The redesign of health systems in the post-pandemic “must be based on the incorporation of technology and the prioritization of presence over presence,” said Marilú Acosta, who faced the coronavirus in Mexico from the Promueve Salud Foundation, where he had in charge of 8,500 patients and a team of between 120 and 160 doctors.

“Clearly we can make a transition from the face-to-face to the present. That does not mean that absolutely all the practice of medicine must be done by telemedicine,” said the specialist.

Acosta, who also held various positions in the public health sector in Mexico, told Télam that in that country many patients had not applied telemedicine “would have been in intensive care in a brick hospital” and remarked that “the presence made that we were 24/7 with the Covid patient “.

The dilemma between face-to-face medicine and telemedicine will be one of the central points in which experts from different parts of the world will debate during the “Celebrate Life” event, which today will be broadcast to all of Latin America and the Caribbean to analyze the main scientific challenges for the medicine after the pandemic organized by the Roche laboratory on its 125th anniversary.

Acosta said that in Mexico “priority was given to video calling to be closer to the patient, although it was not always possible due to connectivity issues or due to the patient’s own evolution, who felt very bad.”

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A fallback.

Doctors in pandemic

“We never gave a face-to-face consultation but we were always next to the patient throughout his illness,” he said.

Master in Public Health and Health Promotion from the Henri Poincaré Institute in France, Acosta considered Covid-19 as “a very treacherous disease.”

“This meant that we had to be by the side of the patient permanently to follow their evolution because there are countless pathologies that do not have the capacity to betray in just a few hours like the coronavirus,” said the professional

On the other hand, Acosta stated that there would have to be “a branch of medical science that teaches digital medicine because not all doctors have the ability to practice remotely.”

At this point, the specialist understood that although many people value “the romantic consultation of face-to-face medicine and feel that the doctor reviewed it, the truth is that in less than 5 percent of face-to-face consultations the doctor thoroughly reviews a patient”.

“There are many doctors who prioritize the number of patients they see during the day and not a long and thorough consultation,” he said.

Forensic doctors

In this context, who coordinated the Special Projects area of ​​the Ministry of Health of Mexico, “telemedicine has come to shake the world of traditional medicine from the use we gave to smartphones and broadband throughout this time “

“You have to take the opportunity to make a change from a paternalistic health system, where the doctor told you what to do, to an empowered patient who knows his own body, its symptoms and can clearly monitor the evolution of the disease, “he postulated


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