Chapter IV
In good company

LAC needs to take unprecedented collaborative action to address an unparalleled social and economic crisis. Currently, countries face macroeconomic, fiscal, social, institutional, and health challenges, and they will need to make difficult decisions to meet their citizens’ needs, despite greater fiscal constraints. No country, government, or institution can overcome these challenges alone. The private sector, as a driver of growth, plays a vital role. Governments need to provide an environment that unleashes businesses’ potential to use creativity and flexibility to reach innovative solutions. At the same time, it needs to protect citizens’ rights and interests. Meanwhile, multilateral organizations need to come alongside countries as they design a landscape of effective actions, and then inject strategic support

The IDB Group’s “Vision 2025” outlines its support to countries and clients to meet these multiple challenges and achieve social and economic development in LAC by offering technical assistance, knowledge, funding, and partnerships that maximize the impact of efforts. The vision for 2020-2025 includes five areas of action, one of which is successfully adopting and using digital technology to drive longterm dividends for economies in terms of growth, innovation, and social inclusion.

In the health sector, digital technologies and tools offer the potential to tackle LAC’s three main enduring challenges: the triple burden of disease (particularly non-communicable diseases that are increasingly more difficult and costly to treat); financially and fiscally unsustainable spending; and low productivity and poor quality in services.

It is true that digital transformations are particularly difficult in the health sector. The health industry produces large quantities of confidential data, draws on multiple types of information that need to be standardized (diagnoses, prescriptions, lab tests, invoicing), and has a legacy of systems that operate in isolation and still use many paper-based processes. Digitally transforming health requires significant short-, medium-, and long-term investment, but deeplyrooted and difficult-to-change dynamics and behaviors between patients and providers have to be addressed as well.

However, global evidence suggests that a digital transformation, if done right, offers benefits in three main categories: the public health system, clinical care processes, and health outcomes. 1 It is also important to weigh the potentially severe human costs of a botched implementation in this field.

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Linked Histories: Digital Health - Leandro Barneche.

Learn about an Uruguayan´s experience with EHR.

The IDB has the structure, knowledge, and commitment to help countries effectively implement digital transformation of the health sector. In addition to its vast experience in LAC, the IDB has comprehensive and technical knowledge on issues key to successfully adopting technologies in the health sector in an ethical and responsible manner. It also has a powerful network of actors within the region and beyond. Since 2018, the IDB Group has been building knowledge and tools related to launching DT in health care. In 2018, IDB endorsed the Principles for Digital Development,and in 2019 it published the report The Health and Social Protection Division’s Approach to Digital Transformation: Directives and Recommendations, with guidance for its technical and financial support to countries on strategic and foundational matters, Global Goods, and sharing regional knowledge on digital health. The bank also set up the Social Digital platform, a digital resource center on leveraging technology to improve social services in LAC.

The main objectives of the IDB Social Sector’s work on digital transformation are to improve the efficiency of the sector, improve the quality of social services, and reduce inequality through digital services.

The IDB’s experience supporting the work of ministries of health and ministries of technology —and coordinating their efforts—at a national and sector level is enhanced by IDB Invest experience supporting the public-private partnerships needed for this process, as well as IDB LAB experience promoting the creativity and innovation of entrepreneurs to solve some of the most complex problems.

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In Sao Paulo, the "Portal Telemedicina" promotes efficient management and quality care.

Whatever the state of digital transformation in each country, as well as the fiscal challenges, government plans and national budget, and technological expertise of each, the IDB Group offers resources to chart a good path for DT, from the current state of affairs to a strong health system that is sustainable and cost effective. This publication is a guide for the journey.

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Learn about experience of Jamaica for the control of chronic diseases

Referencias:

1 Hannele Hypponen et al., “Impacts of structuring the electronic health record: a systematic review protocol and results of previous reviews”, International Journal of Medical Informatics 83, no. 3 (marzo de 2014), 159-169. https://pubmed.ncbi.nlm.nih.gov/24374018/.