Value innovation: an important aspect of global surgical care
Identifieur interne : 000901 ( Main/Exploration ); précédent : 000900; suivant : 000902Value innovation: an important aspect of global surgical care
Auteurs : Michael Cotton [Royaume-Uni] ; Jaymie Ang Henry [Royaume-Uni, États-Unis] ; Lauren Hasek [États-Unis]Source :
- Globalization and Health [ 1744-8603 ] ; 2014.
Abstract
Limited resources in low- and middle-income countries (LMICs) drive tremendous innovation in medicine, as well as in other fields. It is not often recognized that several important surgical tools and methods, widely used in high-income countries, have their origins in LMICs. Surgical care around the world stands much to gain from these innovations. In this paper, we provide a short review of some of these succesful innovations and their origins that have had an important impact in healthcare delivery worldwide.
Examples of LMIC innovations that have been adapted in high-income countries include the Bogotá bag for temporary abdominal wound closure, the orthopaedic external fixator for complex fractures, a hydrocephalus fluid valve for normal pressure hydrocephalus, and intra-ocular lens and manual small incision cataract surgery. LMIC innovations that have had tremendous potential global impact include mosquito net mesh for inguinal hernia repair, and a flutter valve for intercostal drainage of pneumothorax.
Surgical innovations from LMICs have been shown to have comparable outcomes at a fraction of the cost of tools used in high-income countries. These innovations have the potential to revolutionize global surgical care. Advocates should actively seek out these innovations, campaign for the financial gains from these innovations to benefit their originators and their countries, and find ways to develop and distribute them locally as well as globally.
Url:
DOI: 10.1186/1744-8603-10-1
PubMed: 24393237
PubMed Central: 3892040
Affiliations:
- Royaume-Uni, États-Unis
- Angleterre, Californie, Grand Londres, Pennsylvanie
- Berkeley (Californie), Londres, Pittsburgh
- Université de Pittsburgh
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first="Michael" last="Cotton">Michael Cotton</name><affiliation wicri:level="3"><nlm:aff id="I1">International Collaboration for Essential Surgery (ICES), London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>International Collaboration for Essential Surgery (ICES), London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">ASGBI Offices, Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London WC2A 3PE, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>ASGBI Offices, Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London WC2A 3PE</wicri:regionArea><wicri:noRegion>London WC2A 3PE</wicri:noRegion></affiliation></author><author><name sortKey="Henry, Jaymie Ang" sort="Henry, Jaymie Ang" uniqKey="Henry J" first="Jaymie Ang" last="Henry">Jaymie Ang Henry</name><affiliation wicri:level="3"><nlm:aff id="I1">International Collaboration for Essential Surgery (ICES), London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>International Collaboration for Essential Surgery (ICES), London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">University of California Berkeley School of Public Health, Berkeley, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of California Berkeley School of Public Health, Berkeley</wicri:regionArea><placeName><settlement type="city">Berkeley (Californie)</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Hasek, Lauren" sort="Hasek, Lauren" uniqKey="Hasek L" first="Lauren" last="Hasek">Lauren Hasek</name><affiliation wicri:level="4"><nlm:aff id="I4">University of Pittsburgh, Pittsburgh, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh, Pittsburgh</wicri:regionArea><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author></analytic><series><title level="j">Globalization and Health</title><idno type="eISSN">1744-8603</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Limited resources in low- and middle-income countries (LMICs) drive tremendous innovation in medicine, as well as in other fields. It is not often recognized that several important surgical tools and methods, widely used in high-income countries, have their origins in LMICs. Surgical care around the world stands much to gain from these innovations. In this paper, we provide a short review of some of these succesful innovations and their origins that have had an important impact in healthcare delivery worldwide.</p></sec><sec><title>Review</title><p>Examples of LMIC innovations that have been adapted in high-income countries include the Bogotá bag for temporary abdominal wound closure, the orthopaedic external fixator for complex fractures, a hydrocephalus fluid valve for normal pressure hydrocephalus, and intra-ocular lens and manual small incision cataract surgery. LMIC innovations that have had tremendous potential global impact include mosquito net mesh for inguinal hernia repair, and a flutter valve for intercostal drainage of pneumothorax.</p></sec><sec><title>Conclusion</title><p>Surgical innovations from LMICs have been shown to have comparable outcomes at a fraction of the cost of tools used in high-income countries. These innovations have the potential to revolutionize global surgical care. Advocates should actively seek out these innovations, campaign for the financial gains from these innovations to benefit their originators and their countries, and find ways to develop and distribute them locally as well as globally.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Govindarajan, Vtc" uniqKey="Govindarajan V">VTC Govindarajan</name></author><author><name sortKey="Trimble, C" uniqKey="Trimble C">C Trimble</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Borraez, Oa" uniqKey="Borraez O">OA Borraez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kirshtein, B" uniqKey="Kirshtein B">B Kirshtein</name></author><author><name sortKey="Roy Shapira, A" uniqKey="Roy Shapira A">A Roy-Shapira</name></author><author><name sortKey="Lantsberg, L" uniqKey="Lantsberg L">L Lantsberg</name></author><author><name sortKey="Mizrahi, S" uniqKey="Mizrahi S">S 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name="Royaume-Uni"><region name="Angleterre"><name sortKey="Cotton, Michael" sort="Cotton, Michael" uniqKey="Cotton M" first="Michael" last="Cotton">Michael Cotton</name></region><name sortKey="Cotton, Michael" sort="Cotton, Michael" uniqKey="Cotton M" first="Michael" last="Cotton">Michael Cotton</name><name sortKey="Henry, Jaymie Ang" sort="Henry, Jaymie Ang" uniqKey="Henry J" first="Jaymie Ang" last="Henry">Jaymie Ang Henry</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Henry, Jaymie Ang" sort="Henry, Jaymie Ang" uniqKey="Henry J" first="Jaymie Ang" last="Henry">Jaymie Ang Henry</name></region><name sortKey="Hasek, Lauren" sort="Hasek, Lauren" uniqKey="Hasek L" first="Lauren" last="Hasek">Lauren Hasek</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Amérique/explor/PittsburghV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000901 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000901 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Amérique
|area= PittsburghV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3892040
|texte= Value innovation: an important aspect of global surgical care
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:24393237" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a PittsburghV1
| This area was generated with Dilib version V0.6.38. |  |