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Frugal innovation in medicine for low resource settings


Whilst it is clear that technology is crucial to advance healthcare: innovation in medicine is not just about high-tech tools, new procedures or genome discoveries. In constrained environments, healthcare providers often create unexpected solutions to provide adequate healthcare to patients. These inexpensive but effective frugal innovations may be imperfect, but they have the power to ensure that health is within reach of everyone. Frugal innovations are not limited to low-resource settings: ingenuous ideas can be adapted to offer simpler and disruptive alternatives to usual care all around the world, representing the concept of “reverse innovation”. In this article, we discuss the different types of frugal innovations, illustrated with examples from the literature, and argue for the need to give voice to this neglected type of innovation in medicine.

Keywords:
Global health, Developing countries, Diffusion of innovation


Autoři: Viet-Thi Tran 1,2,3*;  Philippe Ravaud 2,3,4,5
Působiště autorů: Department of General Medicine, Paris Diderot University, Paris, France. 1;  Centre de Recherche en Epidémiologie et Statistiques, INSERM U115 , Paris, France. 2;  Centre d’Épidémiologie Clinique, Hôpital Hôtel-Dieu, Assistance 3;  Paris Descartes University, Paris, France. 4;  Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA. 5;  Publique-Hôpitaux de Paris, 1 place du Parvis Notre-Dame, Paris 7181, France. 5
Vyšlo v časopise: BMC Medicine 2016, 14:102
Kategorie: Commentary
prolekare.web.journal.doi_sk: https://doi.org/10.1186/s12916-016-0651-1

© 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The electronic version of this article is the complete one and can be found online at: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-016-0651-1

Souhrn

Whilst it is clear that technology is crucial to advance healthcare: innovation in medicine is not just about high-tech tools, new procedures or genome discoveries. In constrained environments, healthcare providers often create unexpected solutions to provide adequate healthcare to patients. These inexpensive but effective frugal innovations may be imperfect, but they have the power to ensure that health is within reach of everyone. Frugal innovations are not limited to low-resource settings: ingenuous ideas can be adapted to offer simpler and disruptive alternatives to usual care all around the world, representing the concept of “reverse innovation”. In this article, we discuss the different types of frugal innovations, illustrated with examples from the literature, and argue for the need to give voice to this neglected type of innovation in medicine.

Keywords:
Global health, Developing countries, Diffusion of innovation


Zdroje

1. Fayssoil A. Rene Laennec (1781–1826) and the invention of the stethoscope. Am J Cardiol. 2009;104(5):743–4.

2. Bhatti Y, Ventresca M. The emerging market for frugal innovation: fad, fashion, or fit? 2012. http://ssrn.com/abstract=2005983. Accessed 24 February 2016.

3. World Health Organization. Compendium of innovative health technologies for low ressources settings 2011–2014. Geneva: WHO; 2015.

4. Elias C. Essay can we ensure health is within reach for everyone? Lancet. 2006;368:S40–1.

5. World Health Organization. Emerging economies drive frugal innovation. Bull World Health Organ. 2013;91(1):6–7.

6. Kawaza K, Machen HE, Brown J, Mwanza Z, Iniguez S, Gest A, et al. Efficacy of a low-cost bubble CPAP system in treatment of respiratory distress in a neonatal ward in Malawi. PLoS One. 2014;9(1), e86327.

7. Innovation Countdown 2030. How to achieve better health care for more people at lower cost. 2015. http://ic2030.org/2015/07/frugal-innovation/. Accessed 17 June 2016

8. Lester RT, Ritvo P, Mills EJ, Kariri A, Karanja S, Chung MH, et al. Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial. Lancet. 2010;376(9755):1838–45.

9. Sprolix. Drug anti-counterfeiting technology reaches 1 million uses 2012 [updated 27th January]. http://www.sproxil.com/blog/drug-anti-counterfeitingtechnology-reaches-1-million-uses/. Accessed 29 June 2016.

10. Zuniga J, Katsavelis D, Peck J, Stollberg J, Petrykowski M, Carson A, et al. Cyborg beast: a low-cost 3d-printed prosthetic hand for children with upper-limb differences. BMC Res Notes. 2015;8:10.

11. Moosa AA, Quortum HA, Ibrahim MD. Rapid diagnosis of bacterial meningitis with reagent strips. Lancet. 1995;345(8960):1290–1.

12. Ravaud P, Hudry C, Giraudeau B, Weill B, Dougados M. Rapid diagnosis of inflammatory synovial fluid with reagent strips. Rheumatology (Oxford). 2002;41(7):815–8.

13. D-Lab. A solar powered autoclave to sterilize medical instruments in offgrid and rural clinics. MIT. 2012. https://d-lab.mit.edu/scale-ups/solarclave. Accessed 17 June 2016.

14. Waknis PP, Prasad GS, Wadje S. A simple method to control bleeding by stationary paper clips as an alternate to raney clips during coronal incisions. J Maxillofac Oral Surg. 2013;12(1):117–9.

15. Whitelaw A, Sleath K. Myth of the marsupial mother: home care of very low birth weight babies in Bogota. Colombia Lancet. 1985;1(8439):1206–8.

16. Conroy RM, Elmore-Meegan M, Joyce T, McGuigan KG, Barnes J. Solar disinfection of drinking water and diarrhoea in Maasai children: a controlled field trial. Lancet. 1996;348(9043):1695–7.

17. Syed SB, Dadwal V, Rutter P, Storr J, Hightower JD, Gooden R, et al. Developed-developing country partnerships: benefits to developed countries? Global Health. 2012;8:17.

18. Weizman Z. Cola drinks and rehydration in acute diarrhea. N Engl J Med. 1986;315(12):768.

19. Israel-Ballard K, Chantry C, Dewey K, Lonnerdal B, Sheppard H, Donovan R, et al. Viral, nutritional, and bacterial safety of flash-heated and pretoria-pasteurized breast milk to prevent mother-to-child transmission of HIV in resource-poor countries: a pilot study. J Acquir Immune Defic Syndr. 2005;40(2):175–81.

20. Israel-Ballard KA, Maternowska MC, Abrams BF, Morrison P, Chitibura L, Chipato T, et al. Acceptability of heat treating breast milk to prevent mother-to-child transmission of human immunodeficiency virus in Zimbabwe: a qualitative study. J Hum Lact. 2006;22(1):48–60.

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