[Applause]
ten years ago just 10 years ago I received
a call from a president of america
latina and told me we knew trini
It took fifteen ambulances 15
ambulances equipped with material
surgical with health personnel with
medical nurses
I need those fifteen ambulances because
there are places in my country to which
it is possible to get there there are no doctors there
no dispensary health center no
there are hospitals and there are many people who
have certain needs and had
full meaning to me your request
it made full sense but our
experts our enemies in the
ministry they told us is not sustainable
it is not sustainable that we do 15
mounted ambulances with mobile uvi
with health personnel because that when
the surgical material is finished
Ambulances will be dedicated to
anything but really for what
what is planned
ten years later, barely ten years
later that we have then we have a
society which effectively increased
life expectancy that is a great
social conquest an extraordinary
social conquest
we live on average our country in
Spain around 82 years but
also in the countries of america
Latin life expectancy has
triple chacón is involved in
some countries in the last 15 years
and it is true that there are more and more
elderly people as a result of
increase in life expectancy
in fact it is estimated that in the year 2050
There are about 2,000 million
seniors also a
very great news a great conquest
social but ten years later that
call we also have
some difficulties because
besides the autochthonous diseases
what’s in these countries we’ve seen
in Brazil with the fica or we have seen it
in some Central American countries with the
malaria or any other disease
even in haiti with cholera
decided in addition to these diseases
we are faced with a great social challenge
how we serve the elderly
how we treat diseases
associated with aging like
we serve people with
chronic diseases to patients
chronic that is the same here in
Spain that in these countries that spoke
in Latin America
ten years later I have also been able
Check that spending has increased
public healthcare has increased
that has become more or less the
same as we have in Spain
in spain we are around 6 on the 7
and 8 percent the best moments
in the public exit that can be
suppose when I say 6 or 7 percent
of GDP and that can amount to about 75,000
million euros an amount nothing
despicable but the same that is spent
in countries like Chile as Colombia as
Mexico
nothing differentiates us is more or less something
similar well, if it had received
this call that I received it in an old
mobile phone an old nokia from this
that have no internet connection
if he had received it now just ten
years later
maybe my answer would have been
different because ten years later
they still have problems
the president who called me and tells me
they still do not have a network of
health centers or a healthcare network
as we have in the average of the countries
of the osce that is a medium high
they still have difficulties
access a certain site and from
then the ambulances are not a
solution
ten years later if there were
received the call on a smartphone
my answer would be very different so
differently like I would have searched
alternative solutions because while
today there is no network center
Health
to serve the entire population and that
we have a great advantage in the
present
and we have a magnificent
digital infrastructures in america
latina which means then a
penetration of 70 percent band
wide a connection of at least 50
percent to internet and this that we
does
we want alternative solutions for
be able to serve the population that
basically they are older people or with
diseases linked to aging
offer a solution from a
digital platform means power
get immediately to
any solution to any doctor
to any hospital and in fact already
He is doing as we have in Bolivia
How is telemedicine
altiplano we have in Brazil as in the
state of minas gerais and and they are
using social networks to put
in contact with the doctors to be a peu
you are the patients to the relatives
so they can serve as a support network
with what that implies of consciousness
citizen
we have also for example in chile is
a country
larra that advanced and developed in
latin america but they have a
deficit of cardiologists and have made a
program that is telecardiology that
means that it is sent digitally
electronic electrocardiogram to be able
diagnose appropriately
what is the ailment the patient and
what are the remedies say there is
exists in germany
this has matched us to the whole era
digital equals everything to all
countries and all countries we have the
same opportunity for development and
same the same opportunity to be able
look for that new alternative in the
treatment of diseases in the
treatment of attention to
Seniors in Hannover in Germany
it was a very interesting project
they took a thousand patients
those thousand patient 700 decided
treat it via digital and the rest
they decided to treat him in person
in a conventional manner that happened
after the years the people who
they had been treated digitally
with a digital combination and
face
they showed in the first place a greater
satisfaction that attention because
because they could be treated so
More frequently
there was a greater frequency in the
relationship between the doctor and the patient
but they could be treated at home
the majority of the elderly
prefer to be treated at home
prefer to be serviced at home or have
some difficulty to move
but it is also the cost of
treatment was infinitely inferior
30 percent less spending and in
hospital spending 5 percent less
also on medication and what is more
important in addition to satisfaction
of the patient
and that is that there was a
reduction of mortality say all
these people said that if the
technology gives us an opportunity
technology gives us a solution
is alternative and it gives us a greater
quality of life and a greater
satisfaction with what he calls supposed
generate value in the development of
human capital the countries where
we implemented equals and technology
many times we can go from one
solution from the 19th century to the 21st century without
go through the 20th century
equals the technology in the
development of different countries
there is an anecdote attributed to the doctor
cashew a passion a person will
said doctor what is the tool more
useful for a doctor the doctor
cashew backdrop the chair and many
can suspend us the answer with
a chair is more useful than a scalpel
than an antibiotic that any
advancement of the street lived and has
I felt the answer to the cashew doctor
and nice chair
the doctor sees the patient today at
Patient listens to what he wants to say
how do you feel how you will respond
how are you going to diagnose and this is
irreplaceable is the chair and
possibly the solution today for
will address the growing problem that does not
it is a problem that is a great achievement
social in the sense that there is a
number of seniors who are going to
need an attention how
we managed to take care of all those
elderly people and the need to
also increase public spending
seeking solutions to what we
offers in the current world
we obviously have this opportunity
with this new technology
I insist if the cashew doctor had
repeated the question today in the 21st century
with what we have
I would possibly respond
I need a chair and a mobile phone
thank you very much
[Applause]
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