{"id":185434,"date":"2026-05-21T16:15:12","date_gmt":"2026-05-21T16:15:12","guid":{"rendered":"https:\/\/raed.academy\/?p=185434"},"modified":"2026-05-22T12:06:18","modified_gmt":"2026-05-22T12:06:18","slug":"la-nova-medicina-de-sistemes-complexos","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/la-nova-medicina-de-sistemes-complexos\/","title":{"rendered":"La nova medicina de sistemes complexos"},"content":{"rendered":"
\"Dr.

Dr. Joaquim Gironella, durant l’exposici\u00f3 de la seva pon\u00e8ncia a la X Trobada Acad\u00e8mica Internacional de la RAED<\/p><\/div>\n

Joaquim Gironella<\/strong><\/em><\/a>, reconegut ur\u00f2leg, codirector m\u00e8dic del centre\u00a0Laser Medical Rent<\/strong> i acad\u00e8mic de n\u00famero i vicepresident de la Reial Acad\u00e8mia Europea de Doctors<\/strong> (RAED), va presentar a la X Trobada Acad\u00e8mica Internacional<\/strong> que la Reial Corporaci\u00f3 va celebrar entre els passats 15 i 20 de mar\u00e7 a diverses ciutats alemanyes sota el t\u00edtol gen\u00e8ric “El Rin com a corrent del coneixement: di\u00e0legs transfronterers”<\/strong> la pon\u00e8ncia “Medicina de sistemes complexos: un paradigma nou”<\/strong>, en la que proposa un profund canvi en la manera de concebre la pr\u00e0ctica m\u00e8dica. Davant el model reduccionista i lineal que ha dominat la medicina durant segles, Gironella va advocar per adoptar la perspectiva dels sistemes complexos, on la salut i la malaltia s’entenen com a fen\u00f2mens emergents, din\u00e0mics i multicausals.<\/p>\n

Per a l’expert, l’\u00e9sser hum\u00e0 viu envoltat de sistemes formats per innombrables components que interactuen de manera no lineal a trav\u00e9s de processos f\u00edsics, qu\u00edmics, biol\u00f2gics, psicol\u00f2gics i socials. Aquesta realitat obliga a un gir epistemol\u00f2gic i ontol\u00f2gic que porti a la ci\u00e8ncia a abandonar el pensament r\u00edgid, determinista i fragmentat per abra\u00e7ar nocions com a inestabilitat, bifurcacions, emerg\u00e8ncia, autoorganitzaci\u00f3, resili\u00e8ncia i imprevisibilitat. En aquest sentit, va apel\u00b7lar a les tesis de pensament complex del fil\u00f2sof i soci\u00f2leg franc\u00e8s Edgar Morin<\/strong>. Davant el coneixement simplificador que redueix els fen\u00f2mens a causes \u00faniques, el pensament complex accepta la incertesa, les contradiccions i la interdepend\u00e8ncia. En medicina, va assenyalar Gironella, aix\u00f2 implica passar d’una visi\u00f3 positivista i reduccionista, on l’organisme \u00e9s nom\u00e9s la suma dels seus \u00f2rgans, a un enfocament hol\u00edstic, contextual i din\u00e0mic.<\/p>\n

\"\"L’acad\u00e8mic va criticar que l’actual formaci\u00f3 m\u00e8dica i la medicina basada a l’evid\u00e8ncia tendeixin a encotillar la pr\u00e0ctica cl\u00ednica en protocols r\u00edgids que xoquen amb la natura impredictible dels sistemes vius. Cada pacient \u00e9s \u00fanic i la malaltia sol manifestar-se de forma borrosa i heterog\u00e8nia, com passa amb el Parkinson, la diabetis tipus 2, l’Alzheimer o el c\u00e0ncer. Per aix\u00f2 la seva proposta suposa transformar radicalment la pr\u00e0ctica m\u00e8dica comen\u00e7ant perqu\u00e8 el diagn\u00f2stic convencional, delimitat i est\u00e0tic, doni pas a un model d’evoluci\u00f3 cont\u00ednua que integri sensors biom\u00e8trics a temps real, intel\u00b7lig\u00e8ncia artificial, gen\u00f2mica i medicina digital. Els tractaments ja no serien intervencions puntuals, sin\u00f3 processos adaptatius que acompanyen la traject\u00f2ria vital del pacient, va assenyalar.<\/p>\n

Gironella va considerar que la denominada medicina de sistemes complexos obre horitzons prometedors, des de la medicina personalitzada amb intel\u00b7lig\u00e8ncia artificial, les ter\u00e0pies antiedat, l’edici\u00f3 gen\u00e8tica din\u00e0mica, la bioenginyeria i o la prevenci\u00f3 proactiva. Tot i aix\u00f2, va advertir, cal tenir molt en compte els desafiaments \u00e8tics relacionats amb la seva pr\u00e0ctica i la import\u00e0ncia de l’acc\u00e9s equitatiu a tractaments avan\u00e7ats, ja que el risc d’ampliar desigualtats \u00e9s notori. Aix\u00ed mateix va alertar sobre els l\u00edmits de la intel\u00b7lig\u00e8ncia artificial davant la complexitat radical de la realitat humana. A les seves conclusions, el ponent va reivindicar una medicina pluridisciplin\u00e0ria, oberta a la incertesa i capa\u00e7 d’integrar ci\u00e8ncies naturals, socials i humanitats. “No es tracta de rebutjar els aven\u00e7os t\u00e8cnics, sin\u00f3 d’enriquir-los amb una visi\u00f3 m\u00e9s profunda de l’\u00e9sser hum\u00e0 com a sistema obert en constant interacci\u00f3 amb el seu entorn”, va concloure.<\/p>\n","protected":false},"excerpt":{"rendered":"

Joaquim Gironella proposa un canvi profund en la manera de concebre la pr\u00e0ctica m\u00e8dica: adoptar la perspectiva dels sistemes complexos, on la salut i la malaltia s’entenen com a fen\u00f2mens emergents, din\u00e0mics i multicausals<\/p>\n","protected":false},"author":12,"featured_media":185401,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[332,455,213,492],"tags":[],"class_list":["post-185434","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biologia-ca","category-ciencies-de-la-salut","category-medicina-i-cirurgia","category-trobades-cientifiques-i-congressos","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nLa nova medicina de sistemes complexos - Reial Acad\u00e8mia Europea de Doctors<\/title>\n<meta name=\"description\" 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