Monday, January 17

“The biggest challenge is to make a sustainable health system”


Referring to the changes introduced by the pandemic in the sector, Serrao analyzed: “What we had was a cultural transformation. Since the first cases of Covid we have not stopped transforming ourselves. Another important point was the transformation acceleration. We had many products, many solutions, that were being thought for later, but the pandemic forced us to apply them. We are already living in the future. An example is the development of the artificial intelligence, which were things that were seen for the future. For some advanced and developed clients and today they are solutions that everyone implements: because it improves activity, it helps to make a better diagnosis ”.

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“What we always prioritized was humanization. It is what we continue to prioritize. Although there was an evolution in technological terms, we always kept in mind that the system helps and accompanies, but the human is always involved, “Oriolo remarked.

Mariano fuchila

“The entire health system was stressed. From Osde, we had a lot of work. We have a lot of work to do, “Oriolo said, adding:” When the pandemic began, we set up a centralized committee; As we have offices throughout the country, what was done was to create a committee in which directors and health specialists participated, and the first thing we did was take our people to their homes. In a short time, getting everyone to work from home to meet the needs of members was a challenge. We had to review the way we worked. What we take care of is health, something very sensitive, and at the moment it was quite complex ”.

But, beyond the technological aspect, Oriolo highlighted: “What we always prioritized was humanization. It is what we continue to prioritize. Although there was an evolution in technological terms, we always kept in mind that the system helps and accompanies, but the human is always involved. Technology helps, but does not solve. The patient always needs restraint. The pandemic helped the adoption of technology that until then were not available. Today we are clear about where we are going, but the pandemic changed us in terms of priorities. The pandemic demanded the acceleration of processes ”.

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“What we are failing at present is that each of the actors have different incentives. They are not aligned among the members of the health system. And when one does not align incentives, there begin to be conflicts,” Defranchi warned.

Mariano fuchila

For its part, Defranchi He pointed out his point of view: “We are the ones who are facing the patient. The first weeks were of uncertainty, we did not know what was going to happen. We could talk about the changes in the day to day, the double circuit to attend patients, the dozens of changes. But I would stay with some teachings that are above: This has to do with not having a rigid mindset, it is important to be able to adapt quickly. If the organization can’t adapt quickly, you’re in trouble. If the facts change, having the flexibility to adapt is critical. It is also important to make your decisions based on data and not on opinions ”.

“On the other hand, it is essential to have teams, the people who work with one. Have a reliable team. Trust and transparency are very important elements. These things were sped up. Things that we expected to happen in years, accelerated. And they are going to stay, like the teleconference, you have to take them from now on. The acceleration of changes that occurred as a result of an event that prevailed, “added Defranchi.

The current needs of the health system to have more efficient responses, was another of the aspects addressed during the talk. And one of those items is telemedicine and the advantages it offers.

“We have a product division that is remote diagnostics. What is it that a radiologist can give a diagnosis anywhere in the world, for example. It is one of the accelerations that was given to us. Before, the doctor had one or two places where he worked, and today he can focus on seeing imaging studies from various centers at home. And it could even do it all over the world. With remote access solutions, you can continue to provide services. It is one of the things that accelerated a lot, ”said Serrao.

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“Before, the doctor had one or two places where he worked, and today he can concentrate at home seeing imaging studies from various centers. And he could even do it all over the world. With remote access solutions, you can continue to provide services,” he said. Serrao.

Mariano fuchila

Meanwhile, on the division between the public and private health system, Oriolo pointed out: “It is not one or the other, it is one and the other. The health system has a number of actors who, in the future, must see how to articulate themselves. From the technology area I have the challenge of starting to integrate them, with the clinic, the providers, with the partner. Today, in the market there is no clinical history, or health record, because one goes to a medical center or laboratory, and the member still has to go with the papers. That requires integration and with that we are going to achieve greater efficiency. That is why it is very important and that we all work towards it ”.

I believe that the greatest challenge we have, regardless of whether it is private or public, is to create a health system that is sustainable, ”Defranchi agreed, and remarked: “And there I don’t know if it matters if it is private or public. What we are failing at present is that each of the actors has different incentives. They are not aligned among the members of the health system. And when you don’t align incentives, you start to have conflicts. In the middle of all this is the patient. If we cannot align the incentives to offer the highest value service to the patient, the system is going to remain noisy. When I refer to the greatest value for the patient, it is to provide a quality service in terms of results, related to how much it costs to provide that service. We are obligated to provide a valuable service. That should be the vision of the health system participants. Today I understand that it is not like that ”.



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