Personalized medicine: roadmap for implementation in Colombia | More Content

The fourth and last meeting of the project ‘Personalized medicine: a real work plan for Colombia’ was held, in which the elements to define the implementation path of this model in the Colombian health system with an effective and lasting purpose were recognized. .

Experts and representatives from different sectors of health, education, technology and innovation participated in the conversation. The attendees identified and defined the roadmap that leads to continuing to apply the model in the country.

Prior to the debate, the surgeon Gabriel Riveros shared with the attendees important results of reference studies, explaining the importance of governance, awareness and attitudes, infrastructure and financial management to support a health model that allows providing the indicated treatment , to the right patient, at the right time.

Likewise, he presented some relevant ideas of the Latin American Personalized Medicine Index, recently launched and prepared by Future Proofing Healthcare, in which they explain how Colombia is in the process of formulating and implementing personalized health care plans leveraged on evidence and use. of data.

A real work plan for Colombia

During the four meetings that were held within the framework of this project, developed with the support of Roche Products, several exercises were designed in which multisectoral dialogue prevailed to introduce the topic in the collective interest and, in addition, the progress of two cases around Personalized Medicine: One of them, by Ruta N Medellín, is called ‘Hub, life sciences: data at the service of well-being’, and aims to reduce the burden of diseases by 33% non-communicable chronicles for 2030 in Medellín, through different strategies.

The second case was about the ‘Integrated Laboratory of Specialized Medicine, an experience of precision medicine’, whose project, presented by Luis Miguel Acevedo, vice dean of the Faculty of Medicine of the University of Antioquia, integrates different areas and applies clinical research and biomedical to guarantee adequate treatment for each patient and generate a response to the needs of the environment, through science, technology and innovation solutions.

On the other hand, it was concluded how the intersection of medical knowledge, technology and data science can transform the health network, taking into account the importance of interoperability between information systems. Sandra Inés Rozo, CEO of R&A Smart Health, described interoperability as the ability of information systems to share data beyond medical records, including the ability to share relevant clinical data in relation to health in a comprehensive manner and with security”.

In these conversations, a methodological effort was carried out to identify challenges that finally made it possible to specify a diagnosis and visualize needs to culminate in a proposal for the implementation of personalized medicine in Colombia.

Roadmap construction

The starting point in this journey that proposes a vision of health in the country to provide the indicated treatment, to the appropriate patient, at the right time is, according to the experts, to clearly define the conceptual framework and what is understood by ‘Personalized Medicine ‘, in order to establish clear objectives and define the process of the regulatory framework from the point of view of the health system in general and technology; and at the same time define what will be the process to integrate patients in this model, especially those who are in dispersed geographical areas.

Multisectoral participation

The participation of all the actors of the social security system in Colombia and other actors of the State is essential to make personalized medicine possible in the country and to massify the technological platforms and their accessibility to any service provider that this health proposal requires. This item is leveraged with the integration of a group of external advisers who can be consulted by decision makers and can propose solutions to the challenges that arise in the implementation.

Human talent training

José Ignacio Melo, representative of the Ministry of ICTs, pointed out that “the training that should be had towards health professionals and active personnel of the Colombian health system is important to be able to interact with technologies and use mechanisms to work in personalized medicine”.

At this point, work must also be done on the education and training of human talent and health personnel in matters of digital transformation and new technologies, and the training of the general public is necessary.

Access to genomics laboratories

Along the same route, Melo explains that it is necessary to develop and have access to genomics laboratories, “so that people have the possibility of knowing what risks they are exposed to from the genetic point of view” and thus take preventive actions.

Governance and Interoperability of medical records

The formal development of the interoperability of the medical history, “is an aspect that began to be developed by the Government, but it is necessary to massify it (…)”, concludes Melo. However, in terms of governance, based on Law 2015 and Resolution 866, the development of the electronic medical record and the interoperability of the medical record are proposed in the coming years, according to Dr. Augusto Galán, director of the center of thought So We Go in Health.

Education and citizen trust

Another aspect outlined in this roadmap is the need to carry out citizen education campaigns, so that Colombians trust that this model works. “That they believe in the institutions, in the doctors. That they feel that it facilitates and helps to improve the quality of life from the health point of view, displacement, costs. We want the citizen to believe in the process and help, and be link massively “, adds José Ignacio Melo.

Financing

A determining factor in this process is the financing of the health system. In the opinion of Dr. Orlando Sarmiento, scientific director of AFIDRO, this issue could be included in the Ten-Year Health Plan that is being generated for 2022 – 2030. “It is an opportunity to integrate these results and have at the end of the process of that A balance sheet is on the way to strengthen the achievements and improve what has remained in deficit. “In this regard, it is important to continue developing analysis and progressive cuts on issues of pharmacoeconomics and issues of cost-effectiveness on the issue of financing.

Now, when you have the model in the country, you should do cost analysis, benefits obtained, what would be the next step, the impact on citizens, the system and Health policy in Colombia.

Knowledge transmission

The experts who participated in the debate concluded to define a concept of transmission of knowledge to the different actors involved that holistically encompasses the common citizen, health authorities, regulatory entities, technology entities, health personnel, decision makers within the system. , EPS, personnel who are on the street, and even training for the judicial branch, among others.

Infrastructure and interconnection

There is another challenge that has to do with the interconnection of the most remote areas and the dispersed rural population. This does not depend solely on the health sector and it is necessary to insist on the need to better interconnect these regions with regard to these aspects, in order to have digital citizens who can access these personalized medicine opportunities.

This is leveraged by the importance of finding a way for all health providers to have basic mechanisms of fairly robust technological platforms that allow them to offer this type of service or adapt to this type of model. In this item, Melo highlighted that as members of the State “we also help connectivity in the country, precisely so that this project is not only developed in the first cities of Colombia but also in the most remote cities”

Personalized Medicine is an important opportunity for Colombia to be a center of excellence in technical studies, optimizing governance, education, infrastructure and financial elements that lead to improving the health system and the care of its users.

This material was built by the Portafolio editorial team with the support of Productos Roche SA It is aimed at the general public.
Veeva code: M-CO-00002499

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