Strategic, Value‐Based Delivery in Global Health Care: Innovations at Harvard University and Brigham and Women's Hospital

Abstract

Investments in global health have more than doubled over the past decade, generating a cadre of new institutions. To date, most of the funded research in global health has focused on discovery, and, more recently, on the development of new tools, which has tightened the implementation bottleneck. This article introduces the concept of global health delivery and the need to catalog and analyze current implementation efforts to bridge gaps in delivery. Global health delivery is complex and context-dependent and requires an interdisciplinary effort, including the application of strategic principles. Furthermore, delivery is necessary to ensure that the investments in research, discovery, and development generate value for patients and populations. This article discusses the application of value-based delivery to global health. It provides some examples of approaches to aggregating implicit knowledge to inform practice. With global health delivery, the aim is to transform global health scale-up from a series of well-intentioned but often disconnected efforts to a value-based movement based upon 21st-century technology, standards, and efficiency.

Enabling the Development and Deployment of Next Generation Point-of-Care Diagnostics

“…It is useful to define this entire process as the POC diagnostic “value chain” ( Fig 1 ). Each link in this chain represents a potential point of failure for the entire progression from research and development to the deployment of a product that becomes part of patient care [ 50 , 51 ]. This chain includes: (i) assessments of clinical, market, and end user needs; (ii) determination of demand for the product (in part) through marketing, procurement, and partnership with local governmental and nongovernmental organizations; (iii) design and development of diagnostic assays and related devices; (iv) evaluation of product deliverability through considerations of packaging, shipping (and/or importing), storage, last mile distribution, and inventory control; (v) establishment of quality assurance and quality control processes for scaled-up manufacture of POC tests; (vi) filing for regulatory approval for the intended use of the technology in a broadly global marketplace; (vii) on-the-ground efforts towards ensuring adoption of the technology by users, clinics, and research laboratories; and (viii) organization of postdelivery support through user training, technical assistance, and maintenance of equipment.…”

Pediatric Health Outcome Evaluation in Low-and Middle-Income Countries: A Scoping Review of NGO Practice

“…[9][10][11] There are an estimated 10 million NGOs worldwide, including more than 40 000 international NGOs and thousands of local NGOs participating in health and development work in any single country. 12,13 While the benefits of NGO and government collaborations for sustainability of programs and access to care have been identified, these collaborations are contingent on a variety of factors and may not always occur. 14,15 In an era where evidencebased practice and financial accountability are drivers of healthcare, it is appropriate to examine whether NGOs operate in a way that transparently links positive and sustainable health outcomes with program implementation and spending.…”

Análise Comparativa Entre Os Métodos De Previsão De Demanda Em Uma Indústria De Higiene Pessoal; Perfumaria E Cosméticos Localizada Em Teresina-Pi

“…Doenças crônicas, a exemplo do câncer, diabetes e as doenças cardiovasculares são as maiores causas de morte e de incapacidade no mundo. Em meio a tais doenças, ressalta-se o Infarto Agudo do Miocárdio (IAM) como uma das mais frequentes causas de busca de atendimento em serviços de urgência e hoje a causa isolada mais frequente de morte no mundo(WEINTRAUB, 2011).Nesse cenário, procurou-se desenvolver um estudo que viesse a contribuir para reduzir essas lacunas.Assim, o presente o estudo pretendeu responder à seguinte questão de pesquisa: como um hospital configura sua Cadeia de Valor a fim de ofertar serviços de saúde para combater a morbimortalidade decorrente do Infarto Agudo do Miocárdio? Diante disso, o objetivo deste estudo foi mapear a Cadeia de Valor no tratamento de infarto agudo do miocárdio.2 CADEIA DE VALORO mapeamento da Cadeia de Valor, que tradicionalmente teve suas aplicações voltadas para a manufatura, aos poucos passou a ser também usado na indústria de serviços, incluídos aí o serviço de saúde e os hospitais.…”