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Spain, Twitter and the "Spanish revolution"

Inevitably, this week in Spain more than one we have agreed to Lampedusa. Do not you realize, man? So that nothing changes, we need to change everything. With these simple words, the nephew of Don Fabrizio Salina, Tancredi Falconeri, says the reason for everything "The Leopard. In the novel, the very Prince of Salina, disillusioned and tired of seeing the excesses and ambitions of power, who think these words. In the film of Visconti, the genius of director joins the writer to further improve its inception. Tancredi (inexplicably called "Alfonso" in the first dubbing in English), the young impetuous and selfish however, that does not go away the perks and political benefits of the class to which he belongs, fighting with the people in the early days of the Italian Risorgimento, the revolution of the nineteenth century, that these privileges remain in the hands of the old families. At that time, across Europe, the new aristocracy no longer the noble and becomes of the money today.

This week, foreign media, such as the Washington Post , and too many journalists in Spain, they insist on talking about "English revolution", absorbing the demand for real democracy, employment and economic equality of the crowd in places our country through the motions of system change and overthrow the tyrants of the "Arab spring." I personally reject that term, until there is a genuine change of political system. Not to use an epithet constantly made real - "Cantádmela again, and many times, to see if strength in song ..." Gerardo Diego wrote in his poem "Tuya " -.

Far from it, however, complaints and disillusionment of the population have taken to the streets, have been heard as never before, and have extended and assembled thanks mainly to the Internet and social networking. If in March 2005 the use of text messaging took an undeniable boost to the election result Overall, in May 2011 is being Twitter with a power vastly greater than the sms, the primary forum for convergence of the views of citizens. Will there be a revolution, change rules, electoral system, political rules? Or will, as in Italy in the nineteenth, a change in the shell and not in the skeleton, in which power remains in the hands of the usual?

In any case, it is now more than ever, is being seduced by the network. The media and later reacting institutions like parties and some companies trying to take advantage of the moment, not overshadow the main point: what is it, citizens have decided to express their complaints in the most effective way possible, without stopping. The first way: the voting this Sunday at the polls.

Maria Teresa Nevado

(photo released by Agencia EFE)

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A network for exchanging health information in Spain? Betting

The U.S. government has incentive programs millionaires over the next five years - to $ 44,000 per doctor - to accelerate the deployment of digital systems in health data processing and disposal of these non-automated processing. Many local and regional programs of information exchange Health (Health Information Exchange) are already underway. Legislation to encourage the adoption of electronic records of health information includes grants to such exchanges. And taking a step further, the five leading U.S. medical institutions, Geisinger Health System, Kaiser Permanente, the Mayo Clinic, Intermountain Healthcare and Group Health Cooperative, a pioneer in the computerized management of health, announced last April 5 your project Care Connectivity Consortium (health connectivity), purpose of exchanging information on millions of patients benefited from a general system of medical specialists.

Following this news, and the English scene , questions arise such as: "

might be possible to create a health information network of its kind in Spain?
In Spain, as throughout the European Union, the current legislation on data protection requires anyone responsible for data processing, whether natural or legal person, the application to health data files to a high level protection, not in vain in Spain is a constitutional imperative to respect and protection of personal data of citizens ( STC 292/2000, of November 30, 2000 ). What
benefits and advantages in Spain would create a comprehensive network of all health data of citizens?
The widespread adoption of information technologies applied to the health sector, collection and efficient use of health files scanned to achieve effective management, support the diagnosis and the sharing of information between hospitals and professionals geographically distant prior authorization of the affected. It would be an overall benefit resulting from the communication history of the citizen (and not just individual citizens and individual data, as in existing information networks on rare diseases, for example).

What dangers and threats would comprehensive network of health data?

Apart from the dangers and threats that any legal relationship is, that is, violations of applicable regulations, which is controlled by the punitive response, the element to be considered as potentially dangerous is the security of local data, in transit and in the cloud. This is the danger facing all computer processing and electronic data transmission and is a danger that now faces the computerized public and private health. The computerized processing and transmission at all is more dangerous for the protection of health data of citizens present and widespread transmission of patient data integrity if the implementation of security measures high that the current regulations regarding protection of personal data required in the treatment of health data.

Is legally possible a network of exchange of all health data of citizens in Spain?

should seek the express consent of the affected prior to the collection and processing of personal data, also informing the potential assigns, to remember, should be cited specifically in the act or advisory. The Data Protection Act requires the prior, express unequivocal and concerned for their health data are collected, transferred and / or treaties (art. 7.3 LOPD). The exception to this requirement: that the collection, disposal or treatment is authorized or mandated by law (Articles 7.3 and 11 LOPD). In such cases it is not required the consent of the affected their data transfers. The processing of health data should be made in accordance with the provisions of state law or regional health (art. 8 LOPD).

In conclusion, by law the legislature could establish if desired data communication "default" between public and private institutions and professionals who are registered as such in the National Health System. The massive data communication would be well controlled, legal and consistent with the European directive on data protection, and its pattern of violations and penalties.

Is technically feasible a health data network of its kind in Spain?

Undoubtedly the state of current technology in Spain allows data transmission at speeds higher than our hypothetical network would require patient data. However, although a actually growing use of computerized systems in clinics and centers, and public health has made and makes significant efforts towards computerization of patient records, no doubt that there are still many health data and medical records managed by a partial treatment or totally automated.

Is business implications for the consortium?

electronic health records often include reporting and billing, and the same health data are highly interesting information for certain sectors such as insurance. For the hypothetical English network of health information would attract not constitute a business or highly profitable and certainly harmful consequences and unpredictable, but how best to manage the national health system should be totally focused on medical and health care, and all other personal data of affiliation and health information should be blocked or destroyed.

Maria Teresa Nevado

(Ciber Colorful Capsule 3 "image shared by Alessandro Paiva ).