Medical innovation and the sustainability of health systems: A historical perspective on technological change in health

Lehoux, Pascale; Roncarolo, Federico; Oliveira, Robson Rocha de; Silva, Hudson Pacífico da

doi:10.1177/0951484816670192

Cited by 29 publications

(24 citation statements)

References 34 publications

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“…The dynamic nature of medical knowledge has been shaping medical education teaching and learning strategies (Irby et al, 2010). Indeed, the exponential evolution of medical knowledge, in particular in the biomedical and genetic fields (Schauber et al, 2013;Lehoux et al, 2016), the development of medical technology (Drake et al, 2009;Lehoux et al, 2016;Guimarães et al, 2017) as well as the implementation of patient-centered health polities (Sugand et al, 2010) have been contributing to reforms changes to the organization of the medical curricula.…”

Section: Changes In Anatomy Learning and Teaching Strategiesmentioning

confidence: 99%

“…In the last decades, medical education has been deeply influenced by the exponential growth of the medical knowledge (Dugdale and Alexander, ; Schauber et al, ), along with an increase in access to higher education (Joyce et al, ; Yılmaz et al, ) and the advent of digital technology (Fennell, ; Lehoux et al, ). In this context, increasing attention has been given to how learning is transmitted to medical students and which teaching methods are worth embracing in pursuance of an efficient knowledge acquisition (Huber and Hutchings, ; Chen et al, ).…”

Section: Introductionmentioning

confidence: 99%

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The Role of Anatomy Computer‐Assisted Learning on Spatial Abilities of Medical Students

Guimarães

Firmino-Machado

Tsisar

et al. 2018

Anatomical Sciences Ed

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Currently, medical education context poses different challenges to anatomy, contributing to the introduction of new pedagogical approaches, such as computer-assisted learning (CAL). This approach provides insight into students' learning profiles and skills that enhance anatomy knowledge acquisition. To understand the influence of anatomy CAL on spatial abilities, a study was conducted. A total of 671 medical students attending Musculoskeletal (MA) and Cardiovascular Anatomy (CA) courses, were allocated to one of three groups (MA Group, CA Group, MA + CA Group). Students' pre-training and post-training spatial abilities were assessed through Mental Rotations Test (MRT), with scores ranging between 0-24. After CAL training sessions, students' spatial abilities performance improved (9.72 ± 4.79 vs. 17.05 ± 4.57, P < 0.001). Although male students in both MA Group and CA Group show better baseline spatial abilities, no sex differences were found after CAL training. The improvement in spatial abilities score between sessions (Delta MRT) was correlated with Musculoskeletal Anatomy training sessions in MA Group (r = 0.333, P < 0.001) and MA + CA Group (r = 0.342, P < 0.001), and with Cardiovascular Anatomy training sessions in CA Group (r = 0.461, P = 0.001) and MA + CA Group (r = 0.324, P = 0.001). Multiple linear regression models were used, considering the Delta MRT as dependent variable. An association of Delta MRT to the amount of CAL training and the baseline spatial abilities was observed. The results suggest that CAL training in anatomy has positive dose-dependent effect on spatial abilities. Anat Sci Educ 00: 000-000. © 2018 American Association of Anatomists.

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Section: Changes In Anatomy Learning and Teaching Strategiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Role of Anatomy Computer‐Assisted Learning on Spatial Abilities of Medical Students

Guimarães

Firmino-Machado

Tsisar

et al. 2018

Anatomical Sciences Ed

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“…Peine 5 and Stahl 6 underscored the reciprocal relationship between health systems and innovations, a point we discussed elsewhere. 7 What should have been understood as "two analytically separate entities" 5 are not 'health systems' and 'innovation. ' The distinction upon which RIH builds is between health systems and systems of innovation.…”

Section: Differentiating Health Systems From Systems Of Innovationmentioning

confidence: 99%

Revisiting the Relationship Between Systems of Innovation and Health Systems: A Response to Recent Commentaries

Lehoux

Roncarolo

Silva

et al. 2019

Int J Health Policy Manag

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“…The economic contexts in which health innovation took shape during the second half of the 20th century supported shifting dynamics between the demand for, and the supply of innovations [25]. In the 1950s, the post-war economy in industrialized countries contributed to the demand by supporting the development of health systems.…”

Section: H12 Why the Current Sti Approach In Health Innovations Neementioning

confidence: 99%

The Unexplored Contribution of Responsible Innovation in Health to Sustainable Development Goals

et al. 2018

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Responsible Innovation in Health (RIH) represents an emerging Science, Technology and Innovation (STI) approach that could support not only the Sustainable Development Goal (SDG) “Good health and well-being” but also other SDGs. Since few studies have conceptualized the relationships between RIH and the SDGs, our goal was to inductively develop a framework to identify knowledge gaps and areas for further reflections. Our exploratory study involved: (1) performing a web-based horizon scanning to identify health innovations with responsibility features; and (2) illustrating through empirical examples how RIH addresses the SDGs. A total of 105 innovations were identified: up to 43% were developed by non-profit organizations, universities or volunteers; 46.7% originated from the United States; and 64.5% targeted countries in Africa, Central and South America and South Asia. These innovations addressed health problems such as newborn care (15.5%), reduced mobility and limb amputation (14.5%), infectious diseases (10.9%), pregnancy and delivery care (9.1%) and proper access to care and drugs (7.3%). Several of these innovations were aligned with SDG10-Reduced inequalities (87%), SDG17-Partnerships for the goals (54%), SDG1-No poverty (15%) and SDG4-Quality education (11%). A smaller number of them addressed sustainable economic development goals such as SDG11-Sustainable cities and communities (9%) and SDG9-Industry and innovation (6%), and environmental sustainability goals such as SDG7-Affordable and clean energy (7%) and SDG6-Clean water and sanitation (5%). Three examples show how RIH combines entrepreneurship and innovation in novel ways to address the determinants of health, thereby contributing to SDG5 (Gender), SDG10 (Inequalities), SDG4 (Education) and SDG8 (Decent work), and indirectly supporting SDG7 (Clean energy) and SDG13 (Climate action). Further research should examine how alternative business models, social enterprises and social finance may support the STI approach behind RIH.

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Medical innovation and the sustainability of health systems: A historical perspective on technological change in health

Cited by 29 publications

References 34 publications

The Role of Anatomy Computer‐Assisted Learning on Spatial Abilities of Medical Students

The Role of Anatomy Computer‐Assisted Learning on Spatial Abilities of Medical Students

Revisiting the Relationship Between Systems of Innovation and Health Systems: A Response to Recent Commentaries

The Unexplored Contribution of Responsible Innovation in Health to Sustainable Development Goals

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