In this blog, we have extensively talked about the potential benefits that spas and wellness centres can obtain from building different synergies within the health industry. Although we firmly believe this is a promising business opportunity, and one we should definitely try to embrace as an industry, we also know the construction of those synergies is subject to a series of obstacles and different mindsets.
In spite of the current crisis of healthcare systems around the world and the potential benefits that innovative and preventive models can provide to the health industry as a whole, several actors in the health field are not still seduced by the idea of changing the traditional ways in which healthcare is delivered to people.
En este blog hemos hablado ampliamente sobre los potenciales beneficios que los spas y centros de wellness pueden obtener de la creación de diversas sinergías dentro de la industria de la salud. Aunque creemos firmemente que esta es una oportunidad de negocios prometedora, y una que definitivamente deberíamos tratar de abrazar como industria, también sabemos que la construcción de dichas sinergias está sujeta a una serie de obstáculos y formas de pensar diferentes.
A pesar de la actual crisis de los sistemas sanitarios del mundo y los potenciales beneficios que la industria de la salud podría percibir de modelos innovadores y preventivos, son varios los actores en el campo de la salud que todavía no se han dejado seducir por la idea de cambiar las formas tradicionales en que se le da a la gente el suministro de asistencia sanitaria.
Conventional Views and Economic Interests
Just recently, Spa Business Blog editor Liz Terry wrote an interesting piece entitled The Wellness Challenge. As the title suggests, Terry touches various issues regarding the main obstacles that our industry faces today in terms of getting involved with the health industry.
Her article, which is based on the things she heard at the last TEDMED conference in Washington DC, offers mixed conclusions. On the negative side, Terry was shocked to realize that several actors in the healthcare field still favour their economic interests and traditional views over things like prevention and helping people to change their lifestyles.
As stated by Terry, “for drug companies and some parts of the medical profession, it appears that the optimal outcome is large numbers of people who are well enough to stay alive for long periods of time, but sick enough to need constant medication, so they’re effectively being farmed for profit.”
As a result, Terry argues that the wellness industry is in competition with conventional medicine. Although this is probably the biggest obstacle the spa and wellness industries need to overcome, Terry also highlights in her article the different speakers who challenged that conventionalism.
Cure vs. Prevention
One of the TEDMED speakers who challenged conventional views was Sandeep Kishore, a post-doctoral fellow at Harvard Medical School. According to Kishore, the current conventionalism has been produced by a linear division between the medical and the public health worlds.
Just like 100 years ago, today’s medical schools are still pushing the idea that curing sick people is the best way to measure a successful medical treatment. This academic foundation, as well as the economic interests we mentioned before, are responsible for establishing the prevailing reactive models that define healthcare systems around the world.
Unfortunately, this approach to health has been responsible for bringing healthcare systems to their knees. The financial and human burden has become unsustainable, and that is precisely why prevention is gaining force in the last years. In spite of the fact that prevention appears as the common sense alternative to tackle the current crisis, conventional wisdom still favours cure over prevention.
Changing Lifestyles
One of the most interesting facts presented by Sandeep Kishore was related to life expectancy. A related slide stated that “of the 30+ years gained in life expectancy in the past century in the USA, 5 years are due to medical care.” The remaining 25+ years are explained by an improvement on social things like sanitation, hygiene, and what he referred to as “the causes of the causes.” In other words, our general well-being will be mostly affected by changing our lifestyles rather than by developing new drugs.
Along those lines, other speakers supported the idea of making a clear distinction between conditions that are preventable and those that require advance medical treatments such as surgery and drug therapies. Ivan Oranski, M.D. and Executive Director of Reuters Health, warned about the danger posed by overtreatment and labeling too many patients with subclinical illnesses.
A Tough Challenge
When you are dealing with something like changing traditional views of doing things, you know you are in front of a big challenge. If we add strong economic interests favouring those views, we know the spa and wellness industries will need to work hard in order to step into the health field.
In spite of this tough challenge, the TEDMED conference and other recently held forums around the world are a good indication that there is an increasing dialogue within the health industry regarding the need of changing things around.
Liz Terry thinks we should focus on building alliances with different actors of the health industry and create common goals alongside them. At Spa Balance we share this view. The road won’t be easy but the benefits our industry and the whole society can perceive from changing the current situation are worth trying. Are you up for the challenge?
Puntos de vista convencionales e intereses económicos
Recientemente Liz Terry, columnista de Spa Business Blog, escribió un interesante artículo titulado The Wellness Challenge. Tal y como el título lo sugiere, Terry toca varios asuntos relacionados con los principales obstáculos que nuestra industria enfrenta hoy en día con respecto a involucrarse dento de la industria de la salud.
Su artículo, basado en las opiniones que escuchó en la última conferencia TEDMED realizada en Washington DC, ofrece conclusiones mixtas. Por el lado negativo, Terry fue sorprendida al darse cuenta que varios actores en el campo de la salud todavía favorecen sus intereses económicos y puntos de vista tradicionales por encima de cosas como la prevención y ayudar a la gente a cambiar sus estilos de vida.
Tal y como Terry lo señala, “para las compañías farmacéuticas y algunas partes de la profesión médica, pareciera que el resultado óptimo fuera el de lograr un gran número de personas que están lo suficientemente bien como para mantenerse con vida durante largos periodos de tiempo, pero lo suficientemente enfermas como para necesitar cuidado médico constante alimentando de esta forma una población adapta a los fines de lucro del sector”.
Como resultado de ello, Terry sostiene que la industria del wellness está en competencia con la medicina convencional. Aunque este es probablemente el mayor obstáculo que las industrias de spa y wellness necesitan superar, Terry también destaca en su artículo los diferentes oradores que cuestionaron dicho convencionalismo.
Cura vs Prevención
Uno de los ponentes que cuestionaron en la TEDMED puntos de vista convencionales fue Sandeep Kishore, miembro académico de la Harvard Medical School. Según Kishore, el convencionalismo actual ha sido producido por una división lineal entre el mundo médico y el mundo de la salud pública.
Tal y como sucedía 100 años atrás, las escuelas de medicina de hoy en día siguen promoviendo la idea de que la curación de los enfermos es la mejor manera de medir el éxito de un tratamiento médico. Esta base académica, así como los intereses económicos que hemos mencionado antes, son responsables de haber establecido los preponderantes modelos reactivos que definen los sistemas sanitarios de todo el mundo.
Por desgracia, este enfoque de la salud ha sido responsable de llevar los sistemas de salud a sus rodillas. La carga financiera y humana se ha vuelto insostenible y gracias a ello la prevención ha venido ganando fuerza en los últimos años. A pesar del hecho de que la prevención se presenta como una alternativa de sentido común para enfrentar la actual crisis, la sabiduría convencional sigue favoreciendo la curación por encima de la prevención.
Cambiando estilos de vida
Uno de los hechos más interesantes presentados por Sandeep Kishore en TEDMED se relacionó con la esperanza de vida. A este respecto, una diapositiva relacionada afirmó que “de los más de 30 años ganados en esperanza de vida en el siglo pasado en los EE.UU., 5 años se deben a la atención médica”. Los restantes 25 años se explican por una mejora de factores sociales como el saneamiento, la higiene, y lo que él denomina “las causas de las causas”. En otras palabras, nuestro bienestar general será afectado de mayor forma por cambios en nuestros estilos de vida que a través del desarrollo de nuevos medicamentos.
Por esta misma vía, otros ponentes apoyaron la idea de hacer una clara distinción entre las condiciones que se pueden evitar y aquellas que requieren tratamientos médicos avanzados como la cirugía y las terapias farmacológicas. El Dr. Iván Oranski, Director Ejecutivo de Reuters Health, advirtió sobre el peligro que representan el exceso de tratamientos y el gran número de pacientes diagnosticados con enfermedades subclínicas.
Un reto difícil
Cuando usted se enfrenta a algo como el cambio de modos tradicionales de hacer las cosas, usted sabe que está frente a un reto grande. Si a esto le sumamos los fuertes intereses económicos que favorecen dichos puntos de vista, sabemos que las industrias de spa y wellness tendrán que trabajar duro para poder entrar en el campo de la salud.
A pesar de este duro desafío, la conferencia TEDMED y otros foros celebrados recientemente en todo el mundo son una buena indicación de que hay un diálogo creciente dentro de la industria de la salud sobre la necesidad de cambiar las cosas.
Liz Terry piensa que deberíamos centrarnos en la construcción de alianzas con diferentes actores de la industria de la salud y crear objetivos comunes junto a ellos. En Spa Balance, compartimos este punto de vista. El camino no será fácil pero los beneficios que nuestra industria y toda la sociedad pueden percibir de un cambio símile hacen de esta iniciativa algo que vale la pena intentar. ¿Está preparado para el reto?
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