Reverse innovation in global health systems: towards global innovation flow

Syed, Shamsuzzoha B; Dadwal, Viva; Martin, Greg

doi:10.1186/1744-8603-9-36

Cited by 67 publications

(57 citation statements)

References 9 publications

(7 reference statements)

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“…Information and ideas are traditionally transferred from developed nations to developing nations; however, there is a growing appreciation for the potential for learning from developing nations in a process termed reverse or frugal innovation (30). Reverse innovation takes advantage of progress made from developing novel or creative solutions to problems that typically arise from necessity present in lower income countries.…”

Section: Discussionmentioning

confidence: 99%

An Argument for Salvage in Severe Lower Extremity Trauma with Posterior Tibial Nerve Injury

Momoh

Kumaran

Lyons

et al. 2015

Plastic and Reconstructive Surgery

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BACKGROUND Absence of plantar sensation is a critical factor considered in favor of amputation for patients with lower limb-threatening injuries. This study aims to assess outcomes of limb salvage in a group of patients with severe lower extremity injuries associated with posterior tibial nerve transection. METHODS We studied eight cases of limb salvage after traumatic injuries with documented tibial nerve laceration managed at Ganga Hospital, India. Functional and health-related quality of life outcomes were assessed. Outcomes from this case series were compared to outcomes of studies from a systematic literature review on salvage of the severely injured lower extremity. RESULTS Patients in this case series reported mild pain (median score 20 on a 100 scale visual analog scale) with some return of plantar sensation in patients with tibial nerve repairs (median score 2/5). Patients demonstrated a decrease in ankle motion (27.5 degrees plantar flexion, 10 degrees extension) and muscle strength (median heel flexor score 3/5). All patients could ambulate independently. Quality of life and function measured by validated instruments revealed minimal disability. We identified 1,767 articles on lower extremity trauma and 14 articles were systematically reviewed. Relative to the case series, published articles reported similarly diminished ankle motion and muscle strength, with reports of mild pain in select studies. Patient reported outcome instruments found variations in the degree of physical disability based on time from the injury. CONCLUSIONS Though limited in number, this case series demonstrates the value of limb salvage even for patients with posterior tibial nerve injury.

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Section: Discussionmentioning

confidence: 99%

An Argument for Salvage in Severe Lower Extremity Trauma with Posterior Tibial Nerve Injury

Momoh

Kumaran

Lyons

et al. 2015

Plastic and Reconstructive Surgery

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“…The study of Syed and Gihle ( 2013 ) describes the reverse innovation phenomenon in healthcare and quickly developing systems in less income nations, are capable of producing solutions for contemporary challenges of the health system in high and middle income nations. Depasse and Lee ( 2013 ) suggested a new model to enhance the health solution fl ow within the pipeline of reverse innovation.…”

Section: Popular Global Practices Of Reverse Innovationmentioning

confidence: 99%

Capturing Indian Rural Market Through a Proactive Tool: Reverse Innovation

Dhillon

2014

Managing in Recovering Markets

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Reverse innovation defi nes to the case where an innovation is acquired fi rst in emerging economies before tricking up to rich nations. The reverse innovation concept that is spreading from developing to developed economies has been introduced by Immelt et al. (Harv Bus Rev 87:56-65, 2009) presently. Given its originality the reverse innovation concept still required to be combined with literature on features, diffusion, and the locus of innovation. Although example of reverse innovation are rare as it is still developing theoretical questions such as what types of innovations are probably spawn by the developing economies, why such innovations might spread to rich nations, what are the competitive benefi ts obtained by foreign and local companies to have fun in this process and how it infl uences the worldwide strategy and organization of multinational enterprises. Reverse innovation highlights in rich nations and sells their products in poor nations. Reverse innovation is performing the opposite. Reverse innovation also highlights the importance for reduced price point innovations emerging in developing globe to produce new market request back in richer economies. Reverse innovations also have global infl uence. Mainly, they have the importance to migrate from poor nations to rich ones. Reverse innovation needs a varied mindset fl ow of work and altogether paces for economically and socially consistent outcomes to develop. Reverse innovation fi ghts to provide a powerful message because the data it provides is proper but not varied or new. Reverse innovation has two fundamental objectives: fi rst is to support the organizations to grasp the theory underlying the process of reverse innovation and second is to offer them with practical guidance on how to perform the initiatives of reverse innovation. This study discusses in detail about the concept of reverse innovation, investigates its application in various industries in real time (Godrej, Tata Motors, and Philips), and explores how it can extend and enrich the mainstream theories of innovation. If understood and applied in a right way, reverse innovation strategy can play a signifi cant role in today's recovering markets. This is one area which is still unexplored. When world over is recovering, it is important to know that there lies a vast opportunity in exploring this new area in rural India.R. Dhillon (*) Bharati College , University of Delhi , New Delhi , India e-mail: ratidhillon@gmail.com 168 Reverse innovation can help us understand and tap rural market in India in a better way. This paper is an attempt to highlight some of the major benefi ts of adopting this marketing strategy and what should be future approach for this type of marketing strategy.

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“…As a result, many innovations that originate in LMICs have been shown to reduce cost, improve quality, and enhance access [5]. The relevance of these innovations to HIC settings has only recently been acknowledged, due to a growing pressure to control costs and improve access for marginalized groups [4, 6, 7]. This has increased interest in shared learning about innovations between low- and high-resource settings,[8] and the adaptation of LMIC innovations to HICs has been described as “reverse innovation” [4, 9].…”

Section: Introductionmentioning

confidence: 99%

Criteria to assess potential reverse innovations: opportunities for shared learning between high- and low-income countries

Bhattacharyya

Mossman

et al. 2017

Global Health

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BackgroundLow- and middle-income countries (LMICs) are developing novel approaches to healthcare that may be relevant to high-income countries (HICs). These include products, services, organizational processes, or policies that improve access, cost, or efficiency of healthcare. However, given the challenge of replication, it is difficult to identify innovations that could be successfully adapted to high-income settings. We present a set of criteria for evaluating the potential impact of LMIC innovations in HIC settings.MethodsAn initial framework was drafted based on a literature review, and revised iteratively by applying it to LMIC examples from the Center for Health Market Innovations (CHMI) program database. The resulting criteria were then reviewed using a modified Delphi process by the Reverse Innovation Working Group, consisting of 31 experts in medicine, engineering, management and political science, as well as representatives from industry and government, all with an expressed interest in reverse innovation.ResultsThe resulting 8 criteria are divided into two steps with a simple scoring system. First, innovations are assessed according to their success within the LMIC context according to metrics of improving accessibility, cost-effectiveness, scalability, and overall effectiveness. Next, they are scored for their potential for spread to HICs, according to their ability to address an HIC healthcare challenge, compatibility with infrastructure and regulatory requirements, degree of novelty, and degree of current collaboration with HICs. We use examples to illustrate where programs which appear initially promising may be unlikely to succeed in a HIC setting due to feasibility concerns.ConclusionsThis study presents a framework for identifying reverse innovations that may be useful to policymakers and funding agencies interested in identifying novel approaches to addressing cost and access to care in HICs. We solicited expert feedback and consensus on an empirically-derived set of criteria to create a practical tool for funders that can be used directly and tested prospectively using current databases of LMIC programs.

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Reverse innovation in global health systems: towards global innovation flow

Cited by 67 publications

References 9 publications

An Argument for Salvage in Severe Lower Extremity Trauma with Posterior Tibial Nerve Injury

An Argument for Salvage in Severe Lower Extremity Trauma with Posterior Tibial Nerve Injury

Capturing Indian Rural Market Through a Proactive Tool: Reverse Innovation

Criteria to assess potential reverse innovations: opportunities for shared learning between high- and low-income countries

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