In current times, and when applied to many social, technological, political and other aspects, this expression is more valid than ever. It appears that we have come to the end of stage of growth that has allowed us to consolidate certain rights and resources dedicated to welfare that are going to be very expensive to maintain and are therefore being questioned. The sensation is that nothing will be as it was before. But the people are the same. The men and women who form the backbone of our health care system are the same professionals as yesterday, the citizens and the diseases have not changed overnight, the researchers have are not generating knowledge from square one today, and so on. Nothing is new and nothing is old, and we will have to build on what we have; we cannot (and should not) start over with a blank slate.
What is true for people is also true for principles and values. Although they have not suddenly appeared today, concepts such as sustainability, autonomy, transparency, efficiency, commitment, quality, good governance, social responsibility, clinical evidence and shared responsibility need to be looked at in a different light. We cannot understand them as future goals and much less as just terms with which we want to gradually impregnate the organization. They are the basis of our daily activity.
To be more specific, beyond the statistical data on activity, which is in the summary of 2011 and provided in greater detail on our website, I will mention some of the achievements of the commitment of the professionals and administrations to the economic sustainability plan; the alliances and synergies in care and technology, which we establish with other centres to favour a more efficient health care system; patient safety and education in shared responsibility of citizens for their own health and the health care resources; work aimed at quality and efficiency, raising awareness among professionals regarding clinical decisions and commitment to goals, based on transparency of information; maintaining resources and the results of scientific production, and our close involvement with the community, resulting from professional awareness and a comprehensive view of caring for people.
In this summary of 2011, we have also included a number of goals to which we are already committed, even though they look more to the future. Because the work of today fully makes sense when viewed from the perspective that we are following a path headed in a very clear direction.
Josep Maria Via