Title Criteria to assess potential reverse innovations: opportunities for shared learning between high- and low-income countries /
Authors Bhattacharyya, Onil ; Wu, Diane ; Mossman, Kathryn ; Hayden, Leigh ; Gill, Pavan ; Cheng, Yu-Ling ; Daar, Abdallah ; Soman, Dilip ; Synowiec, Christina ; Taylor, Andrea ; Wong, Joseph ; Von Zedtwitz, Maximilian Joachim ; Zlotkin, Stanley ; Mitchell, William ; McGahan, Anita
DOI 10.1186/s12992-016-0225-1
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Is Part of Globalization and health.. London : BioMed Central. 2017, vol. 13, iss. 4, p. 1-8.. ISSN 1744-8603
Keywords [eng] reverse innovation ; innovation ; healthcare delivery models ; low- and middle-income countries ; global health
Abstract [eng] Background: Low- 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. Methods: An 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. Results: The 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. Conclusions: This 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. [...].
Published London : BioMed Central
Type Journal article
Language English
Publication date 2017