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Reimagining Healthcare for a World Under Pressure

By María Jesús Salido Rojo - SocialDiabetes
CEO

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María Jesús Salido Rojo By María Jesús Salido Rojo | CEO - Wed, 07/23/2025 - 07:30

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In 2024, only 500 million people worldwide receive quality healthcare, while more than 7 billion still lack basic access. By 2050, the global population aged 60 and over will double, reaching 2.1 billion. At the same time, health spending is projected to grow at an average annual rate of 5.4%, driven largely by the rising burden of chronic diseases, which already account for over 75% of healthcare costs worldwide. And by 2030, the world will face a shortage of at least 10 million healthcare workers, according to a McKinsey report.

These are not just statistics , they are signals of deep systemic stress. They reveal the urgent need to rethink how we deliver care, how we leverage data, and how we build more inclusive, resilient health systems.

As a founder working in digital health for over a decade, I’ve seen how incremental improvements are no longer enough. We need solutions that are radically scalable, clinically validated, and designed not just to innovate, but to deliver measurable impact across entire populations.

 

Chronic Diseases: A Silent Crisis of Fragmentation, Inequality

Take diabetes: a global epidemic affecting 1 in 10 adults. Beyond the prevalence, the challenge lies in how health systems  (both public and private ) often fall short in delivering continuous, personalized, and efficient care for chronic conditions.

Care remains fragmented: episodic visits, disconnected records, reactive interventions. Meanwhile, patients live with their condition 24/7,  outside the clinic, often without the tools or support they need. This disconnect comes at a cost: higher clinical risks, preventable complications, unnecessary admissions, and lost productivity.

In Latin America, diabetes-related costs are expected to reach 6% of GDP by 2030, according to public estimates. Yet millions still lack digital records, structured follow-up, or access to self-management platforms. This is not a failure of intention, it’s a failure of coordination, data infrastructure, and scalable delivery models.

 

The Future Exists — But It’s Not Evenly Distributed

Over the past decade, we’ve seen promising models emerge: digital platforms that connect patients and providers, tailor treatment in real time, and generate actionable insights. These are not theoretical tools, they are already supporting thousands of users in Europe and Latin America. Solutions like SocialDiabetes, are demonstrating how clinically validated, interoperable platforms can deliver real-world outcomes in highly diverse healthcare contexts.

What’s driving their impact is a new logic: value-based care. A shift from volume to outcomes, from activities to effectiveness. But this shift only works when we have the infrastructure to track, evaluate, and optimize care longitudinally.

This means:

  • Continuous monitoring and real-world data, not just clinical snapshots.

  • Intelligent support for both patients and professionals.

  • Validated outcomes across glycemic control, adherence, and hospital use.

  • Population-level insights that inform care strategies and public policy.

Increasingly, governments and payers are aligning with this vision. Procurement is evolving: moving away from pilot projects toward scalable, certified, plug-and-play solutions with proven results.

 

The New Rules of Innovation

The healthcare industry is entering a new phase. The winners will not be those who offer the most advanced AI, but those who can embed innovation within the care continuum, seamlessly, securely, and at scale.

Real-world data and AI are reshaping how we understand risk, manage populations, and design policy. But access to that intelligence depends on being present where care happens: in the workflows, the patient journeys, and the systems that connect them.

This is where digital health platforms can create true transformation, not just by digitizing old processes, but by enabling new models of care that are smarter, more equitable, and more sustainable.

 

A Call to Action: Scaling What Works

The challenges ahead — ageing, inequality, chronic disease, workforce gaps — are too large for any actor to address alone. We need public-private alliances, smarter regulation, and bold leadership that rewards outcomes over processes.

And we must ensure that digital health doesn’t become another vector of exclusion, but a lever for inclusion. The goal is not more apps, but better systems: systems that learn, adapt, and empower patients and professionals alike.

The healthcare of the future won’t be defined by the technologies we invent, but by our ability to make them work, for everyone.

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