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                           Cómo manejar la sobrecarga de información
                              y estar al día en mi práctica clínica

Sunday, October 17, 2010
Medicina 2.0
       El manejo de la sobrecarga de
       información



Sunday, October 17, 2010
¿Qué quiero aprender?
       Objetivos




Sunday, October 17, 2010
Sunday, October 17, 2010
Adquirir habilidades en
                           tecnologías de la información
                                     en salud


Sunday, October 17, 2010
Adquirir habilidades en
                                                            Sin
                           tecnologías de la información
                                                           estrés!
                                     en salud


Sunday, October 17, 2010
Estar al día en la práctica



                              Adquirir habilidades en
                                                            Sin
                           tecnologías de la información
                                                           estrés!
                                     en salud


Sunday, October 17, 2010
Estar al día en la práctica



                              Adquirir habilidades en
                                                            Sin
                           tecnologías de la información
                                                           estrés!
                                     en salud


Sunday, October 17, 2010
Sistemas de salud                Pacientes




                                                  Estar al día en la práctica



                              Adquirir habilidades en
                                                            Sin
                           tecnologías de la información
                                                           estrés!
                                     en salud


Sunday, October 17, 2010
EVOLUCIÓN




Sunday, October 17, 2010
EVOLUCIÓN




Sunday, October 17, 2010
EVOLUCIÓN




Sunday, October 17, 2010
EVOLUCIÓN




Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
2 tons   1/2 gramo

Sunday, October 17, 2010
$1 millón USD en 1980 = 2.62
                          millones hoy =         100 USD = 1,244.00 MXN
                     32.6 millones MXN hoy




                             2 tons                      1/2 gramo

Sunday, October 17, 2010
$1 millón USD en 1980 = 2.62
                          millones hoy =         100 USD = 1,244.00 MXN
                     32.6 millones MXN hoy




                                                          32 GB
                               20 GB




                             2 tons                      1/2 gramo

Sunday, October 17, 2010
Comunicación era bidireccional




Sunday, October 17, 2010
Comunicación era bidireccional




Sunday, October 17, 2010
Sunday, October 17, 2010
O unidireccional hacia las masas...




Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
El paciente 2.0




Sunday, October 17, 2010
El paciente 2.0 / e-patient
       • Equipped - equipados con las habilidades para manejar su propia
         condición clínica
       • Enabled - capacitado para tomar decisiones sobre su propio cuidado y
         las mismas son consideradas y respetadas
       • Empowered - empoderado
       • Engaged - enganchado, comprometido con su propio cuidado
       • Equals - equidad en cuanto a su asociación con los varios médicos que
         le atienden (somos iguales, ambos tenemos derechos y obligaciones)
       • Emancipated - emancipado, libre de hacer sus propias decisiones
         independientes si así lo requiere.
       • Expert (?) - sabe mucho




Sunday, October 17, 2010
Cada día son más

                           !"#"$#%"$&'($)*&$




Sunday, October 17, 2010
Sunday, October 17, 2010
así surge...




      El doctor 2.0




                           ¿Cómo convertirme en uno?
Sunday, October 17, 2010
Siguiendo los pasos del paciente 2.0
       • Equipado - invertir un poco de $

       • Enabled - capacítate para saber usar esta tecnología

       • Engaged - engánchate con tu paciente, conócelo, y conoce de dónde y
         cómo obtiene la información que te presenta

       • Empowered - empoderamiento también de los profesionales de la salud,
         para exigir el cambio hacia la tecnología, fijar las reglas de sus
         instituciones, ayudar y obtener un balance.

       • Equals - igualdad en trato, aunque el doctor es el experto

       • Emancipated - libre de la forma tradicional de practicar la medicina

       • Empático



Sunday, October 17, 2010
Preguntas

       • ¿Has hecho diagnósticos o consultas vía...?


             • e-mail

             • facebook

             • twitter

             • SMS


       • ¿Cuántos te han llegado ya con información que obtuvieron o leyeron en
         internet?




Sunday, October 17, 2010
Preguntas




Sunday, October 17, 2010
Preguntas

       • ¿Crees que te llegan TODAS las noticias de tu especialidad?




Sunday, October 17, 2010
Preguntas

       • ¿Crees que te llegan TODAS las noticias de tu especialidad?


       • ¿Cuánto de lo que te llega es útil para tu práctica?




Sunday, October 17, 2010
Preguntas

       • ¿Crees que te llegan TODAS las noticias de tu especialidad?


       • ¿Cuánto de lo que te llega es útil para tu práctica?


       • Cuando tengo una duda / problema clínico ¿dónde busco primero?


             • Internet

             • Hablo por teléfono a un colega

             • Abro un libro que tengo en mi consultorio

             • Busco la información en las hojas de los representantes médicos




Sunday, October 17, 2010
Sunday, October 17, 2010
No válida
                           No relevante




Sunday, October 17, 2010
No válida
                           No relevante




                             Válida
                                &
                            Relevante



Sunday, October 17, 2010
No válida
                                          No relevante




                                            Válida
                                               &
                                           Relevante
                              Válida
                           No relevante
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
PUSH
       Por si acaso...




Sunday, October 17, 2010
Sunday, October 17, 2010
?




Sunday, October 17, 2010
?




Sunday, October 17, 2010
?




Sunday, October 17, 2010
?




Sunday, October 17, 2010
PULL
       Justo a tiempo...




Sunday, October 17, 2010
sobrecarga de
       información
       el problema es filtrarla




Sunday, October 17, 2010
PUSH
       &
       PULL
       Veremos ambas




Sunday, October 17, 2010
¿Cuánto tendría que leer al día?

                                                             23444&5&
                                       2500000
                                                             6+1&7.)&
           Artículos médicos por año




                                       2000000


                                       1500000
                                                                            83944&
                                       1000000                              6+1&7.)&
                                                                                         :2&6+1&
                                       500000                                             7.)&

                                             0
                                                  Biomedical        MEDLINE            ECAs        Diagnóstico

                                       !"#$%&'($)*+$&,-.(/,+$&)-')0+1/+$&

Sunday, October 17, 2010
75 ensayos clínicos
       &
       11 revisiones
       sistemáticas
       por día




Sunday, October 17, 2010
Historia




Sunday, October 17, 2010
ECAs publicados




Sunday, October 17, 2010
Revisiones sistemáticas publicadas




Sunday, October 17, 2010
Y lo triste...




Sunday, October 17, 2010
Información




Sunday, October 17, 2010
Información




                           PUSH




Sunday, October 17, 2010
Información

                                        PULL




                           PUSH




Sunday, October 17, 2010
PUSH




               Zhang L, Mendoza-Sassi RA,
               Wainwright C, Klassen TP.
               Nebulized hypertonic saline
               solution for acute
               bronchiolitis in infants.
               Cochrane Database Syst Rev.2008




Sunday, October 17, 2010
PUSH




                           Zhang L, Mendoza-Sassi RA,
                           Wainwright C, Klassen TP.
                           Nebulized hypertonic saline
                           solution for acute
                           bronchiolitis in infants.
                           Cochrane Database Syst Rev.2008




Sunday, October 17, 2010
PUSH




                           Zhang L, Mendoza-Sassi RA,
                           Wainwright C, Klassen TP.
                           Nebulized hypertonic saline
                           solution for acute
                           bronchiolitis in infants.
                           Cochrane Database Syst Rev.2008




Sunday, October 17, 2010
PUSH




                           Zhang L, Mendoza-Sassi RA,
                           Wainwright C, Klassen TP.
                           Nebulized hypertonic saline
                           solution for acute
                           bronchiolitis in infants.
                           Cochrane Database Syst Rev.2008




Sunday, October 17, 2010
RSS
       Herramienta PUSH esencial




Sunday, October 17, 2010
Hay dos formas de leer los tópicos y noticias de tu
       área:




Sunday, October 17, 2010
LA ANTIGUA




Sunday, October 17, 2010
Sunday, October 17, 2010
No válida
                           No relevante




Sunday, October 17, 2010
No válida
                           No relevante




                             Válida
                                &
                            Relevante



Sunday, October 17, 2010
No válida
                                          No relevante




                                            Válida
                                               &
                                           Relevante
                              Válida
                           No relevante
Sunday, October 17, 2010
Ver / buscar sin orden




                           y cuando me acuerdo




Sunday, October 17, 2010
Sunday, October 17, 2010
NUEVA




Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
PASO 1
       CONSEGUIR UN “READER” o LECTOR




Sunday, October 17, 2010
Sunday, October 17, 2010
PASO 2. CONSEGUIR EL SITIO A SUSCRIBIRSE




Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Don´t panic




Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
COPY




Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
PASTE




Sunday, October 17, 2010
Sunday, October 17, 2010
Sunday, October 17, 2010
se requieren habilidades y
                           MANOS A LA OBRA   práctica


Sunday, October 17, 2010

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Sobrecarga de información y actualización médica