  en   el  BMJ  un  breve   sobre  uso  de  email.  
  12. 12. Pearl,  R.  (2014).  Kaiser  Permanente  Northern  California:  current  experiences  with  internet,  mobile,  and  video   technologies.  Health  Affairs,  33(2),  251-­‐257.   Incorporar  el  email  a  nuestros  procesos  
  13. 13. Error  de  foco:  ¿Mejorar  la  atención  al   paciente  o  reducir  la  frecuentación?  
  14. 14. Lo  que  está  fuera  de  control   ¡¡¡no  nos  gusta!!!  
  15. 15. Uniformidad  en  el  mensaje   Barrio-­‐Cantalejo,  I.  M.,  Ayudarte-­‐Larios,  L.  M.,  Hernán-­‐García,  M.,  Simón-­‐Lorda,  P.,  García-­‐GuIérrez,  J.  F.,  &  Margnez-­‐ Tapias,  J.  (2011).  Are  the  health  messages  in  schoolbooks  based  on  scienIfic  evidence?  A  descripIve  study.  BMC  public   health,  11(1),  54.  
  16. 16. ¿Sabemos  que  se  dice  en  la  red?   ¿Conoces  webs  fiables?  
  17. 17. Evidencia  cienlfica   Evidencia  de  la  experiencia   “La homeopatía es como el agua… pero con azúcar. A mi cuñado le va bien para el herpes.” Paulo Coelho
  18. 18. “Tienes   razón,   con/an   en   mi,   los   12   millones   de   visitas   únicas.   Inspiro   confianza  y  llego  a  una  gran  mul?tud  de  personas  de  todo  el  mundo,  ese   soy  yo,  ese  es  mi  sello.  Las  palabras  precisas  y  nadie  irá  a  ponerse  la  vacuna   (...)  puedo  hacer  que  eso  ocurra”   “Contagio”  (2011),  dirigida  por  Steven  Soderbergh  
  19. 19. 1.  Brecha  digital  de  pacientes:  no  saben  (pueden)  buscar   2.  Brecha  digital  de  profesionales:  no  saben  asesorar.   3.  Existe  miedo  del  paciente  a  hablar  de  internet.   4.  Es  esencial  comentar  la  información  con  el  paciente.     5.  No  rechaces  el  uso  de  internet,  ofrece  webs  fiables     [Y  no  olvides  la  ley  de  los  cuidados  inversos  de  Tudor  Hart  ni  el  “universalismo   proporcional”  de  Marmot]   Kruse  CS,  Argueta  DA,  Lopez  L,  Nair  A.    PaIent  and  Provider  Antudes  Toward  the  Use  of  PaIent  Portals  for  the   Management  of  Chronic  Disease:  A  SystemaIc  Review.  J  Med  Internet  Res  2015;17(2):e40   Cambios  en  la  relación  médico-­‐paciente  
  20. 20. Érase  una  vez  en  1816…   Eisenberg  JM.  Ten  lessons  for  evidence-­‐based  technology  assessment.  JAMA  1999;282(19):1865–9  
  21. 21. ¿Qué  pasará  cuando  llegue  el  Uber  de  la  salud?    ¿Cerrar  los  ojos?  
  22. 22. Estrategia  de  calidad  en  apps  móviles   de  la  Junta  de  Andalucia   hrp://www.calidadappsalud.com/  
  23. 23. Low  tech,   high  care  
  24. 24. La  mejor  forma  de  conseguir  que  el   paciente  haga  algo  es…     que  no  tenga  que  hacer  (casi)  nada  
  25. 25. Más  de  uno  habrá  pensado:   falta  evidencia,  ya  hay   proyectos  pilotos  de  eso…    
  26. 26. Ningún   problema   debería   resolverse   dos  veces  
  27. 27. ¿Cómo  va  el   proyecto   aquel?   La  Cochrane  dice  que   nada.  Así  que  paramos   Vaya,   entonces…   ¡¡¡Nunca   podemos   cambiar   nada!!!   Otro   friki  
  28. 28. ¿Un  nuevo  modelo  de  liderazgo?   1.  Conversación   2.  Par@cipación   3.  Democracia   4.  Transparencia   5.  Visibilidad  
  29. 29. Par@cipación  ac@va  del  ciudadano  
  30. 30. Tuitear  es  pecado  
  31. 31. ¿Qué  nos  perdemos?  
  32. 32. ¡Aprender!  
  33. 33. Escuchar  y  responder  
  34. 34. Vídeos  de  profesionales  para  profesionales  
  35. 35. El  origen  social  de  las  buenas  ideas  
  36. 36. Las  3  condiciones  de  Foray  para   el  intercambio  de  conocimiento   1.  Tamaño   2.  Coste   3.  Claridad   4.  Cultura  de  compar@r   4
  37. 37. ¿Miedo  a   compartir?   ¿Miedo  a   escuchar?   ¿Miedo  a   aprender?   ¿Miedo  a  no   saber?   ¿Miedo  a   perder?  
  38. 38. “De  todas  las  ovejas,  la  única   imprescindible  es  la  negra”  
  39. 39. Queremos  más   rebeldes  en  las   ins@tuciones  
  40. 40. “  in  the  past  history  was  wriIen  by  the  privileged  few”     Dan  Spence  “New  kids  on  the  blog”  BMJ  2010  
  41. 41. ¿Reinventar  el  sistema  sanitario?   1.  Fronteras  (¿fin?)   2.  (In)comunicación   3.  Opacidad   4.  Mensaje  
  42. 42. 1. Crear  redes   2. Conocer   3. Colaborar   4. Escuchar   5. Par@cipar   6. Avanzar  
  43. 43. A  lo  nuevo  le  exigimos  todo,  a   lo  viejo  se  lo  perdonamos  todo  
  44. 44. “Llegamos  siempre  tarde,   donde  nunca  pasa  nada”   J.  M.  Serrat  
  45. 45. Miguel  Ángel  Máñez   Twirer:  @manyez   hrp://saludconcosas.blogspot.com  

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