Laboratorio de Cocreación en Salud

Sebastián Torres Montoya

Less than 1% of health care institutions (PHIs) in Colombia, specifically hospitals and
clinics, report some type of information on innovation processes and technological
development that contributes to the intervention of the structural crisis of the sector.
In other words, in a country where there are 29,182 health providers, 4,700 are public
(Registry of Healthcare Providers Colombia-REPS), only a total of 21 providers present
information on innovation processes (National Administrative Department of Statistics-
DANE, National Survey EDIT 2015), a number even lower in the case of public institutions
that provide health services.

This made it necessary to focus efforts on the development of medical technologies that
had as a priority to use the concept of "appropriate or indigenous technology" adjusted to the needs of each provider in the selected region.
In the event that this type of technology manages to address 5% of the total market of
consumables in the market of Colombian medical devices ($ 12.5 USM) (Department of
Commerce of the United States, 2017), for the next five years, it would contribute to
institutional and sectoral sustainability, increase local competitiveness and improve the
technological development index of the region, becoming a source of financing to deal with
the institutional portfolio, increasing the transfer of technology and therefore its capacity
to innovate.

In this context, the Hospital Co-Creation Laboratory strategy allows public IPSs to create
their own innovative products. It is known that, in Colombia, Hospitals are the second
producer of scientific texts with 14.75% of the country's production. However, this
production does not translate into research, which mixes components of clinical and
applied research.

A determining factor for this is the scarce investment that this type of centers, especially
the public sector, directs to these activities. Economic resources are key to research. For
this reason between August 2016 and June 2017, the General Hospital of Medellin (HGM),
the CES University and the EIA University, established, through a research project, the first
Health Co-Creation Laboratory in public institutions in the country. The project generated,
mainly, a space where ideas, based on problems of the hospital environment, materialized
in the form of solutions with appropriate technology.

Sebastián Torres Montoya is a biomedical engineer, collaborator of the research groups in Biomedical Engineering of the EIA-CES Agreement and the Center for Evaluation of Health Technologies (CETES) in Medellin, Colombia. Enthusiastic in the area of biomaterials for health. He has been working since 2011 on the validation of medical devices through material evaluation techniques and application of Clinical Engineering in research.