Health Technologies and Innovation as Social Determinant from The One Health Perspective

Abstract

Technologies, their introduction, development, maintenance and recovery favor the economy and contribute to social improvement, but if they are used for profit, they slow down society and create barriers of difficult access by becoming social determinants, such as the advances in recent decades in physiotherapy and rehabilitation with an exponential increase in the creation of technological devices not always within everyone's reach. Therefore, the review aimed to analyze medical and innovation technologies as social determinants in health from the One Health perspective in the area of physiotherapy and rehabilitation in the last ten years. The search was carried out with the terms (DeCs) technology and society; technology and innovation in health; social determinants in health; physiotherapy and rehabilitation. The information retrieved allow to state that for the rehabilitation of neurological, musculoskeletal and cardiovascular diseases, specialized systems with new technologies in physiotherapy are needed (robotics, virtual reality, musculoskeletal models and simulations, transcranial magnetic stimulation, transcranial direct current stimulation, telephysiotherapy and compression boots, etc.), all of which are very expensive, which hinders their access. This allowed us to conclude that the technological basis for future development in rehabilitation is in the new devices or intervention tools created to favor the emergence of new paradigms in physiotherapy, which if not reached by all will create an increase in morbidities of any kind, deficiencies in recovery and rehabilitation and an increase in disabilities by favoring the appearance of intermediate social determinants in health.